Features of glycemic control in adolescents with type 1 diabetes mellitus

One of the key aspects of treating type 1 diabetes in adolescents is controlling blood glucose levels. To prevent complications, it is important to maintain glycemia within the recommended target range. Although flash monitoring and continuous glucose monitoring are increasingly being used in medical practice, glucometers still play an important role. The aim of the review was to examine the characteristics of glycemic self-monitoring in adolescents with type 1 diabetes and analyze the advantages of the Contour device for self-monitoring of blood glucose levels. Scientific publications were searched on the eLIBRARY.RU, PubMed, and Cochrane Library platforms, as well as the official websites of peer-reviewed scientific journals. The search period spanned six years (2020–2026). A total of 121 studies were identified, 30 of which were included in the work, including one meta-analysis. According to national clinical guidelines, patients should measure their blood glucose levels at least four times a day using a glucometer, and at least twice a day using flash monitoring. Effective self-control involves the joint analysis and interpretation of data by the patient and the doctor in order to use it correctly. Innovative glucometers, such as Contour Plus One, in combination with mobile applications (for example, the Russian-language Contour Diabitis), open up new opportunities for remote monitoring of glycemia and prompt counseling. The application automatically records the results of blood glucose measurements. When critical values (low or high) are detected, the system instantly notifies the user and provides recommendations for further actions. Prompt information about exceeding the target range serves as a powerful motivator for patients and helps them understand the need for adjusting their treatment regimen. Immediate alerts on a smartphone significantly increase engagement and responsiveness to changes. This integrated “glucometer-app” system allows for effective glycemic management, increasing patient engagement in disease control and achieving therapeutic goals, thereby ensuring better management of diabetes.

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