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Battelino, T.* ; Lalic, N.* ; Hussain, S.* ; Ceriello, A.* ; Klobucar, S.* ; Davies, S.J.* ; Topsever, P.* ; Heverly, J.* ; Ulivi, F.* ; Brady, K.* ; Tankova, T.* ; Galhardo, J.* ; Tagkalos, K.* ; Werson, E.* ; Mathieu, C.* ; Schwarz, P.E.

The use of continuous glucose monitoring in people living with obesity, intermediate hyperglycemia or type 2 diabetes.

Diabetes Res. Clin. Pract. 223:112111 (2025)
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A global trend towards increased obesity, intermediate hyperglycemia (previously termed prediabetes) and type 2 diabetes, has prompted a range of international initiatives to proactively raise awareness and provide action-driven recommendations to prevent and manage these linked disease states. One approach, that has shown success in managing people already diagnosed with type 2 diabetes mellitus, is to use continuous glucose monitoring (CGM) devices to help them manage their chronic condition through understanding and treating their daily glucose fluctuations, in assocation with glucose-lowering medications, including insulin. However, much of the burden of type 2 diabetes mellitus is founded in the delayed detection both of type 2 diabetes mellitus itself, and the intermediate hyperglycaemia that precedes it. In this review, we provide evidence that using CGM technology in people at-risk of intermediate hyperglycaemia or type 2 diabetes mellitus can significantly improve the rate and timing of detection of dysglycaemia. Earlier detection allows intervention, including through continued use of CGM to guide changes to diet and lifestyle, that can delay or prevent harmful progression of early dysglycaemia. Although further research is needed to fully understand the cost-effectiveness of this intervention in people at-risk or with early dysglycemia, the proposition for use of CGM technology is clear.
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Publication type Article: Journal article
Document type Review
Keywords Consensus Statements ; Continuous Glucose Monitoring ; Intermediate Hyperglycemia ; Obesity ; Prediabetes ; Type 2 Diabetes; Life-style Intervention; Follow-up; Glycemic Variability; Microvascular Complications; Severe Hypoglycemia; Insulin Injections; Consensus Report; Time; Association; Risk
Language english
Publication Year 2025
HGF-reported in Year 2025
ISSN (print) / ISBN 0168-8227
e-ISSN 1872-8227
Journal Diabetes Research and Clinical Practice
Quellenangaben Volume: 223, Issue: , Pages: , Article Number: 112111 Supplement: ,
Publisher Elsevier
Publishing Place Elsevier House, Brookvale Plaza, East Park Shannon, Co, Clare, 00000, Ireland
Reviewing status Peer reviewed
Institute(s) Institute of Pancreatic Islet Research (IPI)
POF-Topic(s) 90000 - German Center for Diabetes Research
Research field(s) Helmholtz Diabetes Center
PSP Element(s) G-502600-004
Grants Medical Research Council Clinical Academic Partnership award
Slovenian Research and Inovation Agency
DOI 10.1016/j.diabres.2025.112111
WOS ID 001481396700001
Scopus ID 105001939592
PubMed ID 40118193
Erfassungsdatum 2025-05-09
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