Abstract
Regular self-monitoring of blood glucose levels, and ketones when indicated, is an essential component of type 1 diabetes (T1D) management. Although fingerstick blood glucose monitoring has been the standard of care for decades, ongoing rapid technological developments have resulted in increasingly widespread use of continuous glucose monitoring (CGM). This article reviews recommendations for self-monitoring of glucose and ketones in pediatric T1D with particular emphasis on CGM and factors that impact the accuracy and real-world use of this technology.
Highlights
Frequent blood glucose (BG) monitoring is a cornerstone of intensive diabetes management and is associated with lower hemoglobin A1c (A1c) values and decreases the occurrence of both hypo- and hyperglycemia [1,2,3]
Self-monitoring of blood glucose (SMBG) levels became the standard of care for type 1 diabetes (T1D) after the development of the first glucose meter for home use in 1970
This article examines the roles of fingerstick BG monitoring, continuous glucose monitor (CGM), and urine and blood ketone monitoring in pediatric T1D management
Summary
Frequent blood glucose (BG) monitoring is a cornerstone of intensive diabetes management and is associated with lower hemoglobin A1c (A1c) values and decreases the occurrence of both hypo- and hyperglycemia [1,2,3]. Integration of CGM with continuous subcutaneous insulin infusion (CSII) devices (insulin pumps) has led to the development of algorithm-controlled pumps that suspend insulin delivery when a low glucose level is predicted to occur within the ensuing 30 min, as well as hybrid closed loop systems that can both suspend insulin delivery to prevent hypoglycemia and automatically administer additional insulin to correct hyperglycemia. Use of these devices for management of T1D is rapidly becoming the standard of care. This article examines the roles of fingerstick BG monitoring, CGM, and urine and blood ketone monitoring in pediatric T1D management
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
