Table 9.

Benefits and limitations of continuous glucose monitoring.

Benefits

Limitations

• Awareness of glycemic values and trends • Alerts for impending hypo- and hyperglycemia • Use of trend arrows to optimize insulin dosing • Reduced diabetes distress • Decreased conflict with family and friends through share/ follow function • Reduced fear of hypoglycemia • Improved diabetes treatment satisfaction • Improved parental sleep • Improved glycemic control • Decreased hypoglycemia • Greater understanding of glycemic control than offered by A1c • Alerts for hypo- and hyperglycemia • Use of an algorithm to integrate CGM data with automated insulin delivery

• Body image concerns • Skin complications • Expense • Alarm fatigue • Overwhelming amount of data • Worsening healthcare disparities • Potential for technology failure • Potential for increased conflict between parents and adolescents • Lag time • Compression hypoglycemia • Interfering substances