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Acta Medica Colombiana
Print version ISSN 0120-2448
Abstract
GOMEZ-MEDINA, ANA MARÍA et al. Consensus for the use of flash glucose monitoring in the Colombian adult population with type 1 and 2 diabetes mellitus. Acta Med Colomb [online]. 2022, vol.47, n.2, pp.51-62. Epub Jan 07, 2023. ISSN 0120-2448. https://doi.org/10.36104/amc.2022.2239.
Introduction:
in Colombia, the Clinical Practice Guidelines for the treatment of patients with type 1 (DM1) and type 2 (DM2) diabetes do not mention the use of flash glucose monitoring, as this system was not available. The objective of this study was to establish a set of recommendations for the use of intermittent flash monitoring in Colombia.
Methods:
the group of experts consisted of eight Colombian physicians from different cities within Colombia, with expertise in the management of patients with DM1 and DM2; a certified diabetes nurse educator; a patient with DM1; and a methodological expert. Using the Zoom Enterprise video conferencing application (Zoom Video Communications, San Jose, California), the group generated questions through the Metaplan method, then carried out a systematic literature search and evidence review. The recommendations were made according to the degree of evidence and strength of the recommendation, following the GRADE method.
Results:
clinical recommendations were made for: a) patients with DM1 and hypoglycemia; b) patients with DM1 and poor metabolic control; c) patients with insulin-treated DM2; d) pregestational diabetes; e) quality of life; and f) inpatient use.
Conclusions:
this consensus's clinical recommendations guide clinical decision making with regard to the use of intermittent flash monitoring in patients with diabetes in various clinical settings. (Acta Med Colomb 2022; 47. DOI:https://doi.org/10.36104/amc.2022.2239).
Keywords : type 1 diabetes mellitus; type 2 diabetes mellitus; continuous glucose monitoring; capillary self-monitoring; hypoglycemia.