Analysis of the ADA’s Standard of Diabetes Care Recommendation for Continuous Glucose Monitoring System

Transparency is a key factor to understand how recommendations were reached and to decide whether to adopt them or not. Currently, the American Diabetes Association (ADA) recommends the usage of real-time continuous glucose monitors in certain subgroups of people living with type 1 diabetes mellitus...

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Autores principales: Zafra‐Tanaka, Jessica Hanae, Brañez‐Condorena, Ana, Soriano‐Moreno, David R., Taype-Rondan, Alvaro
Formato: Artículo
Lenguaje:inglés
Publicado: 2020
Materias:
Continuous glucose monitoring
Transparency (behavior)
Diabetes mellitus
Medicine
Blood Glucose Self-Monitoring
Type 1 diabetes
Gerontology
Computer science
Computer security
Endocrinology
Blood Glucose
Diabetes Mellitus, Type 1 drug therapy
Humans
Societies, Medical
Standard of Care
Health Sciences Medicine Endocrinology, Diabetes and Metabolism Diabetes Management and Research
Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Diabetes and associated disorders
Health Sciences Medicine Endocrinology, Diabetes and Metabolism Diabetes Treatment and Management
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Sumario:Transparency is a key factor to understand how recommendations were reached and to decide whether to adopt them or not. Currently, the American Diabetes Association (ADA) recommends the usage of real-time continuous glucose monitors in certain subgroups of people living with type 1 diabetes mellitus. In this commentary we sought to critically appraise this recommendation, mainly regarding the outcomes assessed, the evidence used for each outcome, and how the balance of benefits and harms was made. We found that the decision-making process followed to reach the ADA recommendation was not clear, and that the final recommendation does not seem to be supported in the assessed evidence.

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