Use of Technology in Managing Diabetes in Youth,Part 1: Continuous Glucose Monitoring: Information and Tips for the School Nurse

Abstract

Glucose monitoring is an essential component of type 1 diabetes (T1D) treatment. Continuous glucose monitoring (CGM) systems measure glucose levels every few minutes and provide valuable trend information about the direction and speed glucose levels are changing. Use of CGM is increasing rapidly in youth with T1D and consistent use of CGM is associated with improved glycemic control. School nurses are a vital part of the care team for a student with T1D, and therefore, must be comfortable using CGM to support their students at school. This is the first article in a three-part series on the use of technology in managing diabetes in youth. The purpose of this article is to describe CGM devices, including calibration requirements and interpretation of trend arrows and provide tips for school nurses in incorporating CGM into the student’s individualized healthcare plan. Part 2 in this series will focus on insulin pumps and Part 3 will focus on special considerations and problem solving when using diabetes technology in the school setting.