Managing diabetes in children with home monitoring systems

Exploring the Shift to Advanced Home Monitoring for Pediatric Diabetes

For families managing diabetes in children, the journey can be complex and fraught with concerns about safety, health, and quality of life. However, technological advances in home monitoring systems, particularly continuous glucose monitors (CGMs), have transformed diabetes management, offering families unprecedented real-time insights and peace of mind. This article delves into various aspects of managing diabetes in children through home monitoring technologies, covering everything from the technical benefits to personal stories of enhanced family dynamics.

Understanding New Technologies in Pediatric Diabetes Care

What are remote monitoring technologies for managing diabetes in children?

Remote monitoring technologies for managing diabetes in children include continuous glucose monitors (CGMs) and home blood glucose meters, which track glucose levels in real-time. These technologies provide parents with critical data to manage their child's diabetes, enhancing their ability to address glucose excursions efficiently.

With features like customizable alerts, CGMs improve parents' confidence in allowing others to care for their children while still being informed of their child's condition. This capability significantly reduces anxiety for parents, empowering them to engage in normal family activities without excessive concern.

Impact of remote monitoring technologies on diabetes care

Remote monitoring technologies foster a supportive environment for children with diabetes, enabling them to engage in social activities like playdates and sleepovers without direct parental supervision. For instance, continuous glucose monitoring facilitates real-time data access, allowing parents to intervene promptly if glucose levels deviate from the norm. This results in enhanced safety and a more balanced childhood for the children.

A study indicated that 94% of participants found remote monitoring via CGM helpful, suggesting promising advancements in diabetes management strategies that prioritize the well-being of these young patients and their families.

Specific features of CGMs that facilitate diabetes management

Continuous glucose monitors, such as the Dexcom Series and Guardian Sensor, offer several features that enhance diabetes management.

Feature	Description	Benefit
Real-time monitoring	Measures glucose levels every 1-5 minutes, providing immediate feedback to parents.	Allows quick adjustments to insulin and diet.
Customizable alerts	Sends notifications for high or low glucose levels, enabling timely interventions.	Enhances child safety, especially during activities.
Data sharing	Enables parents and caregivers to share glucose data seamlessly via apps.	Improves collaboration between health care providers.
Reduced fingersticks	Minimizes the need for frequent painful blood tests.	Enhances comfort and compliance for young children.

These features collectively promote better management of diabetes and contribute to positive psychosocial outcomes for both children and their families.

The Spectrum of Diabetes Management Tools for Children

What diabetes management technologies are available for children, including insulin delivery options?

Diabetes management for children has become more sophisticated with the advent of various technologies. Continuous Glucose Monitors (CGMs) are at the forefront, offering real-time glucose data that can significantly enhance glycemic control. These devices measure glucose levels continuously and alert parents to potential issues before they escalate.

Insulin pumps are another critical component in managing pediatric diabetes. These pumps deliver a continuous supply of insulin and can automatically adjust dosages in response to carbohydrate intake and glucose levels. This approach allows for a more natural insulin response compared to traditional multiple daily injections.

Additionally, automated insulin delivery (AID) systems integrate CGMs with insulin pumps, optimizing insulin delivery based on real-time glucose readings. This reduces manual intervention and can lead to better overall control of blood sugar levels.

Mobile health interventions, including smartphone applications, provide educational resources and tracking capabilities that assist children and their caregivers in managing diabetes. These tools help visualize glucose trends, set reminders for insulin administration, and promote better communication among medical teams, caregivers, and patients, enhancing the overall management experience.

In summary, the range of diabetes management technologies available for children includes CGMs, insulin pumps, and mobile health apps, allowing for more proactive and effective diabetes care.

Navigating Challenges and Optimizing Practices in Diabetes Care

What guidance is available on challenges and best practices in diabetes management for children?

Managing diabetes in children presents unique challenges. Ensuring adherence to glucose monitoring and insulin therapy is crucial. Many parents experience psychological stressors, including anxiety about their child's condition and diabetes-related distress. These factors can impact both the child's and the family’s well-being.

Best practices suggest a focus on individualized care. Diabetes self-management education should be culturally sensitive and tailored to the age and developmental stage of the child. Involving caregivers in the education process is vital, allowing families to collaboratively understand their roles in managing diabetes. Regular consultations with healthcare providers help to refine these educational efforts and adapt care plans as needed.

Addressing Comprehensive Care Needs

Comprehensive medical nutrition therapy is also essential. Families should be encouraged to maintain balanced diets while incorporating at least 60 minutes of daily physical activity. This approach supports not only metabolic health but also fosters a sense of normalcy in children’s daily lives.

Supporting Mental Health

Additionally, psychological support is a significant component of diabetes care for children. It is important to conduct screenings for behavioral health concerns, ensuring that children and their parents have access to necessary mental health resources. When families face stress, having a solid support structure can make a significant difference in managing diabetes effectively.

Coordination of Care

Ongoing monitoring of blood glucose levels and A1C is critical for assessing treatment effectiveness. As children grow, a coordinated approach that prepares them for the transition to adult care is essential to ensure long-term health outcomes. By addressing challenges through best practices, families and healthcare providers can work together to create a supportive environment for managing pediatric diabetes.

Choosing the Right Monitoring System for Your Child: An Educational Guide

What educational resources are available on choosing the right monitoring system for children?

When choosing the right diabetes monitoring system for children, several educational resources can be beneficial for parents.

1. Consultation with Healthcare Providers
   Healthcare providers play a crucial role in guiding parents on suitable monitoring tools, such as continuous glucose monitors (CGMs) tailored for their child's specific needs. They can provide insights on the benefits and drawbacks of various systems, ensuring informed decisions.

2. Structured Approaches
   Frameworks like Response to Intervention (RTI) and Multi-Tiered Systems of Support (MTSS) are valuable tools that assist in understanding how to effectively monitor academic and behavioral progress. Although primarily education-focused, these approaches can help parents consider various facets of their child's development, including health.

3. Official Guidelines and Recommendations
   Organizations like the American Diabetes Association (ADA) provide crucial guidelines for monitoring systems, helping parents understand what to look for to ensure the child's safety and well-being.

4. Professional Learning Opportunities
   Workshops and seminars organized for educators focus on effective monitoring and intervention strategies for students with diabetes, ensuring a supportive environment in schools.

5. Online Resources and Communities
   Websites and forums focused on diabetes management offer peer support and shared experiences, helping parents gather practical information from others in similar situations.

By leveraging these resources, parents can make informed decisions regarding the appropriate diabetes monitoring system for their child, ensuring better health outcomes and peace of mind.

Unpacking the Pros and Cons of CGM Devices for Young Children

What are the benefits and drawbacks of CGM devices in diabetes management for young children?

Continuous glucose monitor (CGM) devices provide notable advantages in managing diabetes for children. One of the major benefits is the reduced frequency of fingerstick tests. This not only lessens pain for the child but also fosters a more comfortable routine around blood glucose monitoring. With CGMs updating glucose levels every few minutes, parents gain real-time insights into their child’s glycemic status, allowing for more timely and effective interventions.

CGM devices enhance parental reassurance, especially during school hours or when the child is in the care of babysitters or daycare providers. The continuous flow of glucose data means parents can monitor their children remotely, which is empowering and reduces anxiety about potential hypoglycemic events.

Furthermore, CGMs help facilitate normal childhood experiences. Children can participate in playdates and sleepovers with less parental oversight, which is important for their social and emotional development, improving family dynamics overall.

Challenges and barriers to CGM use

Despite the advantages, several challenges exist. The financial aspect is a significant concern, as CGMs can be expensive, and insurance coverage varies widely. Many families find the cost burdensome, which limits accessibility to this beneficial technology.

Technical issues also pose difficulty. Parents report concerns regarding sensor accuracy, alarm fatigue from alerts, and the need for regular calibration to ensure reliable glucose readings. Additionally, skin reactions to adhesives can discourage continued use of CGMs, making them less appealing.

Impact on family activities and parental anxiety

The impact of CGM devices is profound on family activities. Parents noted marked reductions in anxiety levels about diabetes management. They reported improved sleep quality, allowing families to engage in activities without constant worry about their child's glucose levels. By easing these concerns, CGMs contribute to a more relaxed family environment and promote participation in normal activities.

In summary, while CGMs present substantial advantages in streamlining diabetes management for young children, their drawbacks—including economic considerations and potential discomfort—remain significant hurdles that families must navigate.

Legal and Caregiving Considerations in Pediatric Diabetes Management

What are the legal protections and caregiving responsibilities related to diabetes management in children?

Legal protections for children with diabetes are primarily framed under the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act. These laws prohibit discrimination in childcare environments and require that necessary accommodations are made for children's medical needs. This includes ensuring that staff are equipped to handle diabetes-related emergencies and that children can participate fully in activities alongside their peers.

Caregiving responsibilities involve several key duties:

• Regularly monitoring blood glucose levels to ensure they remain within safe limits.
• Administering insulin and other medications as necessary.
• Training childcare staff to recognize and manage hypoglycemic (low blood sugar) and hyperglycemic (high blood sugar) events to prevent serious health complications.

To support these obligations, developing a Diabetes Medical Management Plan (DMMP) is crucial. This collaborative document should be created with health care providers and parents to outline specific care strategies tailored to each child's needs, including emergency contacts, planned activities, and guidelines for medication administration.

Additionally, families are responsible for providing child care programs with the essential supplies and information required for effective diabetes management. This communication ensures that caregivers at daycare or school settings are fully informed and equipped to address the child's health needs.

Collaboration among families, childcare providers, and healthcare professionals is critical. It fosters an environment where children with diabetes can safely engage in all activities and experience a normal childhood while receiving the supportive care they need.

Seamless Integration of Monitoring Systems into Childcare Environments

What are strategies for integrating home monitoring systems into childcare settings?

Integrating remote monitoring systems into childcare environments involves careful planning and collaboration. One of the first steps is to train childcare staff effectively on using diabetes care technology, such as Continuous Glucose Monitors (CGMs). Staff should feel comfortable operating these devices and understanding data flow to act swiftly in response to glucose changes.

Establishing clear communication protocols is critical. Parents should regularly share relevant glucose information, allowing caregivers to understand the specific needs of each child. Creating an internal policy that aligns with best practices in health and safety is essential, especially regarding emergency procedures tied to diabetes management.

Moreover, data privacy and security must be addressed. Staff should be educated on regulations surrounding patient data to ensure compliance and acquire the necessary consents from parents before sharing any glucose information.

Collaboration with stakeholders such as healthcare providers and local diabetes organizations can provide further resources, training, and financial support for creating a sustainable system.

In addition, implementing monitoring tools, including live CCTV streaming, can enhance transparency and trust by allowing parents to monitor their child's condition in real-time. This multifaceted approach empowers caregivers to support children's diabetes management while ensuring the safety and well-being of all children in their care.

Transforming Family Life with Home Monitoring Systems: Real Experiences

How do home monitoring systems impact family dynamics and overall quality of life?

Home monitoring systems, particularly in managing diabetes, have transformed family dynamics and improved overall quality of life for many households. By enabling parents to track their child’s glucose levels remotely, these technologies foster a sense of independence for children with diabetes. Parents can manage their child’s condition without being physically present, which allows them to engage more freely in everyday activities and reduces the need for constant supervision.

The advent of Continuous Glucose Monitoring (CGM) has been revolutionary. It provides real-time data, reassuring parents when their children are in the care of others, such as at school or while attending social events. This oversight is crucial for alleviating parents’ anxiety, promoting a sense of security regarding their child's safety, and enabling children to participate in playdates and sleepovers with less concern.

Experiences of parents utilizing these technologies

Many parents report significant quality of life improvements after incorporating CGMs into their diabetes management plans. The combination of remote glucose monitoring and alert systems means that family members can share the responsibility of care, lightening the emotional load on primary caregivers. Parents of young children have particularly emphasized benefits like decreased anxiety about hypoglycemic events and improved sleep quality, leading to enhanced family functioning.

However, challenges remain. Parents note issues such as painful sensor insertions and skin reactions, which can create hurdles in consistent usage. Additionally, some parents feel overwhelmed by the continuous data flow. Addressing these barriers is essential for maximizing the utility of CGMs and ensuring they fit seamlessly into family life.

Quality of life improvements and potential challenges

The overall improvements in family dynamics due to CGMs are notable. Enhanced communication technologies enable caregivers and healthcare providers to collaborate more effectively, sharing insights that inform better care strategies. Yet, usability issues can undermine these positive impacts. If older children resist or struggle with using these technologies, it may hinder their acceptance and effective integration into daily routines. Ultimately, while the potential for improved quality of life is significant, advancing usability and addressing barriers will be key to fully realizing these benefits.

Technical and Clinical Pathways in Implementing CGMs for Children

What are the technical and clinical aspects of implementing CGMs and blood glucose monitoring in pediatric care?

The implementation of continuous glucose monitors (CGMs) in pediatric care is multifaceted, requiring both technical and clinical considerations. Technically, the setup of CGMs involves ensuring proper device calibration and addressing challenges such as lag time in glucose readings. These monitors typically measure glucose levels every few minutes, which allows for timely and accurate adjustments to care plans. Integrating CGMs with hybrid closed-loop insulin delivery systems can significantly enhance diabetes management by automating insulin doses based on real-time glucose readings.

Clinically, regular review and monitoring of CGM data by healthcare providers play a crucial role in managing children's diabetes effectively. This is particularly important for children vulnerable to hypoglycemia, as consistent monitoring can lead to timely treatment interventions. Research indicates that these systems can lead to better overall outcomes, specifically a reduction in hypoglycemic events and improved HbA1c levels for children with Type 1 diabetes.

What training and education are required for maximizing benefits?

Comprehensive training and education are essential for both caregivers and young patients to maximize the benefits of CGMs and blood glucose monitoring. Caregivers must understand how to calibrate devices, interpret glucose data, and recognize when to respond to high or low readings. Additionally, engaging children through smartphone applications designed for diabetes management can enhance their understanding and participation in their care routines.

Below is a summary table showcasing the technical and clinical considerations in implementing CGMs for pediatric diabetes management:

Aspect	Considerations	Importance
Technical	Calibration, lag time in readings, integration with insulin pumps	Ensures accurate and timely insulin delivery
Clinical	Regular monitoring by healthcare providers	Optimizes glycemic control and reduces hypo events
Training & Education	Device operation, data interpretation, and engagement strategies	Maximizes effectiveness and patient understanding

Understanding the Role of CGM Alerts in Enhancing Safety and Monitoring

Importance of real-time alerts in CGMs

Continuous Glucose Monitors (CGMs) are revolutionizing diabetes management by providing real-time alerts concerning glucose levels. These alerts inform parents immediately when their child's blood glucose levels go outside preset ranges. The ability to receive timely notifications ensures parents can take immediate action, whether it is administering sugar for low levels or adjusting insulin doses for higher readings. This immediate feedback loop significantly enhances safety and peace of mind for both parents and caregivers.

Role of predictive alerts in preventing glucose events

Predictive alerts are particularly noteworthy as they give advance warning about potential glucose excursions. For instance, if the CGM detects a downward trend and predicts a hypoglycemic event, parents can intervene proactively before symptoms manifest. This capability not only helps in averting severe reactions but also fosters a greater sense of security among caregivers, allowing them to plan activities without the constant anxiety of potential crises.

Improving reaction times and decision-making based on data

With continuous glucose readings and trend data available, parents can make informed decisions swiftly. Instead of only reacting when issues arise, they can anticipate fluctuations and adjust their child's care accordingly. This data-driven approach mitigates risks associated with diabetes management, enhancing not just the child's wellbeing but also the overall quality of family life. Regular use of CGMs, therefore, empowers families to participate in daily activities more freely, knowing they have tools that help manage their child’s diabetes effectively.

Harnessing the Benefits of Automated Insulin Delivery Systems

Advantages of hybrid closed-loop systems in diabetes management

Hybrid closed-loop systems merge continuous glucose monitoring (CGM) with insulin pumps to optimize diabetes management. By automating insulin delivery based on real-time glucose readings, these systems offer a streamlined approach that significantly enhances glycemic control. They reduce the burden on parents and caregivers, allowing them to experience peace of mind knowing that insulin delivery is adjusted according to their child's needs.

Automation in insulin delivery and its impact

With automation in insulin delivery, fluctuations in glucose levels are quickly addressed without requiring constant manual intervention. This not only lowers the risk of severe hypoglycemic events but also facilitates better time spent in target glucose ranges. Parents can engage in family activities without the anxiety of monitoring blood sugar levels constantly, thereby promoting a healthier family dynamic and fostering a sense of normalcy for the child.

Supporting families with advanced technology

Advanced diabetes technology, including hybrid closed-loop systems, empowers families to navigate the complexities of diabetes management more effectively. These systems provide alerts for high and low glucose levels, ensuring timely interventions. Parents report greater confidence in allowing their children more independence in activities, leading to enhanced emotional well-being for both children and their families.

Feature	Benefit	Impact on Families
Automated insulin delivery	Immediate response to glucose changes	Reduces parental anxiety and improves family life
Real-time CGM alerts	Notification for low/high glucose levels	Enhances safety during activities, allowing independence
Seamless integration	Easier diabetes management	Empowers parents and encourages normalcy for children

The Impact of Continuous Monitoring on School Experiences for Children with Diabetes

Improvisations in School Dynamics Due to CGM Use

Continuous Glucose Monitoring (CGM) systems are reshaping the school environment for children with Type 1 diabetes. By providing real-time glucose data, CGMs allow students to manage their diabetes more proactively, minimizing disruptions during class activities. This technology helps children stay engaged and focused without constant interruptions for fingerstick testing.

Reduced Interruptions and Better Focus

Parents report that CGMs help create a smoother day-to-day experience for children in school settings. The ability of these devices to alert caregivers and students about glucose levels ensures that kids can maintain their blood sugar within a targeted range without the need for frequent assessments. Consequently, students are less likely to miss educational opportunities due to diabetes management concerns.

How Schools Collaborate with Families to Manage Diabetes

Collaboration between schools and families is crucial for effective diabetes management. Many schools are recognizing the need for training staff to properly respond to CGM alerts and manage insulin doses as part of the comprehensive Diabetes Medical Management Plan (DMMP). This partnership enhances the support system around children with diabetes, ensuring they have a safe learning environment conducive to their health needs.

Educating Healthcare Providers on Pediatric Diabetes Technologies

Training Programs for Healthcare Providers

Healthcare providers play a critical role in the management of diabetes in young children. To maximize the benefits of technologies like continuous glucose monitors (CGMs), robust training programs are necessary. These programs should equip providers with knowledge about the latest diabetes management tools, particularly CGMs, focusing on how these devices function and their specific advantages for pediatric use.

Curriculum Content for Understanding Pediatric CGM Use

Curriculum content must include:

• Overview of CGMs and insulin delivery systems - Highlighting how these technologies work together to manage diabetes effectively.
• Addressing common barriers - Training on managing issues such as sensor insertion discomfort and adhesive reactions, which have been reported by parents.
• Data interpretation - Teaching providers how to read and analyze glucose trend data effectively, allowing for proactive adjustments in care plans.

Strategies for Provider-Patient Communication Enhancement

Effective communication strategies are vital. Providers should:

• Develop a collaborative communication plan that involves families, ensuring they understand glucose monitoring and can share data seamlessly.
• Encourage feedback from parents and caregivers to clarify doubts about the use of CGMs and their role in daily diabetes management.
• Utilize smartphone applications and telehealth platforms to strengthen the provider-patient connection, enabling real-time data sharing for better-informed decisions regarding diabetes care.

By implementing comprehensive training programs, healthcare providers can significantly enhance diabetes management for children, leading to improved health outcomes and reduced anxiety for families.

Exploring Real-Life Case Studies: Parents' Perspectives on CGM Use

Personal Stories from Parents and Families

Parents of children diagnosed with type 1 diabetes (T1D) have shared transformative stories about using Continuous Glucose Monitoring (CGM) systems. These families report feeling significantly more in control of their child's health, allowing for participation in activities like playdates and sleepovers without constant supervision. One mother expressed relief at having real-time access to her child's glucose data, enhancing her ability to balance daily activities while ensuring safety.

How CGM Has Changed Daily Life and Care Routines

Many parents noted that CGM has streamlined their daily routines, reducing the need for frequent fingerstick tests. Instead of grappling with their child during meal times to check glucose levels, families now enjoy a more relaxed environment. Alerts from CGM devices allow for immediate response to out-of-range glucose levels, offering peace of mind, particularly during school hours or when babysitters are involved.

Varying Experiences Highlight Triumphs and Challenges

Despite the advantages, not all experiences have been smooth. Parents have reported challenges such as skin reactions from sensor adhesives and technical issues like signal loss. A family shared that while they appreciate the alerts and data provided, they sometimes feel overwhelmed by the device's constant information flow. Nonetheless, the overall consensus is that the benefits of CGM—reduced anxiety and improved quality of life—far outweigh the hurdles, paving the way for a balanced and more fulfilling family life.

Leveraging Mobile Health Applications in Supporting Pediatric Diabetes Care

The role of smartphone apps in remote diabetes monitoring

Mobile health applications play a crucial role in managing pediatric diabetes, offering parents and caregivers real-time access to their child's glucose data. These applications connect seamlessly with Continuous Glucose Monitoring (CGM) systems, allowing for continuous updates on glucose levels and alerts for potential hypo- or hyperglycemia.

Parents can easily track their child’s glucose trends and share this vital information with healthcare providers for improved diabetes management. This real-time monitoring alleviates anxiety and fosters a proactive approach to care, enabling intervention before complications arise.

Engaging features for children and parents

Designed to be user-friendly, many diabetes apps include engaging features that promote education and encourage healthy behaviors in children. For example, some applications gamify glucose tracking, turning it into interactive challenges to motivate children to manage their diabetes effectively.

Features such as reminders for glucose checks, insulin administration, and educational modules on diabetes care create an environment of collaboration. Both children and parents can visualize data together, promoting discussion and learning about everyday diabetes management.

Trends and innovation in health technology tools

The integration of innovative health technologies continues to reshape pediatric diabetes care. The rise of smart insulin pens, which can pair with smartphone apps, showcases a trend towards synergizing traditional management methods with modern technology. Additionally, hybrid closed-loop systems are increasingly adopted, automating insulin delivery based on real-time data from CGMs, further enhancing diabetes management.

With the increasing use of mobile health applications, families gain confidence in diabetes management, turning technology into an ally for better health outcomes.

Evaluating the Cost-Effectiveness of Home Monitoring Systems in Pediatric Diabetes Care

Analysis of financial considerations for using CGMs

The implementation of continuous glucose monitors (CGMs) in pediatric diabetes care comes with various financial implications. While CGMs enhance glucose management by providing continuous readings and alerts, the associated costs can be significant. These devices typically require not only the initial investment for the monitor but also ongoing expenses for replacement sensors and potential calibration kits.

Comparative cost vs. benefit insights

Despite the upfront costs, many families find that the benefits outweigh the financial burden. CGMs can reduce complications related to diabetes management, potentially leading to lower emergency care costs. Moreover, improved glycemic control can minimize the risk of long-term health issues, which can be financially taxing. Research indicates that families using CGMs report fewer hospital visits and a reduction in overall healthcare costs due to better diabetes management outcomes.

Insurance coverage and economic strategies

Insurance coverage plays a crucial role in the accessibility of CGMs. Many health plans now include CGMs as part of their coverage, recognizing their value in managing chronic conditions effectively. However, families may need to navigate varying coverage policies, which can impact their out-of-pocket expenses. Strategies like health savings accounts (HSAs) or flexible spending accounts (FSAs) can also support families in managing these costs.

In summary, while the financial considerations for CGMs in pediatric diabetes care may be daunting for some families, the long-term benefits and potential for improved health outcomes can represent a sound investment.

Navigating the Future of Diabetes Care in Children

The advent of home monitoring systems such as continuous glucose monitors (CGMs) has revolutionized the management of diabetes in children, offering remarkable benefits in terms of safety, quality of life, and caregiving. Yet, like any technological advancement, these systems come with challenges and variabilities regarding access and practical implementation. Continued innovations, partnerships with healthcare providers, and real-world experiences from families are vital to optimizing technology use and making these devices more accessible and effective. As CGMs and other diabetes management technologies evolve, they hold the promise of transforming pediatric diabetes care into a more preventive, efficient, and empathic model, ultimately improving outcomes for both children and their families.

References

• Parents' experiences of using remote monitoring technology to ...
• Benefits and Barriers of Continuous Glucose Monitoring in Young ...
• Care of Young Children With Diabetes in the Childcare and ...
• Kids with diabetes: how technology is changing the landscape of care
• Telehealth technology for diabetes care
• Diabetes Remote Monitoring for Infants & Children - Dexcom
• [PDF] Safe at School®: Guidance for the Use of Continuous Glucose ...
• Monitoring of Pediatric Type 1 Diabetes - Frontiers
• Remote Blood Glucose Monitoring - Evidence-Based Benefits - Tenovi
• The Use of Continuous Glucose Monitoring With Remote Monitoring ...