title: [How the continuous glucose monitoring system can contribute to HbA1c interpretation in type 1 diabetes mellitus?].
abstract: The aim of the present study is a literature revision of the contribution of continuous glucose monitoring system (CGMS) in the interpretation of HbA1c levels in type 1 diabetes (T1DM). We performed a revision of the efficacy, benefits, interpretation of methods and experience with this system. The CGMS could be useful in T1DM patients that present great glycemic variability or severe hypoglycemia (mainly nocturnal) and postprandial hyperglycemia. The identification of altered patterns or the glycemic variability allows therapeutic adjustment and improvement of the metabolic control. CGMS is a safe method with a rare occurrence of side effects and it is well-tolerated by patients. The extension of the procedure for more days, over the 72h period recommended by the standard test, allows us to get important data to changes and adjustments on the insulin management of the type 1 diabetes mellitus patients.
authors.affiliation: Instituto da Criança com Diabetes, Hospital da Criança Conceição, Ministério da Saúde, Porto Alegre, RS, Brasil.
authors.forename: Marcia K C
authors.initials: MK
authors.lastname: Puñales
authors.forename: César
authors.initials: C
authors.lastname: Geremia
authors.forename: Paula
authors.initials: P
authors.lastname: Mondadori
authors.forename: Marilisa
authors.initials: M
authors.lastname: Pickler
authors.forename: Adriana
authors.initials: A
authors.lastname: Fornari
authors.forename: Balduino
authors.initials: B
authors.lastname: Tschiedel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D002196:Capillaries; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000097:blood*; D005215:Fasting / Q000378:metabolism; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D006943:Hyperglycemia / Q000097:blood; D007003:Hypoglycemia / Q000097:blood; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D008297:Male; D008875:Middle Aged; D019518:Postprandial Period / Q000502:physiology; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin