Real World Use Of Cgm Systems Among Adolescents And Young Adults With Type 1 Diabetes Reduced Burden But Little Interest In Data Analyses

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REAL WORLD USE OF CGM-SYSTEMS AMONG ADOLESCENTS AND YOUNG ADULTS WITH TYPE 1 DIABETES: REDUCED BURDEN, BUT LITTLE INTEREST IN DATA-ANALYSES.

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis REAL WORLD USE OF CGM-SYSTEMS AMONG ADOLESCENTS AND YOUNG ADULTS WITH TYPE 1 DIABETES: REDUCED BURDEN, BUT LITTLE INTEREST IN DATA-ANALYSES. by :

Download or read book REAL WORLD USE OF CGM-SYSTEMS AMONG ADOLESCENTS AND YOUNG ADULTS WITH TYPE 1 DIABETES: REDUCED BURDEN, BUT LITTLE INTEREST IN DATA-ANALYSES. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Since September 2016 CGM-systems are reimbursed by health insurance companies in Germany for patients with T1D. The rate and quality of use of CGM-systems among young people were assessed.Participants of a German Diabetes Camp for young people with T1D (16-25 yrs.) were invited to anonymously answer a structured questionnaire on their glucose monitoring habits and satisfaction with use (11 Items), their clinical data and diabetes distress (PAID 5). Overall 308 participants (77% response-rate) (age: 21.4u00b13.5 yrs; diabetes-duration: 10.1u00b15.9 yrs.; 73% female; HbA1c 7.7u00b11.5%; CSII 60.6%) participated. Of them 29.5% used rtCGM, 45.8% iscCGM and 24.4% SMBG. HbA1c was highest with SMBG (8.0u00b11.9%) compared to iscCGM (7.7u00b11.4%) and rtCGM (7.7u00b11.4%) without reaching significance. Diabetes distress was not associated with the method of glucose monitoring (PAID_5 sum-score: 6.2u00b14.4). Participants using either CGM-system reported of better well-being (97.6%) compared to SMBG, higher satisfaction (88.2%), better feeling of security (80.3%), important new information (62.0%); few reported of inconvenience (7.0%) or disturbances (11.0%) due to alarms of rtCGM. Regularly CGM-data analyses were reported by 19.1% of young people, their HbA1c was significantly lower compared to other CGM users (7.2u00b11.2% vs. 7.7u00b11.4%; p=0.04).In this huge but selected sample of Diabetes Camp participants 75% were using a CGM-system continuously. It contributes to significant improvement in several aspects of their everyday life, but was not associated with reduced diabetes distress or better glycaemic outcome as long as the young people donu2019t analyse the CGM-data regularly. Structured education and motivation to analyse CGM-data regularly and effectively is necessary.

Technologies for diabetes

Author : Maurizio Delvecchio
Publisher : Frontiers Media SA
ISBN 13 : 2832524702
Total Pages : 139 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis Technologies for diabetes by : Maurizio Delvecchio

Download or read book Technologies for diabetes written by Maurizio Delvecchio and published by Frontiers Media SA. This book was released on 2023-06-01 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Glucose Sensor Use in Children and Adolescents

Author : Valentino Cherubini
Publisher : Springer Nature
ISBN 13 : 3030428060
Total Pages : 103 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Glucose Sensor Use in Children and Adolescents by : Valentino Cherubini

Download or read book Glucose Sensor Use in Children and Adolescents written by Valentino Cherubini and published by Springer Nature. This book was released on 2020-05-22 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical book focuses on the use of glucose sensors in children with type 1 diabetes. It is an evidence-based, simple, illustrated tool written by expert physicians in the field, experienced with patients living in Italy and in the UK. The introductory chapters offer a quick and well-documented update on technology use in the child with diabetes, while the chapter on clinical studies provides a comprehensive overview of the scientific basis and benefits on glucose sensor use. The practical use of sensors in all age groups, including toddlers, and any related psychological issues are also discussed. This volume allows health care professionals, pediatric trainees and medical students caring for children with type 1 diabetes to increase their understanding of sensor use, making this technology easier and more reliable to use.

The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook

Author : Anne L. Peters
Publisher : American Diabetes Association
ISBN 13 : 1580405061
Total Pages : 729 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook by : Anne L. Peters

Download or read book The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.

Practical CGM

Author : Gary Scheiner
Publisher : American Diabetes Association
ISBN 13 : 1580406033
Total Pages : 130 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Practical CGM by : Gary Scheiner

Download or read book Practical CGM written by Gary Scheiner and published by American Diabetes Association. This book was released on 2015-08-11 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use of real-time continuous glucose monitors among people with type 1 and type 2 diabetes is growing rapidly and should continue to grow until an artificial pancreas is brought to market. Likewise, use of professional systems in healthcare practices is expanding. But, other than manufacturer instructional manuals and some book chapters on CGMs, there are no standalone publications available with concise, non-commercial instructions on CGM prescription and use. Additionally, continuous glucose monitors are too often not used to their full and proper potential. This leaves users with suboptimal glucose control and can result in system abandonment. To address this, diabetes educator and author Gary Scheiner has created Practical CGM: Improving Patient Outcomes through Continuous Glucose Monitoring to give healthcare providers the skill to make more effective use of the data generated by continuous glucose monitors, in both real-time and on a retrospective analytic basis. Using a plain-language approach and distilling content to concise, practical tips and techniques, Scheiner has created a guide that will help practitioners optimize patient use of CGM systems and, ultimately, improve glucose control and patient health outcomes.

Glucose Sensing

Author : Chris D. Geddes
Publisher : Springer Science & Business Media
ISBN 13 : 0387330151
Total Pages : 460 pages
Book Rating : 4.3/5 (873 download)

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Book Synopsis Glucose Sensing by : Chris D. Geddes

Download or read book Glucose Sensing written by Chris D. Geddes and published by Springer Science & Business Media. This book was released on 2007-12-29 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: An essential reference for any laboratory working in the analytical fluorescence glucose sensing field. The increasing importance of these techniques is typified in one emerging area by developing non-invasive and continuous approaches for physiological glucose monitoring. This volume incorporates analytical fluorescence-based glucose sensing reviews, specialized enough to be attractive to professional researchers, yet appealing to a wider audience of scientists in related disciplines of fluorescence.

Exercise and Diabetes

Author : Sheri R. Colberg
Publisher : American Diabetes Association
ISBN 13 : 158040507X
Total Pages : 554 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Exercise and Diabetes by : Sheri R. Colberg

Download or read book Exercise and Diabetes written by Sheri R. Colberg and published by American Diabetes Association. This book was released on 2013-05-30 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical movement has a positive effect on physical fitness, morbidity, and mortality in individuals with diabetes. Although exercise has long been considered a cornerstone of diabetes management, many health care providers fail to prescribe it. In addition, many fitness professionals may be unaware of the complexities of including physical activity in the management of diabetes. Giving patients or clients a full exercise prescription that take other chronic conditions commonly accompanying diabetes into account may be too time-consuming for or beyond the expertise of many health care and fitness professionals. The purpose of this book is to cover the recommended types and quantities of physical activities that can and should be undertaken by all individuals with any type of diabetes, along with precautions related to medication use and diabetes-related health complications. Medications used to control diabetes should augment lifestyle improvements like increased daily physical activity rather than replace them. Up until now, professional books with exercise information and prescriptions were not timely or interactive enough to easily provide busy professionals with access to the latest recommendations for each unique patient. However, simply instructing patients to “exercise more” is frequently not motivating or informative enough to get them regularly or safely active. This book is changing all that with its up-to-date and easy-to-prescribe exercise and physical activity recommendations and relevant case studies. Read and learn to quickly prescribe effective and appropriate exercise to everyone.

Prediction Methods for Blood Glucose Concentration

Author : Harald Kirchsteiger
Publisher : Springer
ISBN 13 : 9783319259116
Total Pages : 0 pages
Book Rating : 4.2/5 (591 download)

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Book Synopsis Prediction Methods for Blood Glucose Concentration by : Harald Kirchsteiger

Download or read book Prediction Methods for Blood Glucose Concentration written by Harald Kirchsteiger and published by Springer. This book was released on 2015-11-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book tackles the problem of overshoot and undershoot in blood glucose levels caused by delay in the effects of carbohydrate consumption and insulin administration. The ideas presented here will be very important in maintaining the welfare of insulin-dependent diabetics and avoiding the damaging effects of unpredicted swings in blood glucose – accurate prediction enables the implementation of counter-measures. The glucose prediction algorithms described are also a key and critical ingredient of automated insulin delivery systems, the so-called “artificial pancreas”. The authors address the topic of blood-glucose prediction from medical, scientific and technological points of view. Simulation studies are utilized for complementary analysis but the primary focus of this book is on real applications, using clinical data from diabetic subjects. The text details the current state of the art by surveying prediction algorithms, and then moves beyond it with the most recent advances in data-based modeling of glucose metabolism. The topic of performance evaluation is discussed and the relationship of clinical and technological needs and goals examined with regard to their implications for medical devices employing prediction algorithms. Practical and theoretical questions associated with such devices and their solutions are highlighted. This book shows researchers interested in biomedical device technology and control researchers working with predictive algorithms how incorporation of predictive algorithms into the next generation of portable glucose measurement can make treatment of diabetes safer and more efficient.

Transitions in Care

Author : Howard A. Wolpert
Publisher : American Diabetes Association
ISBN 13 : 1580403646
Total Pages : 129 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Transitions in Care by : Howard A. Wolpert

Download or read book Transitions in Care written by Howard A. Wolpert and published by American Diabetes Association. This book was released on 2009-05-18 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing care for a young adult with type 1 diabetes during this stage can be difficult as well. Transitions in Care serves as a coaching manual for health care providers and parents, and as a guide to self-care and independence for young adults with diabetes. It demystifies a complicated period in a life with type 1 diabetes and makes the passage to adulthood easier for everyone involved.

Diabetes Digital Health

Author : David C. Klonoff
Publisher : Elsevier
ISBN 13 : 0128174862
Total Pages : 311 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Diabetes Digital Health by : David C. Klonoff

Download or read book Diabetes Digital Health written by David C. Klonoff and published by Elsevier. This book was released on 2020-04-04 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes Digital Health brings together the multifaceted information surrounding the science of digital health from an academic, regulatory, industrial, investment and cybersecurity perspective. Clinicians and researchers who are developing and evaluating mobile apps for diabetes patients will find this essential reading, as will industry people whose companies are developing mobile apps and sensors. Provides valuable information for clinicians, researchers and industry about the design and evaluation of patient-facing diabetes adherence technologies Highlights cutting-edge topics that are presented and discussed at the Digital Diabetes Congress

Psychosocial Care for People with Diabetes

Author : Deborah Young-Hyman
Publisher : American Diabetes Association
ISBN 13 : 1580404391
Total Pages : 330 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

EXPERIENCE OF CGM (CONTINUOUS GLUCOSE MONITORING) FOR CHILDREN AND ADOLESCENTS IN A PAEDRIATRIC DIABETES UNIT.

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis EXPERIENCE OF CGM (CONTINUOUS GLUCOSE MONITORING) FOR CHILDREN AND ADOLESCENTS IN A PAEDRIATRIC DIABETES UNIT. by :

Download or read book EXPERIENCE OF CGM (CONTINUOUS GLUCOSE MONITORING) FOR CHILDREN AND ADOLESCENTS IN A PAEDRIATRIC DIABETES UNIT. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: EXPERIENCE OF CGM (CONTINUOUS GLUCOSE MONITORING) FOR CHILDREN AND ADOLESCENTS IN A PEDRIATRIC DIABETES UNIT.Graciela Louu2020, Gemma Larramonau2021, Teresa Montaneru2021, Sara Barbedu2020u2020Hospital Pediu00e1trico Miguel Servetu2021 Universidad de ZaragozaObjective: Estimate the use of CGM in a Pediatric Diabetes Unit from a Spanish region. To find out differences between the different CGM systems (included flash type or intermittent) and according to the type of treatment. To analyze the metabolic control, frequency of mild and severe hypoglycaemia among the same patients before and after using CGM and to compare patients with and without CGM.Methods: Data are collected from September to December 2017, from patients whose diagnosis was between 2003 and 2017. Patients are grouped in age groups (5; 6-10; 10) and demographic, metabolic control and treatment variables are collected.Results: 120 patients collaborated, implying a response of 80%.70% use MDI, of which 48% use CGM, being 89% in the case of patients using CSII. In older than 10 years there is a predilection for intermittent measurement systems, unlike those under 5 years prefer continuous measurement. The use of CGM significantly reduces HbA1c compared to those who do not use them and significantly reduces the number of mild hypoglycaemia, with the disappearance of severe hypoglycaemia in 6 months. 43% of patients reduce the number of glycemias/day significantly after 6 months of use. CGM decreases almost a 5% the HbAc1 value and a 19% the Coefficient of Variation. Conclusion: There exists an improvement in the metabolic control and the glycemic variability of using CGM. Hypoglycemia is diminished by GCM, to a greater extent by the Integrated sensor-augmented pump system. Adolescents prefer to use intermittent measurement systems, reducing the number of glycemia/d.

Diabetes in Childhood and Adolescence

Author : Francesco Chiarelli
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805577664
Total Pages : 391 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Diabetes in Childhood and Adolescence by : Francesco Chiarelli

Download or read book Diabetes in Childhood and Adolescence written by Francesco Chiarelli and published by Karger Medical and Scientific Publishers. This book was released on 2005-01-01 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes mellitus is one of the most frequent chronic diseases affecting children and adolescents. The number of young children being diagnosed with type 1 diabetes is increasing worldwide and an epidemic of type 2 diabetes already at a young age is being

Higher Education Research Methodology

Author : Ben Kei Daniel
Publisher : Routledge
ISBN 13 : 1351369474
Total Pages : 230 pages
Book Rating : 4.3/5 (513 download)

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Book Synopsis Higher Education Research Methodology by : Ben Kei Daniel

Download or read book Higher Education Research Methodology written by Ben Kei Daniel and published by Routledge. This book was released on 2017-12-15 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is for anyone who wishes to improve university teaching and learning through systematic inquiry. It provides advice, but also a constructive critique of research methods and, in turn, the authors also make a contribution to the theories of research methodology. Topics covered include ontology, epistemology and engagement with academic literature, as well as research design approaches and methods of data collection. There is a keen focus on quality in both the analysis and evaluation of research and new models are proposed to help the new researcher. The authors conclude by examining the challenges in getting work published and close with some words on quality of thought and action. The ideas in the book come from the authors’ extensive experience in teaching research methods courses in higher education, health and the corporate sector, as well as several empirical research projects that have helped provide a methodology for higher education. It will be of particular interest to postgraduate students, academic developers and experienced academics from a wide variety of disciplines.

Impacts of Climate Change on Human Health in the United States

Author : US Global Change Research Program
Publisher : Simon and Schuster
ISBN 13 : 1510726217
Total Pages : 999 pages
Book Rating : 4.5/5 (17 download)

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Book Synopsis Impacts of Climate Change on Human Health in the United States by : US Global Change Research Program

Download or read book Impacts of Climate Change on Human Health in the United States written by US Global Change Research Program and published by Simon and Schuster. This book was released on 2018-02-06 with total page 999 pages. Available in PDF, EPUB and Kindle. Book excerpt: As global climate change proliferates, so too do the health risks associated with the changing world around us. Called for in the President’s Climate Action Plan and put together by experts from eight different Federal agencies, The Impacts of Climate Change on Human Health: A Scientific Assessment is a comprehensive report on these evolving health risks, including: Temperature-related death and illness Air quality deterioration Impacts of extreme events on human health Vector-borne diseases Climate impacts on water-related Illness Food safety, nutrition, and distribution Mental health and well-being This report summarizes scientific data in a concise and accessible fashion for the general public, providing executive summaries, key takeaways, and full-color diagrams and charts. Learn what health risks face you and your family as a result of global climate change and start preparing now with The Impacts of Climate Change on Human Health.

The Type 1 Diabetes Self-Care Manual

Author : Wood Jamie
Publisher : American Diabetes Association
ISBN 13 : 1580406920
Total Pages : 168 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis The Type 1 Diabetes Self-Care Manual by : Wood Jamie

Download or read book The Type 1 Diabetes Self-Care Manual written by Wood Jamie and published by American Diabetes Association. This book was released on 2017-11-08 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Type 1 Diabetes Self-Care Manual: A Complete Guide to Type 1 Diabetes Across the Lifespan for People with Diabetes, Parents, and Caregivers offers practical, evidence-based and common sense help for people with type 1 diabetes and their caregivers. For the close to 1.5 million people with type 1 diabetes in the United States alone and their family and friends, this book will help them understand the effects of type 1 diabetes, not just when diagnosed, but throughout their lifespan. Dr. Jamie Wood and Dr. Anne Peters, two of the most respected and sought-after endocrinologists, provide an easy-to-follow narrative on all aspects of the disease. The Type 1 Diabetes Self-Care Manual will be the go-to reference for everyone touched by type 1 diabetes.

Methods for Insulin Delivery and Glucose Monitoring

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (814 download)

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Book Synopsis Methods for Insulin Delivery and Glucose Monitoring by :

Download or read book Methods for Insulin Delivery and Glucose Monitoring written by and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: To systematically review whether the mode of intensive insulin therapy (continuous subcutaneous insulin infusion [CSII] vs. multiple daily injections [MDI]) and/or the mode of blood glucose monitoring (real time-continuous glucose monitoring [rt-CGM] vs. self-monitoring of blood glucose [SMBG]) results in better glycemic control, less hypoglycemia, improved quality of life, and improved clinical outcomes in individuals with type 1 diabetes, type 2 diabetes, and pre-existing diabetes in pregnancy. DATA SOURCES: MEDLINE(r), Embase(r), and the Cochrane Central Register of Controlled Trials from inception to July 2011. Additional studies were identified from reference lists and technical experts. REVIEW METHODS: We included randomized controlled trials (RCTs) for all outcomes and observational studies for selected clinical outcomes that compared the effects of CSII with MDI or rt-CGM with SMBG among children, adolescents, or adults with either type 1 or type 2 diabetes, or pregnant women with pre-existing diabetes. We excluded studies that used regular insulin in the CSII arms. Two reviewers evaluated studies for eligibility, serially abstracted data using standardized forms, and independently evaluated study quality. We conducted meta-analyses when there were sufficient data and studies were sufficiently homogeneous. RESULTS: We included 41 studies (44 publications). RCTs showed no difference in the effect of CSII and MDI on HbA1c (moderate strength of evidence [SOE]) or severe hypoglycemia (low SOE) for children or adolescents with type 1 diabetes, or for adults with type 2 diabetes. In adults with type 1 diabetes, HbA1c decreased more with CSII than with MDI (low SOE), but results were heavily influenced by one study. There was no difference in severe hypoglycemia (low SOE). In children and adults with type 1 diabetes, CSII use was associated with improved quality of life compared with MDI (low SOE). There was insufficient evidence about quality of life for adults with type 2 diabetes. The SOE regarding pregnant women with pre-existing diabetes was either low or insufficient on all outcomes. We found studies of the comparative effectiveness of rt-CGM versus SMBG in individuals with type 1 diabetes only. Compared with SMBG, rt-CGM achieved a lower HbA1c, with greater reductions occurring where sensor compliance was 60 percent or greater (high SOE). There was no difference in the rate of severe hypoglycemia (low SOE) or quality of life (low SOE). Sensor-augmented pump use was associated with a significantly greater reduction in HbA1c compared with MDI/SMBG use in nonpregnant individuals with type 1 diabetes (moderate SOE). The evidence for other outcomes was low or insufficient. CONCLUSIONS: The approach to intensive insulin therapy can be individualized to patient preference that will maximize their quality of life, as both CSII and MDI have similar effectiveness on glycemic control and severe hypoglycemia, except in adults with type 1 diabetes where CSII had a favorable effect on HbA1c. These data also indicate that rt-CGM is superior to SMBG in lowering HbA1c, without affecting the risk of severe hypoglycemia, in nonpregnant individuals with type 1 diabetes, particularly when compliance is high. Sensor-augmented pumps are superior to MDI/SMBG in lowering HbA1c.