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Flash Glucose Monitoring in Croatia: The Optimal Number of Scans per Day to Achieve Good Glycemic Control in Type 1 Diabetes.
Canecki-Varzic, Silvija; Prpic-Krizevac, Ivana; Cigrovski Berkovic, Maja; Rahelic, Dario; Schonberger, Ema; Gradiser, Marina; Bilic-Curcic, Ines.
Affiliation
  • Canecki-Varzic S; Department of Endocrinology, Clinical Hospital Center Osijek, 31000 Osijek, Croatia.
  • Prpic-Krizevac I; Department of Pathophysiology, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.
  • Cigrovski Berkovic M; Department of Endocrinology, Clinical Hospital Center Osijek, 31000 Osijek, Croatia.
  • Rahelic D; Department of Internal Medicine and History of Medicine, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.
  • Schonberger E; Department of Medicine of Sports and Exercise, Faculty of Kinesiology, University of Zagreb, 10000 Zagreb, Croatia.
  • Gradiser M; University Clinic for Diabetes Vuk Vrhovac, 10000 Zagreb, Croatia.
  • Bilic-Curcic I; School of Medicine, Catholic University of Croatia, 10000 Zagreb, Croatia.
Medicina (Kaunas) ; 59(11)2023 Oct 25.
Article in En | MEDLINE | ID: mdl-38003943
Background and Objectives: The purpose of this study is to determine the optimal number of scans per day required for attaining good glycemic regulation. Materials and Methods: The association of scanning frequency and glucometrics was analyzed according to bins of scanning frequency and bins of time in range (TIR) in the Croatian population of type 1 diabetes (T1DM) patients. Results: Intermittently scanned continuous glucose monitoring (isCGM) Libre users in Croatia performed on average 13 ± 7.4 scans per day. According to bins of scanning frequency, bin 5 with 11.2 ± 02 daily scans was sufficient for achieving meaningful improvements in glycemic regulation, while decreasing severe hypoglycemia required an increasing number of scans up to bin 10 (31 ± 0.9), yet with no effect on TIR improvement. When data were analyzed according to bins of TIR, an average of 16.3 ± 10.5 scans daily was associated with a TIR of 94.09 ± 3.49% and a coefficient of variation (CV) of 22.97 ± 4.94%. Improvement was shown between each successive bin of TIR but, of notice, the number of scans performed per day was 16.3 ± 10.5 according to TIR-based analysis and 31.9 ± 13.5 in bin 10 according to scan frequency analysis. Conclusions: In conclusion, an optimal average number of scans per day is 16.3 in order to achieve glucose stability and to minimize the burden associated with over-scanning.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Blood Glucose / Diabetes Mellitus, Type 1 Limits: Humans Country/Region as subject: Europa Language: En Journal: Medicina (Kaunas) Journal subject: MEDICINA Year: 2023 Document type: Article Affiliation country: Croatia Country of publication: Switzerland

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Blood Glucose / Diabetes Mellitus, Type 1 Limits: Humans Country/Region as subject: Europa Language: En Journal: Medicina (Kaunas) Journal subject: MEDICINA Year: 2023 Document type: Article Affiliation country: Croatia Country of publication: Switzerland