Preventing Type 2 Diabetes Using Continuous Glucose Monitoring and A Smartphone APP

Prediabetes is a condition where blood sugar levels are higher than normal, but not high enough to be diagnosed as diabetes. It affects about one in three adults in the US, and increases the risk of developing type 2 diabetes, heart disease, and stroke. However, prediabetes can be reversed or slowed with lifestyle changes, such as eating healthy, exercising, and losing weight, thereby, delaying or preventing type 2 diabetes. And continuous glucose monitoring might prove to be helpful in the prevention of type 2 diabetes for some with prediabetes.

The CDC National Diabetes Prevention Program was established to enable individuals with prediabetes or a high risk of developing type 2 diabetes to prevent or delay the disease. The program uses intensive lifestyle intervention. And continuous glucose monitoring (CGM) might help people maintain their intensive lifestyle.
 
CGM is a system that uses a small sensor inserted under the skin to measure blood sugar levels every few minutes, and sends the data to a receiver or a smartphone app. The app can display the current blood sugar level, as well as the trends, patterns, and alerts. CGM can provide more information and feedback than finger prick testing, and can help people with prediabetes understand how their food, activity, and sleep affect their blood sugar.

A recent study found that CGM can also diagnose prediabetes earlier than a blood sugar test, and might motivate people to make lifestyle changes sooner. Another study showed that using CGM and a mobile app that integrates food logging and physical activity can improve blood sugar regulation in people with prediabetes and type 2 diabetes.

More research is needed to determine if CGM and a smartphone app, for example, can be a useful tool for treating prediabetes, and thus preventing type 2 diabetes, for the long term. And do so cost effectively. However, CGM may have a future in diabetes prevention.

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