Читать книгу Spectrum - Part 1: Curriculum - AGDT-AGPD Spectrum Group - Страница 6

For several years now there have been systems available on the market for continuous glucose monitoring (CGM). Real-time CGM systems display a current glucose value and have various alarm functions (rtCGM).

SPECTRUM is intended to train all patients who have an indication for using an rtCGM system. The diabetes teams have the flexibility to adjust the content depending on the needs, possibilities and limitations of the patients. CGM helps handle complex metabolic problems and enables patients to live a more flexible lifestyle. Patients can only unlock the full potential of a sensor-based intensified insulin therapy with pens or with pump therapy if they receive proper training to optimally use the displayed CGM information and sensibly vary the alarm settings.

In order for patients to profit from SPECTRUM, they should fulfill the following prerequisites:

 high personal motivation for performing insulin therapy and for dealing with diabetes,

 the necessary cognitive abilities to understand complex metabolic connections and correctly interpret glucose trends and

 the willingness to actively participate in the training course. This includes following glucose values and trends closely between the course sessions and implement and consolidate what they have learned with the help of tasks and exercises. It is also important for patients to be ready to share their observations in the course sessions and critically reflect upon therapy decisions.

Participation in the SPECTRUM training and treatment program is not recommended for patients who

 expect CGM to be the solution for all their diabetes problems and place the responsibility for the success of their diabetes therapy on the course leader/doctor,

 are overwhelmed by the high volume of data and information, both for cognitive and psychological reasons,

 react with strong, dysfunctional fear when dealing with CGM data and/or who might be at risk for trying to handle their fears by using excessive control strategies,

 are affected by insufficiently controlled psychological problems, abnormalities and disorders (e.g. fear or obsessive-compulsive disorders, addiction or dependence disorders).