Use of continuous glucose monitoring in normoglycemic, insulin-resistant women

Eur J Appl Physiol. 2010 Apr;108(6):1181-7. doi: 10.1007/s00421-009-1325-x. Epub 2009 Dec 23.

Abstract

The purpose of this study was to compare fasting and post-prandial glucose concentrations measured in venous blood with continuous glucose monitoring (CGM)-derived values, with and without prior exercise, in insulin-resistant, normoglycemic women. Interstitial and venous glucose concentrations were assessed in ten sedentary, overweight/obese African-American women following a sedentary condition (75 min of rest) and following an exercise condition (75 min of brisk walking on a treadmill). Ninety minutes after rest or exercise, participants completed an oral glucose tolerance test (OGTT). In response to the OGTT, CGM-derived glucose area under the curves (AUC) were lower than venous values in the exercise condition (-25%, p = 0.03) but this difference was attenuated in the sedentary condition (-10%, p = 0.09). Additionally, CGM-derived absolute glucose values (mMol) were significantly lower compared to venous values during the sedentary (p = 0.007) and exercise conditions (p = 0.006). Overall, there was a moderately strong relationship between venous and CGM-derived glucose AUC (r (2) = 0.68) but the CGM-derived values were consistently lower in this study group. Although CGM provided more information regarding post-prandial glucose responses, these results suggest that CGM may not closely match venous glucose measurements in normoglycemic participants.

MeSH terms

  • Adult
  • Blood Glucose / analysis*
  • Exercise / physiology*
  • Female
  • Humans
  • Insulin Resistance / physiology*
  • Middle Aged
  • Monitoring, Physiologic / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Young Adult

Substances

  • Blood Glucose