Diabetology & Metabolic Syndrome (May 2024)

Type 2 diabetes in latin America: recommendations on the flash glucose monitoring system

  • Marcio Krakauer,
  • Ana M. Gómez,
  • Paloma Almeda-Valdes,
  • Helard Manrique,
  • María Lidia Ruiz Morosini,
  • Gonzalo Godoy Jorquera,
  • João Eduardo Nunes Salles,
  • David Sanhueza Costa,
  • Rodrigo de Azeredo Siqueira,
  • Raquel N. Faradji,
  • Alex Rincón Ramírez,
  • Matías Ré,
  • Karen Fériz Bonelo,
  • Adrián Proietti,
  • Fernando J. Lavalle-González

DOI
https://doi.org/10.1186/s13098-024-01343-7
Journal volume & issue
Vol. 16, no. 1
pp. 1 – 8

Abstract

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Abstract Objective To establish recommendations through the consensus of a Latin American experts panel on the use of the flash glucose monitoring system (fCGM) in people living with type 2 diabetes mellitus (T2DM) regarding the benefits and challenges of using the fCGM. Methods An executive committee of experts was created, comprised by a panel of fifteen physicians, including endocrinologists and internal medicine physicians, with expertise in management of adult patients with T2DM. The experts were from various countries: Colombia, Chile, Peru, Mexico, Argentina, and Brazil. The modified Delphi method was used, considering a consensus level of at least 80% of the participants. A seventeen-item instrument was developed to establish recommendations on the use of fCGM in patients with T2DM in Latin American. Results The number of glucose scans recommended per day with the fCGM for patients managed with oral antidiabetic drugs or basal insulin was a median of 6 scans per day, and for those managed with multiple insulin doses, a median of 10 scans per day was recommended. Additionally, a holistic and individualized management approach was recommended, taking into account new treatment directions and identifying patients who would benefit from the use of the fCGM. Conclusion Continuous use of the fCGM is recommended for people living with T2DM, regardless of their type of treatment. These metrics must be evaluated individually for each patient profile.

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