Discrete and Continuous Glucose Monitoring Systems: The Point of View of a Patient Affected by Type-1 Diabetes

Abstract

This work represents the point of view of a diabetic patient with an indirect experience in this specific field of research. As a chemical engineer and researcher in drug carrier production, he has always approached type-1 diabetes (T1D) in a scientific manner. Therefore, this work represents a description of almost 20 years of this illness treatment using a multi-injection insulin system, compared with the experience acquired with a newly adopted micro-infusion system, allowing automatized insulin administration. The use of the continuous system reduced significantly the Hb1Ac average values, from 8.8% to 6.6%, in less than 2 years. Moreover, a full 24 h control guaranteed the almost total elimination of the hypoglycemia risk, thanks to the automated control system, that can stop insulin administration in order to prevent critical situations. It is also important to note that the point of view underlined in this work does not presume to be that of a doctor or of a researcher who works closely in the field of medicine or diabetology. However, the author wants to highlight that doctors could try to educate patients to a scientific approach to treat illnesses correctly. The author experienced the very common difficulties related to the use of insulin with multi-injection administration for many years; then, he was proposed to start treatment with the automated pump mechanism. In this work, the author provides comments on the physical and psychological advantages and disadvantages of both insulin release systems, in order to define their impact on a patient’s daily life. This work may also represent a vademecum for patients during the beginning of diabetes treatment, helped by the constant support and advice of a medical doctor.