Читать книгу Spectrum - Part 1: Curriculum - AGDT-AGPD Spectrum Group - Страница 13

Patients often react unsure and overwhelmed when they first use CGM. The constant availability of real-time data makes it much clearer to patients just how much their glucose values fluctuate throughout the day. Conventional blood glucose measurements only deliver 4-10 measurement results per day as the basis for making therapy decisions. By contrast, CGM delivers 288 glucose values per day as well as trends and statistics. The volume of data often makes it difficult for users to make the right therapeutic conclusions at the right time for their diabetes treatment. At the beginning it can be very tempting to intervene too frequently on the glucose trend by administering correction insulin or consuming carbohydrates, which often further destabilizes the metabolic state. Practical experience has also shown that compulsive behavior in patients can be worsened by CGM.

SPECTRUM gives patients methods to identify personal „typical CGM patterns“ that influence the success of therapy in a similar way (e.g. CH amount consumed, insulin dose, injection-to-food interval, etc.). At the same time, SPECTRUM participants learn the proper and safe criteria for adjusting the insulin dose in specific situations such as the correction of increased glucose values. One of the important aims of SPECTRUM is to give the users experience and, with increasing practice, reduce the feeling of insecurity and worries; this then makes it easier to optimally control the glucose trend and experience the advantages of CGM.