Until now, the use of wearable devices to measure glucose levels (called continuous glucose monitors or CGM) has almost exclusively been offered to people with type 1 diabetes and to people with type 2 diabetes (T2D) using insulin. In addition, access to wearable devices such as CGMs to help with diabetes care has been challenging for underserved families living with diabetes.
New research from Sansum Diabetes Research Institute
Now, new research from Sansum Diabetes Research Institute looked at using CGM for predominantly Hispanic/Latino adults living with or at risk of developing T2D. Importantly, participants with T2D were not taking insulin. In this study, 119 Hispanic/Latino participants wore CGM for 2 weeks. During this time, they could eat normally. By focusing on the changes in glucose levels with breakfast, researchers were able to see that the peaks of the breakfast glucose response shifted in a northeast direction. They compared participants who were at-risk of T2D, with pre-T2D, or with T2D. The northeast drift refers to an increase in the maximum glucose rise and the time to the post-breakfast glucose peak with increasing disease severity.
CGM to help prevent progression of type 2 diabetes
The northeast drift may be a way to monitor diabetes progression using CGM for underserved people. Therefore, it could be used to help prevent the progression of T2D. These findings may offer new opportunities for interventions for underserved communities facing a disproportionate burden of diabetes.
Photo by Mil Familias © 2021