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Real-time glucose sensors in children and adolescents with type-1 diabetes.
Horm Res. 2008; 70(4):193-202.HR

Abstract

The increased availability of continuous glucose sensors is likely to have a significant impact on pediatric diabetes therapy and education in the future. While a recent meta-analysis of retrospective first-generation Holter-type sensors was not able to show advantages compared to self-monitoring of blood glucose levels, this review focuses on current real-time sensors. Our own experience with 23 children aged 10 (3-15) years with sensor-augmented pump therapy showed high ratings for overall satisfaction and ease of use of the system (5.8 on a 7 point Likert scale). The results of our ongoing international pediatric ONSET trial will show the impact of this technology on learning to live with diabetes by having the biofeedback of glucose excursions from the onset of diabetes. Families previously relying on self-monitoring of blood glucose need to understand the difference between estimating the absolute blood glucose value (point accuracy) and the change in blood glucose (rate accuracy), and how to take into consideration the inherent interstitial time lag. Selection of patients capable and motivated to use continuous sensors accompanied with proper age-appropriate education remain key factors for the long-term success of these new technological advances in diabetes therapy as long as closed loop systems are not available.

Authors+Show Affiliations

Kinderkrankenhaus auf der Bult, Medizinische Hochschule Hannover, Hannover, Germany. Danne@hka.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18772591

Citation

Danne, Thomas, et al. "Real-time Glucose Sensors in Children and Adolescents With Type-1 Diabetes." Hormone Research, vol. 70, no. 4, 2008, pp. 193-202.
Danne T, Lange K, Kordonouri O. Real-time glucose sensors in children and adolescents with type-1 diabetes. Horm Res. 2008;70(4):193-202.
Danne, T., Lange, K., & Kordonouri, O. (2008). Real-time glucose sensors in children and adolescents with type-1 diabetes. Hormone Research, 70(4), 193-202. https://doi.org/10.1159/000151592
Danne T, Lange K, Kordonouri O. Real-time Glucose Sensors in Children and Adolescents With Type-1 Diabetes. Horm Res. 2008;70(4):193-202. PubMed PMID: 18772591.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Real-time glucose sensors in children and adolescents with type-1 diabetes. AU - Danne,Thomas, AU - Lange,Karin, AU - Kordonouri,Olga, Y1 - 2008/09/05/ PY - 2008/02/27/received PY - 2008/05/26/accepted PY - 2008/9/6/pubmed PY - 2008/12/17/medline PY - 2008/9/6/entrez SP - 193 EP - 202 JF - Hormone research JO - Horm Res VL - 70 IS - 4 N2 - The increased availability of continuous glucose sensors is likely to have a significant impact on pediatric diabetes therapy and education in the future. While a recent meta-analysis of retrospective first-generation Holter-type sensors was not able to show advantages compared to self-monitoring of blood glucose levels, this review focuses on current real-time sensors. Our own experience with 23 children aged 10 (3-15) years with sensor-augmented pump therapy showed high ratings for overall satisfaction and ease of use of the system (5.8 on a 7 point Likert scale). The results of our ongoing international pediatric ONSET trial will show the impact of this technology on learning to live with diabetes by having the biofeedback of glucose excursions from the onset of diabetes. Families previously relying on self-monitoring of blood glucose need to understand the difference between estimating the absolute blood glucose value (point accuracy) and the change in blood glucose (rate accuracy), and how to take into consideration the inherent interstitial time lag. Selection of patients capable and motivated to use continuous sensors accompanied with proper age-appropriate education remain key factors for the long-term success of these new technological advances in diabetes therapy as long as closed loop systems are not available. SN - 1423-0046 UR - https://www.unboundmedicine.com/medline/citation/18772591/Real_time_glucose_sensors_in_children_and_adolescents_with_type_1_diabetes_ L2 - https://www.karger.com?DOI=10.1159/000151592 DB - PRIME DP - Unbound Medicine ER -