Glucose Sensor Use in Children and Adolescents: A Practical Guide

by Valentino Cherubini, Daniela Elleri, Stefano Zucchini

Overview

This practical book focuses on the use of glucose sensors in children with type 1 diabetes. It is an evidence-based, simple, illustrated tool written by expert physicians in the field, experienced with patients living in Italy and in the UK.

The introductory chapters offer a quick and well-documented update on technology use in the child with diabetes, while the chapter on clinical studies provides a comprehensive overview of the scientific basis and benefits on glucose sensor use. The practical use of sensors in all age groups, including toddlers, and any related psychological issues are also discussed.

This volume allows health care professionals, pediatric trainees and medical students caring for children with type 1 diabetes to increase their understanding of sensor use, making this technology easier and more reliable to use.

Product Details

ISBN-13:	9783030428051
Publisher:	Springer International Publishing
Publication date:	05/23/2020
Edition description:	1st ed. 2020
Pages:	97
Product dimensions:	5.00(w) x 7.99(h) x (d)

About the Author

Valentino Cherubini, MD has been recognized for his work on pediatric endocrinology and diabetes. Dr. Cherubini is chief of the Division of Pediatric Diabetes, Department of Women’s and Children’s Health, Azienda Ospedaliero-Universitaria, Ospedali Riuniti di Ancona, Italy. He has been a member of the International Society for Pediatric and Adolescent Diabetes (ISPAD) advisory board since 2016, and a member of the SWEET (‘Better control in Pediatric and Adolescent diabetes: Working to crEate CEnTers of Reference’) initiative Data, Publication and Presentation committee board since 2015. Dr. Cherubini is also an associate editor of Frontiers in Pediatric Endocrinology. Currently his main clinical and research focuses are diabetes epidemiology, new technologies and treatment applications for diabetes and quality of life in children and adolescents with diabetes.

Daniela Elleri, MD PhD, is a pediatric endocrinologist at the Royal Hospital for Sick Children in Edinburgh, UK. She has been actively involved in artificial pancreas research at the University of Cambridge, where she obtained her PhD in 2014. She is author of several publications in the field of diabetes technology in pediatrics.

Stefano Zucchini, MD has been working in pediatric endocrinology and diabetes since 1986, when he finished his training period after visiting the Pediatric Diabetology Unit of Pittsburgh, Mayo Clinic (Rochester) and Toronto. Dr. Zucchini is currently responsible for the pediatric diabetology clinical and research activities of the S. Orsola-Malpighi H. of Bologna, Italy and has published more than 80 original manuscripts or reviews in Pediatric Endocrinology and Diabetology indexed in Pub Med. In 2015 Dr. Zucchini was co-author of a chapter on glucose sensors in children In: Scaramuzza AE, de Beaufort C, Hanas R, (Springer International Publishing Switzerland). Dr. Zucchini is also an associate editor of Frontiers in Pediatric Endocrinology.

Table of Contents

1. Introduction on use of technology in the management of the diabetic child
2. The technology of glucose sensors
3. Different types of glucose sensor on the market
4. Clinical studies on efficacy of glucose sensors
5. Sensor use in toddlers
6. Sensor use in adolescents
7. Unexpected highs and lows in blood glucose
8. How to insert and wear a sensor
9. Pitfalls in the use of glucose sensors
10.Psychological issues
11.Future and perspectives

Editorial Reviews

Reviewer: Elizabeth Eames Littlejohn, MD, MS (Sparrow Children's Hospital)
Description: This book serves to update diabetes practitioners (physicians, nurses, certified diabetes educators, advanced practice providers) on the continuous glucose monitoring (CGM) system as it pertains to use in pediatric diabetes and care of patients with type 1 diabetes mellitus. It reviews the use of this technology in the field, the technology of sensing, types of CGM devices currently available, studies on efficacy, uses in various age groups, how to manage blood glucose level extremes, practical aspects of use, pitfalls, and psychological aspects of CGM use.
Purpose: The book serves as a practical guide to explain how CGM devices work, along with the various applications, benefits, and pitfalls. It also contains practical applications to help families become familiar with the use of the various devices.
Audience: The audience is those involved in taking care of children with type 1 diabetes who have basic understanding of the technological advances in the field, including pediatricians, nurse practitioners, and pediatric endocrinologists. It is written at a basic level. The authors clearly have a good understanding of the field in general.
Features: The book covers all aspects of the use of CGM in general to specific areas (use in toddlers versus adolescents), benefits, and pitfalls. It is a practical primer for those learning about the technology according to those who use it on a daily basis. Many aspects are covered, at a very basic level. It is written in simple language and is easy to understand.
Assessment: The language/English used is simple, terse and, overall, not well written. For example, "This novel technology is more discrete, but also is associated with less burden from calibrations and sensor change as sensors can be implanted in the subcutaneous tissue and provide glucose readings continuously for around 6 months, before needing replacing". This sentence is awkward and there are many examples of this "poor use of the English language."

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