Optimising use of rate-of-change trend arrows for insulin dosing decisions using the FreeStyle Libre flash glucose monitoring system
Open Access
- 3 September 2018
- journal article
- review article
- Published by SAGE Publications in Diabetes and Vascular Disease Research
- Vol. 16 (1), 3-12
- https://doi.org/10.1177/1479164118795252
Abstract
Continuous glucose monitoring and flash glucose monitoring systems are increasingly used by people with diabetes on multiple daily injections of insulin and continuous subcutaneous insulin infusion. Along with real-time updates on current glucose levels, these technologies also use trend arrows to provide information on the direction and rate of change of glucose. Two systems, the Dexcom G5 and the FreeStyle Libre, have recently been approved for use without the need for adjunct capillary blood glucose, and there is a need for practical guidance for insulin dosing which incorporates rate of change in the insulin dosing algorithm. Here, we review the integration of rate of change trend arrow information into daily glucose management, including rapid-acting insulin dosing decisions. Based on the FreeStyle Libre flash glucose monitoring system, we also review a practical decision-support tool for actions to take when using trend arrows in conjunction with current glucose readings.Keywords
This publication has 13 references indexed in Scilit:
- Effect of Continuous Glucose Monitoring on Glycemic Control in Adults With Type 1 Diabetes Using Insulin InjectionsJAMA, 2017
- Continuous Glucose Monitoring vs Conventional Therapy for Glycemic Control in Adults With Type 1 Diabetes Treated With Multiple Daily Insulin InjectionsJAMA, 2017
- Novel glucose-sensing technology and hypoglycaemia in type 1 diabetes: a multicentre, non-masked, randomised controlled trialThe Lancet, 2016
- Differences in Use of Glucose Rate of Change (ROC) Arrows to Adjust Insulin Therapy Among Individuals With Type 1 and Type 2 Diabetes Who Use Continuous Glucose Monitoring (CGM)Journal of Diabetes Science and Technology, 2016
- How Patients With Type 1 Diabetes Translate Continuous Glucose Monitoring Data into Diabetes Management DecisionsEndocrine Practice, 2015
- Timing of Meal Insulin Boluses to Achieve Optimal Postprandial Glycemic Control in Patients with Type 1 DiabetesDiabetes Technology & Therapeutics, 2010
- Realistic Expectations and Practical Use of Continuous Glucose Monitoring for the EndocrinologistJournal of Clinical Endocrinology & Metabolism, 2009
- Sensor-Augmented Insulin Pump Therapy: Results of the First Randomized Treat-to-Target StudyDiabetes Technology & Therapeutics, 2008
- JDRF Randomized Clinical Trial to Assess the Efficacy of Real-Time Continuous Glucose Monitoring in the Management of Type 1 Diabetes: Research Design and MethodsDiabetes Technology & Therapeutics, 2008
- Use of the DirecNet Applied Treatment Algorithm (DATA) for diabetes management with a real-time continuous glucose monitor (the FreeStyle Navigator)Pediatric Diabetes, 2008