
According to the Centers for Disease Control and Prevention, 88 million people have prediabetes, and another 34.2 million have diabetes (1). Projections indicate that, by 2060, the number of adults with diabetes in the United States will triple (2). The literature is rife with data indicating that a large majority of people with diabetes fail to reach optimal glucose control despite advances in diabetes care and technology (3). Similarly, a large majority of individuals with prediabetes develop diabetes, despite widespread public health interventions (4,5). Technological advances in diabetes care to address these shortcomings are needed. Since the introduction of continuous glucose monitoring (CGM) more than 20 years ago, rapid advancements in its accuracy, reliability, and ease of use have occurred (6). As CGM technology continues to evolve, it has become clear that appropriate use of CGM can lead to improvements in glycemic control, although assessment of patient preference, willingness to wear a CGM device, potential for adherence, cost, need for alarm features, and ability to integrate with an insulin pump need to be considered for each patient (7). Although use of real-time CGM has improved, rates of adoption remain less than anticipated and lower than what is likely to be beneficial to patients in clinical practice (8). On the other hand, use of flash CGM (sometimes called intermittently scanned CGM) continues to increase rapidly in the United States …
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