Behavior Modification in Prediabetes and Diabetes: Potential Use of Real-Time Continuous Glucose Monitoring

J Diabetes Sci Technol. 2019 Mar;13(2):271-275. doi: 10.1177/1932296818790994. Epub 2018 Aug 1.

Abstract

Real-time continuous glucose monitoring (RT-CGM) provides real time glucose readings to participants wearing the device. The ability to see changes in glucose has the potential to provide immediate feedback to users on food choices and physical activity. The National Diabetes Prevention Program is currently the only reimbursable intervention for diabetes prevention and weight loss. The purpose of this article is to review the CGM literature on measurements other than Hemoglobin A1c (HbA1c) changes and hypoglycemia and discuss RT-CGM potential use as a behavior modification tool for lifestyle changes and weight reduction in people with prediabetes and type 2 diabetes (T2D).

Keywords: continuous glucose monitoring; diabetes; lifestyle; weight reduction.

Publication types

  • Review

MeSH terms

  • Blood Glucose / metabolism*
  • Blood Glucose Self-Monitoring*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Diet, Healthy
  • Exercise
  • Feeding Behavior
  • Glycated Hemoglobin / metabolism
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Healthy Lifestyle*
  • Humans
  • Prediabetic State / blood
  • Prediabetic State / diagnosis
  • Prediabetic State / psychology
  • Prediabetic State / therapy*
  • Predictive Value of Tests
  • Risk Reduction Behavior*
  • Treatment Outcome
  • Weight Loss

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human