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Technology in the management of type 2 diabetes: Present status and future prospects.

Accepted version
Peer-reviewed

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Type

Article

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Abstract

The growing incidence of type 2 diabetes (T2D) is a significant health concern, representing 90% of diabetes cases worldwide. As the disease progresses, resultant insulin deficiency and hyperglycaemia necessitates insulin therapy in many cases. It has been recognized that a significant number of people who have a clinical requirement for insulin therapy, as well as their healthcare professionals, are reluctant to intensify treatment with insulin due to fear of hypoglycaemia, poor understanding of treatment regimens or lack of engagement, and are therefore at higher risk of developing complications from poor glycaemic control. Over the past decade, the rise of diabetes technologies, including dosing advisors, continuous glucose monitoring systems, insulin pumps and automated insulin delivery systems, has led to great improvements in the therapies available, particularly to those requiring insulin. Although the focus has largely been on delivering these therapies to the type 1 diabetes population, it is becoming increasingly recognized that people with T2D face similar challenges to achieve recommended glycaemic standards and also have the potential to benefit from these advances. In this review, we discuss diabetes technologies that are currently available for people with T2D and the evidence supporting their use, as well as future prospects. We conclude that there is a clinical need to extend the use of these technologies to the T2D population to curb the consequences of suboptimal disease management in this group.

Description

Keywords

CSII, continuous glucose monitoring (CGM), glycaemic control, insulin, pump therapy, systematic review, type 2 diabetes, Blood Glucose, Blood Glucose Self-Monitoring, Diabetes Mellitus, Type 2, Humans, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, Technology

Journal Title

Diabetes Obes Metab

Conference Name

Journal ISSN

1462-8902
1463-1326

Volume Title

23

Publisher

Wiley

Rights

All rights reserved
Sponsorship
Novo Nordisk Foundation (Unknown)
Wellcome Trust (100574/B/12/Z)
Cambridge University Hospitals NHS Foundation Trust (CUH) (146281)
Wellcome Trust (100574/Z/12/Z)