Strategies to mitigate hypoglycemia and glycemic variability

Authors

  • Rodrigo Carnero Río Cuarto Medical Institute, Río Cuarto, Córdoba, Argentina
  • Antonio Saleme Sanatorium Santa Fe, Santa Fe, Argentina
  • Lorena Lequi Catholic University of Córdoba, Córdoba, Argentina
  • Alejandro Daín Catholic University of Córdoba, Córdoba, Argentina
  • Graciela Rubin Private University Hospital of Córdoba, Córdoba, Argentina
  • Florencia Soto Campos Dr. Arturo Oñativia Hospital, Salta, Argentina
  • Lucas Sosa Dr. R Matera Private Hospital, Bahía Blanca, Province of Buenos Aires, Argentina
  • Adriana Flores Franchín Hospital and Sanatorium Foundation Private Hospital, Autonomous City of Buenos Aires, Argentina
  • Laura Kabakian Ricardo Gutiérrez Children's Hospital, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v56i2Sup.533

Keywords:

continuous glucose monitoring, ambulatory glucose monitoring, hypoglycemia

Abstract

The last decade has been highlighted by important advances in the development of new technologies for patients living with diabetes. The innovations have been oriented above all to improve the quality of life, reduce the impact generated by the occurrence of hypoglycemia and reduce the burden of the disease by collaborating in daily decision-making1.
Continuous glucose monitoring (CGM) is a tool that has undergone significant progress, providing dynamic information on the metabolic status of patients, allowing decision making, demonstrated by stable metabolic control, lower glycemic excursions and a significant reduction in the occurrence and severity of hypoglycemia2-5.
The purpose of these recommendations, developed by members of the Innovation Committee of the Argentine Society of Diabetes, is to provide rapid tools for the interpretation of metabolic data and the subsequent therapeutic decisionmaking. To this end, an exhaustive review of the main current guidelines and recommendations has been carried out, later the working group adapted this information according to a series of questions with practical clinical criteria.
The progress of CGMs is undeniable, not only in technological development, but it has become an educational tool for people with diabetes, their environment, and the health team, offering the possibility of a dynamic adjustment of treatment, prevention of acute complications and improving quality of life.
In this equation, we emphasize the importance of continuous diabetes education for the person with diabetes and their environment, actively participating in decision-making, and in this way, meeting the proposed objectives: improving quality of life, reducing the burden of disease, and decreasing acute glycemic excursions.

Author Biographies

Rodrigo Carnero, Río Cuarto Medical Institute, Río Cuarto, Córdoba, Argentina

Specialist in General Medicine, Master in Clinical Endocrinology; Secretary of the Diabetes Innovation Committee of the Argentine Diabetes Society (SAD); Head of the Endocrinology and Diabetes Service, Río Cuarto Medical Institute

Antonio Saleme, Sanatorium Santa Fe, Santa Fe, Argentina

Master in Diabetes, Postgraduate Faculty of Medical Sciences, Favaloro University; Specialist doctor in Medical Clinic; Head of the Endocrinology and Metabolism Service

Lorena Lequi, Catholic University of Córdoba, Córdoba, Argentina

Specialist in Medical Clinic, Master in Cardiovascular Risk Factors, University of Barcelona, ??Master in Nutrition and Diabetes, Catholic University of Córdoba (UCC); Coordinator of the Diabetes Innovation Committee of the Argentine Diabetes Society (SAD); Director of the Type 1 Diabetes, Pregnancy and Technology Area, Mains Bleues

Alejandro Daín, Catholic University of Córdoba, Córdoba, Argentina

Doctor of Medicine, Surgery; Specialist in Internal Medicine, Clinical Nutrition and Diabetology; College professor; Adjunct Professor of Histology, National University of Villa María; Professor at the National University of Córdoba (UNC); Coordinator of the Master's Degree in Diabetes and Nutrition (UNC, Nutrition Area); Staff Reina Fabiola University Clinic of Córdoba

Graciela Rubin, Private University Hospital of Córdoba, Córdoba, Argentina

University Professor in Medicine, specialist in Internal Medicine, expert in Diabetes; Member of the Diabetology and Nutrition Service, Severe Obesity Surgery Program and Telemedicine Program, Private University Hospital of Córdoba

Florencia Soto Campos, Dr. Arturo Oñativia Hospital, Salta, Argentina

Clinical Physician, specialist in Clinical Nutrition and Diabetes, Diploma in Diabetes and Obesity, Diploma in Medical Education; Head of the Clinical Nutrition and Diabetes Program, Dr. Arturo Oñativia Hospital

Lucas Sosa, Dr. R Matera Private Hospital, Bahía Blanca, Province of Buenos Aires, Argentina

Endocrinologist; Head of Endocrinology and Nutrition Service, Dr. R Matera Private Hospital in Bahía Blanca; Medical Director of the Bahía Blanca Diabetes, Endocrinology and Nutrition Research Institute; Master in Diabetes from the CEU Cardenal Herrerad in Spain, Master in Clinical Ultrasound from the CEU Cardenal Herrera University (Spain); Professor of Medicine at the Department of Health Sciences, National University of the South

Adriana Flores, Franchín Hospital and Sanatorium Foundation Private Hospital, Autonomous City of Buenos Aires, Argentina

Pediatrician, Nutrition and Diabetes specialist, Universidad Católica Argentina (UCA); Nutrition and Diabetes Doctor, Franchín Hospital Foundation and Sanatorium Private Hospital; Diabetes Educator

Laura Kabakian, Ricardo Gutiérrez Children's Hospital, Autonomous City of Buenos Aires, Argentina

University Specialist in Pediatric Medicine, University Specialist in Nutrition and Childhood Diabetes, Ricardo Gutiérrez Children's Hospital; Certified International Diabetes Educator (International Diabetes Federation-Argentine Diabetes Society); Staff Doctor Nutrition and Diabetes Service, Hospital Churruca Visca

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Published

2022-08-01

How to Cite

Carnero, R., Saleme, A., Lequi, L., Daín, A., Rubin, G., Soto Campos, F., Sosa, L., Flores, A., & Kabakian, L. (2022). Strategies to mitigate hypoglycemia and glycemic variability. Journal of the Argentine Society of Diabetes, 56(2Sup), 23–28. https://doi.org/10.47196/diab.v56i2Sup.533

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