[Continuous glucose monitoring in clinical practice ].

Systems for continuous glucose monitoring (CGM) are changing the management of insulin treated patient providing dynamic glucose information. In Switzerland, CGMS are covered by the health insurance plan in case of intensive insulin therapy (> 3 injections/day) and chronic hyperglycemia, severe hypoglycemia or hypoglycaemia unawarness. The prescriptor has to be an endocrinologist. CGM technology is still expanding with a trend for new indications. Appropriate guidance is needed to keep CGMS use secure. The pillars of CGMS management are : 1) technical mastery, 2) regular reassessment of the prescription adequacy with the clinical situation, and 3) allocation of ressources dedicated to follow-up and training for both patients and caregivers.