Kong, Alice P. S. and Lim, Soo and Yoo, Seung-Hyun and Ji, Linong and Chen, Liming and Bao, Yuqian and Yeoh, Ester and Chan, Siew-Pheng and Wang, Chih-Yuan and Mohan, Viswanathan and Cohen, Neale and McGill, Margaret J. and Twigg, Stephen M. (2023) Asia-Pacific consensus recommendations for application of continuous glucose monitoring in diabetes management. Diabetes Research and Clinical Practice, 201. ISSN 0168-8227, DOI https://doi.org/10.1016/j.diabres.2023.110718.
Full text not available from this repository.Abstract
Glucose monitoring has evolved from self-monitoring of blood glucose to glycated hemoglobin, and the latest continuous glucose monitoring (CGM). A key challenge to adoption of CGM for management of diabetes in Asia is the lack of regional CGM recommendations. Hence, thirteen diabetes-specialists from eight Asia-Pacific (APAC) countries/regions convened to formulate evidence-based, APAC-specific CGM recommendations for individuals with diabetes. We defined CGM metrics/targets and developed 13 guiding-statements on use of CGM in: (1) people with diabetes on intensive insulin therapy, and (2) people with type 2 diabetes on basal insulin with/ without glucose lowering drugs. Continual use of CGM is recommended in individuals with diabetes on intensive insulin therapy and suboptimal glycemic control, or at high risk of problematic hypoglycemia. Continual/ intermittent CGM may also be considered in individuals with type 2 diabetes on basal insulin regimen and with suboptimal glycemic control. In this paper, we provided guidance for optimizing CGM in special populations/ situations, including elderly, pregnancy, Ramadan-fasting, newly diagnosed type 1 diabetes, and comorbid renal disease. Statements on remote CGM, and stepwise interpretation of CGM data were also developed. Two Delphi surveys were conducted to rate the agreement on statements. The current APAC-specific CGM recommendations provide useful guidance for optimizing use of CGM in the region.
| Item Type: | Article |
|---|---|
| Funders: | MIMS Pte. Ltd |
| Uncontrolled Keywords: | Diabetes mellitus; Continuous glucose monitoring; Practice guidelines; Asia; Oceania; Time-in-range |
| Subjects: | R Medicine > RA Public aspects of medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 07 Oct 2025 01:51 |
| Last Modified: | 07 Oct 2025 01:51 |
| URI: | http://eprints.um.edu.my/id/eprint/48267 |
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