Insulinization in the era of continuous glucose monitoring

Abstract

Insulinization in the era of Continuous Glucose Monitoring (CGM) represents an innovative approach to diabetes management. CGM enables detailed tracking of glucose levels in real-time, facilitating the optimization of insulin therapy. It allows for precise adjustments of insulin doses based on glucose patterns, identifies critical moments of hypoglycemia and hyperglycemia, improves patient education about their disease, and facilitates the detection of errors in insulin administration.

To implement insulinization strategies with CGM, one can start with basal glucose profiles and adjust as necessary, use CGM trend arrows to anticipate changes in glucose levels, adjust insulin doses according to physical activity and carbohydrate intake, and regularly reassess and adjust insulin therapy.

Benefits for patients include improved glycemic control, reduced frequency of hypoglycemia, increased patient confidence and autonomy, and improved quality of life.

However, there are also challenges and considerations, such as the cost and accessibility of CGM, the need for patient and professional education and training, proper interpretation of CGM data, and collaboration between patients and professionals to optimize therapy.

In conclusion, insulinization in the era of CGM offers a personalized and effective approach to diabetes management. Diabetes specialists must be aware of the advantages and challenges of CGM to provide the best possible care for their patients.