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Review
. 2019 Jul;13(4):763-773.
doi: 10.1177/1932296818822539. Epub 2019 Jan 22.

Therapy Adjustments Based on Trend Arrows Using Continuous Glucose Monitoring Systems

Ralph Ziegler  1 , Simone von Sengbusch  2 , Jens Kröger  3 , Oliver Schubert  4 , Petra Werkmeister  5 , Dorothee Deiss  6 , Thorsten Siegmund  7
Affiliations
Review

Therapy Adjustments Based on Trend Arrows Using Continuous Glucose Monitoring Systems

Ralph Ziegler et al. J Diabetes Sci Technol. 2019 Jul.

Abstract

Continuous glucose monitoring (CGM) systems use trend arrows to accurately display the anticipated glucose curve for the user. These are used for both "real-time" glucose monitoring and for intermittent scanning glucose monitoring. Trend arrow data are used by people with diabetes to make corrections to their glucose control. It is essential that they are correctly interpreted when adjusting insulin doses and to ensure that appropriate treatment decisions are made. The aim of this article is to provide general treatment guidance for diabetes teams and for people with diabetes using CGM in the context of trend arrows. This is based on previous recommendations for interpreting trend arrows without losing sight of the need for individual therapy adjustment.

Keywords: CGM; continuous glucose monitoring; diabetes self-management; diabetes therapy; iCGM; rtCGM; trend arrows.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The authors are members of the national advisory board of Abbott Diabetes Care.

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