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* cost and its coverage
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
Declarations
Author contributions
AMB and AL conceived the idea of the manuscript and designed the project; AA, AC, AMB and EP organized the collected data to review; EP wrote the first draft of the manuscript with the supervision of AMB, AC and AL; AC, AMB and AL contributed to work design and critically reviewed the manuscript. All authors discussed the project, contributed to manuscript revision, read and approved the submitted version.
Conflicts of interest
The authors declare that they have no conflicts of interest.
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