Re: [IPp] Constant glucose tracking may not improve outcomes
Just because the study doesn't confirm the assumed benefit of CGM
doesn't make it suspect. The small size is perfectly appropriate for
a preliminary study of this question. That's why the study
investigators say that more study is needed...
Octavia, mom to Ailsa
On 7/19/06, email @ redacted <email @ redacted> wrote:
> I think there are several reasons this study is suspect. First, as you say,
> small size. Second, as you also say, it sounds like they only made
> adjustments every 3 weeks based on review of 72-hour readings. Most parents
> adjust much more quickly. Third, it was apparently a combo of kids on pumps
> and on injections, and while I know theoretically one can get equally good
> control with shots, all those kids are lacking the tools of multiple basal
> temporary and extended rates, etc. Lastly, the goal of the study was to
> determine whether the continuous monitor improved control. It did not address
> quality of life issues, which as we all know do in the long term impinge on
> control. The study said that additional finger sticks and analysis might
> the same results as the cgm. Additional finger sticks are not an attractive
> option for most kids, therefore they may not do it.
> One interesting thing-- the study said that the increased bg control came
> "at the cost of increased duration of hypoglycemia" in the group that was on
> continuous glucose monitors. I don't see why only this group would have
> increased duration of hypos. Doesn't it seem more likely that both groups had
> the increased duration, but the continuous monitors picked up the whole
> duration of the hypo where the intermittent finger sticks did not? That would
> be an
> argument in favor of the cgm, in my opinion. Plus, we would love any
> improvement in control but are really interested in the cgm as a safely
> guard against lows at night or while driving.
> Mom of Dan, 15 (dx 4-01, pumping since 5-03), Chris, 23, Carrie, 19, and
> guardian of Mike, 19.
for HELP or to subscribe/unsubscribe/change list versions,