Pros and cons of CSII and CGM technology among subjects with T2D
Pros | Cons | |
---|---|---|
Both for CSII and CGM | Improvement of HbA1c level in short and long-term | Only for selected patients suitable for technologyNecessity of time for specific trainingNeed for healthcare provider team trained to technology use |
Usually discrete and easy to wearImproved quality of lifeUseful and effective in case of pregnancy and its planning | Risk of skin reactions at the insertion siteRisk of non-adherence or early discontinuation of technology use | |
Short term | ||
CGM specific issues | Reduction of hypoglycemic eventsComplete glucose profilesNo calibration needed for some devices | Risk of long term burn-out by alarmsBig amount of data to be interpretedCalibration needed for some devices |
CSII specific issues | Tailored insulin therapyEfficacy both in obese and in non-obese patients |
long term cost must be evaluated in cost effectiveness studies, to evaluate if long term reduction of diabetes related complications could compensate initial costs