title: [Therapeutic education and continuous glucose monitoring in insulin-treated diabetic patients].
abstract: The effectiveness of a specific educational programme involving the use of a real-time glucose-sensor system to improve glucose control was investigated in patients with type 1 diabetes (glucose sensor combined with a portable insulin pump--Paradigm Real Time) and in patients with type 2 diabetes poorly controlled despite insulin therapy (Guardian RT one week per month for 3 months compared to blood glucose self-monitoring). Both studies showed a reduction in glycated haemoglobin (HbA1c) levels with the glucose sensor, associated with less symptomatic hypoglycaemic episodes. Despite some technical difficulties (mainly in patients with type 2 diabetes), this approach represents a useful tool for therapeutic education. These promising results justify the initiation of larger studies evaluating glucose sensor use in well selected diabetic patients.
authors.affiliation: Service de diabétologie, nutrition et maladies métaboliques, Département de médecine, CHU Sart Tilman, Liège, Belgique.
authors.forename: Vincianne
authors.initials: V
authors.lastname: Thielen
authors.forename: Régis P
authors.initials: RP
authors.lastname: Radermecker
authors.forename: Eric
authors.initials: E
authors.lastname: Renard
authors.forename: Jacques
authors.initials: J
authors.lastname: Bringer
authors.forename: André J
authors.initials: AJ
authors.lastname: Scheen
mesh_terms: D015190:Blood Glucose Self-Monitoring; D003920:Diabetes Mellitus / Q000097:blood / Q000188:drug therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D010353:Patient Education as Topic
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin