A Practical Approach to Using Trend Arrows on the Dexcom G5 CGM System for the Management of Adults With Diabetes

Grazia Aleppo; Lori M Laffel; Andrew J Ahmann; Irl B Hirsch; Davida F Kruger; Anne Peters; Ruth S Weinstock; Dennis R Harris

doi:10.1210/js.2017-00388

A Practical Approach to Using Trend Arrows on the Dexcom G5 CGM System for the Management of Adults With Diabetes

J Endocr Soc. 2017 Nov 20;1(12):1445-1460. doi: 10.1210/js.2017-00388. eCollection 2017 Dec 1.

Authors

Grazia Aleppo¹, Lori M Laffel², Andrew J Ahmann³, Irl B Hirsch⁴, Davida F Kruger⁵, Anne Peters⁶, Ruth S Weinstock⁷, Dennis R Harris⁸

Affiliations

¹ Division of Endocrinology, Metabolism and Molecular Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611.
² Pediatric, Adolescent and Young Adult Programs, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts 02215.
³ Division of Endocrinology, Diabetes and Clinical Nutrition, Oregon Health & Science University, Portland, Oregon 97239.
⁴ Department of Medicine, University of Washington, Seattle, Washington 98195.
⁵ Division of Endocrinology, Diabetes and Bone & Mineral, Henry Ford Health System, Detroit, Michigan 48202.
⁶ Keck School of Medicine, University of Southern California, Los Angeles, California 90033.
⁷ Department of Medicine, SUNY Upstate Medical University, Syracuse, New York 13210.
⁸ Endocrine Society, Washington, District of Columbia 20036.

Abstract

After reviewing previously published methods, we developed a practical approach to adjusting insulin doses based on insulin sensitivity for adult patients with diabetes using rtCGM trend arrow data.

Keywords: continuous glucose monitoring; diabetes; fine-tuning; insulin dose adjustment; insulin dosing; trend arrows.