CLINICAL SIGNIFICANCE OF FLASH MONITORING GLYCEMIA INDICATORS IN CHILDREN WITH TYPE 1 DIABETES MELLITUS

One of the basic principles of the treatment of type 1 diabetes mellitus, along with insulin therapy and diet therapy, is regular self-monitoring of glycemia. Glucose meters are most often used for daily self-monitoring, and in recent years devices for continuous and flash monitoring of glycemia have been used. The article discusses the clinical aspects of the application of a glycemic monitoring system with periodic scanning (flash monitoring). The principle of operation of the system is described, as well as the main parameters obtained when using this system – time in the target range, time above and below the target range and their sub-ranges, an indicator of glycemic variability and an indicator of glycemic control, their normative levels, as well as their practical significance and relationship with the clinical aspects of the course of diabetes mellitus and the prognosis of chronic complications. The results of major international and domestic studies on the effectiveness of the flash monitoring system in different age groups are presented. The advantages of the second generation of flash glycemia monitoring sensors are described, and the results of clinical studies of the accuracy of this monitoring system in both children and adult patients with diabetes mellitus are presented.