jueves, 2 de agosto de 2012

National Guideline Clearinghouse | Continuous glucose monitoring: an Endocrine Society clinical practice guideline.

full-text:
National Guideline Clearinghouse | Continuous glucose monitoring: an Endocrine Society clinical practice guideline.

Guideline Title

Continuous glucose monitoring: an Endocrine Society clinical practice guideline.

Bibliographic Source(s)

Klonoff DC, Buckingham B, Christiansen JS, Montori VM, Tamborlane WV, Vigersky RA, Wolpert H, Endocrine Society. Continuous glucose monitoring: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011 Oct;96(10):2968-79. PubMed External Web Site Policy

Guideline Status

This is the current release of the guideline.

J Clin Endocrinol Metab. 2011 Oct;96(10):2968-79.

Continuous glucose monitoring: an Endocrine Society Clinical Practice Guideline.

Klonoff DC, Buckingham B, Christiansen JS, Montori VM, Tamborlane WV, Vigersky RA, Wolpert H; Endocrine Society.

Source

Mills-Peninsula Health Services, San Mateo, California 94401, USA.

Abstract

OBJECTIVE:

The aim was to formulate practice guidelines for determining settings where patients are most likely to benefit from the use of continuous glucose monitoring (CGM).

PARTICIPANTS:

The Endocrine Society appointed a Task Force of experts, a methodologist, and a medical writer.

EVIDENCE:

This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence.

CONSENSUS PROCESS:

One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of The Endocrine Society, the Diabetes Technology Society, and the European Society of Endocrinology reviewed and commented on preliminary drafts of these guidelines.

CONCLUSIONS:

The Task Force evaluated three potential uses of CGM: 1) real-time CGM in adult hospital settings; 2) real-time CGM in children and adolescent outpatients; and 3) real-time CGM in adult outpatients. The Task Force used the best available data to develop evidence-based recommendations about where CGM can be beneficial in maintaining target levels of glycemia and limiting the risk of hypoglycemia. Both strength of recommendations and quality of evidence were accounted for in the guidelines.