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Continuous Subcutaneous Glucose Monitoring in Diabetes: Improving Care and Outcomes

This report highlights the significant benefits and challenges of continuous subcutaneous glucose monitoring in diabetes care. It emphasizes the urgent need for more high-quality studies to address mortality, morbidity, and patient satisfaction. Though cost implications are a concern, individualized assessments are crucial pending further research. The integration of sensor-augmented pump therapy shows promise in enhancing HbA1c levels.

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Continuous Subcutaneous Glucose Monitoring in Diabetes: Improving Care and Outcomes

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  1. SBU-rapporter 2013 CGMSKontinuerlig subcutan glukosmätning vid diabetes

  2. CGMSKontinuerlig subcutan glukosmätning vid diabetesSammanfattat • Stor brist på kunskap om nyttan • Dödlighet + sjuklighet • Fler studier högre kvalitet, längre tid • Patientnöjdheten är betydl större, • spec i komb m insulinpump (SAP, sensor-augmented pump therapy) • Begränsad kunskap el otillräcklig • Iivskvalitet, svår hypoglykemi, ketoacidos

  3. CGMS - 2 • Kostnad: + 28 000 kr/år Om i komb m pump + 11.000kr till • Mest anv det kortare tid • ↑ Kostnad mot kort- + långsikt vinster • Induviduell bedömning i väntan på nya studieresultat • Idag anv restriktivt, fra t vuxna. Småbarn kan underlätta mycket, då ev 10-15 stick/dag • Är visat bättre HbA1c på 6 vkr, minst 6dgr/v. • Studier av SAP (komb CGMS + pimp) tyder på yterligareförbättr av HbA1c • > Kan bli dyrare i framtiden – dock i slutänden???

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