J Korean Diabetes.  2020 Dec;21(4):216-220. 10.4093/jkd.2020.21.4.216.

Medical Nutrition Therapy Using Continuous Glucose Monitoring System

Affiliations
  • 1Department of Food Service and Nutrition Care, Seoul National University Hospital, Seoul, Korea

Abstract

Medical nutrition therapy plays an integral role in diabetes management. There is no “one-size-fits-all” eating pattern for those with diabetes, and meal planning should be individualized. For many people with diabetes, glucose monitoring is key for glycemic control. Continuous glucose monitoring (CGM) metrics are suggested to provide a personalized diabetes management plan. Use of CGM continues to expand in clinical practice. Integrating CGM results into diabetes management can be useful for guiding medical nutrition therapy and physical activity, preventing hypoglycemia, and adjusting medications. Clinical dietitians should develop personalized nutrition management using CGM to help people with diabetes optimize dietary intake.

Keyword

Continuous glucose monitoring; Diabetes mellitus; Medical nutrition therapy

Figure

  • Fig. 1. Continuous glucose monitoring-based targets for different diabetes populations. Adapted from the article of Battelino et al. (Diabetes Care 2019;42:1593–603) [4] with original copyright holder's permission.

  • Fig. 2. Daily glucose profile including carbohydrate counting. Figure courtesy of Medtronic.

  • Fig. 3. Daily Glucose profile. Adapted and modified from the article of Johnson et al. (Diabetes Technol Ther 2019;21(S2):S217–25) [7] with original copyright holder's permission.


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