Continuous Glucose Monitors Gain Favor in Obesity

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Obese,Continuous Glucose Monitoring,Continuous Glucose Monitoring (CGM)

The off-label use of CGMs for people possibly on the verge of, but not yet diagnosed with, diabetes is seen as a potential tool to help reverse course; over-the-counter version highly anticipated.

DENVER — With continuous glucose monitors becoming vital tools for managing diabetes, the technology, soon to become available over the counter, is gaining popularity in off-label use to help people with obesity who may be on the verge of developing diabetes to reverse that path, while also helping diagnose some earlier, experts reported.

Of note,"CGM has demonstrated improved glucose control for those with diabetes without the addition of medications through the reinforcement of behavior change," suggesting the potential for similar benefits in those with pre-diabetes or who are at risk, Wenz added. "CGM at least gives them an idea of where they are and the chance to take action now, instead of months later after the next appointment," she said.

In the statement, Jeff Shuren, MD, JD, director of the FDA's Center for Devices and Radiological Health, endorsed that "CGMs can be a powerful tool to help monitor blood glucose." The device will come with an auto-injector device that patients use themselves; once the catheter is inserted in the skin, a transmitter adheres to the skin surface with adhesive, Wenz explained.

Furthermore, CGMs meant for people with diabetes are designed to alarm and notify the wearer when glucose levels are below 70, Wenz added."These alarms can become a hassle for the wearer — like when they wake you from sleep." Importantly, the prices of over-the-counter CGMs are expected to drop below the prescription-based devices, meaning that"people using the subscription CGM services may choose to buy the OTC version as a cost saving alternative," Wenz added.

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