Do you recommend the use of CGM for monitoring of postbariatric hypoglycemia given recent evidence of reduced accuracy in dynamic postprandial conditions?
Lizoain et al., PMID 41915461
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Do you recommend CGM for monitoring postbariatric hypoglycemia despite evidence of reduced accuracy in the low glucose range?
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2 Answers
Mednet MemberInvited Expert
Endocrinology · Brigham And Womens Hospital Endocrinology
Answered on
I have always been concerned about accurately detecting hypoglycemia in patients because of the higher MARD in the hypoglycemic range with most CGM sensors. A recent review found the MARD in hospitalized patients to be 15% in the hypoglycemic range, which is much higher than in the euglycemic or hyp...
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Mednet MemberInvited Expert
Endocrinology · Harvard Medical School
Answered on
I agree 100% with Dr. @Dr. First Last that CGM accuracy is reduced in the lower glucose range, with both false positives and negatives, and thus should not be used to establish a diagnosis of hypoglycemia. I recommend that patients test with a capillary glucose meter when possible before treatment t...
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