New tools in the treatment of diabetes are a real revolution

Prof. Dorota Zozulińska-Ziółkiewicz:

• Continuous glucose monitoring systems are a breakthrough.
• On the one hand, it is the patient's comfort (no need to puncture), and on the other hand - continuous insight into glycaemia, which enables more effective prevention of the undesirable consequences of hyper- and hypoglycemia.
• These systems also bring a change in the quality of dialogue between the patient and the therapeutic team.
• Provides better efficacy and safety in diabetes therapy.
• In women with pre-pregnancy diabetes, continuous monitoring systems help to prepare for pregnancy.
• Pregnant with type 1 diabetes in Poland - both in the planning period and already pregnant, our patients use continuous glucose monitoring systems combined with insulin pumps (this is the action of the Great Orchestra of Christmas Charity) - here we have good treatment results and improved results obstetrics.
• We encounter type 2 diabetes more and more frequently. In these cases, the treatment pathway recommended by the standards is insulin therapy.
• Continuous glycemic monitoring seems to be an absolutely necessary tool for the safe achievement of appropriate glycemic targets during insulin therapy in pregnancy.
• There is an urgent need to expand the indications for the use of type 2 diabetes modifying drugs (GLP-1 analogues, phosin and metformin). The recommendations of the Polish Diabetes Association indicate groups of patients who should have access to these drugs.
• In some type 2 diabetic patients who require insulin therapy, the use of modern diabetes-modifying medications can reduce insulin doses or even discontinue insulin.
• With these drugs, we introduced the concept of "deinsulinization".
• Their effect on body weight is also very important.