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Continuous glucose monitoring is a complex intervention that provides information on glucose concentration, rate and direction of change, historical data and alerts and alarms for extremes of glucose. These data do not themselves change glycaemia and require translation to a meaningful action for impact. It is, therefore, crucial that such systems advance to better meet the needs of individuals using them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Narrative review of the use of, engagement with, limitations and unmet needs of continuous glucose monitoring systems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CGM devices have made a significant contribution to the self\u2010management of diabetes; however, challenges with access and user experience persist, with multiple limitations to uptake and benefit. These limitations include physical size and implementation, with associated stigma, alarm fatigue, sleep disturbance and the challenge of addressing large volumes of real\u2010time data. Greater personalisation throughout the continuous glucose monitoring journey, with a focus on usability, may improve the benefits derived from the device and reduce the burden of self\u2010management. Healthcare professionals may have unconscious biases that affect the provision of continuous glucose monitors due to deprivation, education, age, ethnicity and other characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Continuous glucose monitoring exerts a dose\u2010dependent response; the more it is used, the more effective it is. For optimal use, continuous glucose monitors must not just reduce the burden of management in one dimension but facilitate net improvement in all domains of self\u2010management for all users.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15338","type":"journal-article","created":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T06:59:56Z","timestamp":1715583596000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Identifying the deficiencies of currently available <scp>CGM<\/scp> to improve uptake and benefit"],"prefix":"10.1111","volume":"41","author":[{"given":"Katharine D.","family":"Barnard\u2010Kelly","sequence":"first","affiliation":[{"name":"Spotlight Consultations Ltd  Portsmouth UK"},{"name":"Southern Health NHS Foundation Trust  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Asunci\u00f3n","family":"Mart\u00ednez\u2010Brocca","sequence":"additional","affiliation":[{"name":"Hospital Universitario Virgen Macarena  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timor","family":"Glatzer","sequence":"additional","affiliation":[{"name":"Roche Diabetes Care  Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3525-3633","authenticated-orcid":false,"given":"Nick","family":"Oliver","sequence":"additional","affiliation":[{"name":"Imperial College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,12]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"NG17 Type 1 diabetes in adults: diagnosis and management Overview | Type 1 diabetes in adults: diagnosis and management | Guidance | NICE. 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