Continuous Glucose Monitoring Market Outlook and Forecast up to 2019

Continuous glucose monitoring systems (CGMS) are portable and real-time glucose monitoring systems employed for glucose level measurement from time to time from the body of a patient. These systems make use of a wireless technology for the transmission of glucose readings which are taken from the interstitial fluid of the skin cells of the patient, unlike the measurement of glucose levels present in the blood which happens in case of blood glucose meters. The swiftly increasing diabetic population globally has substantially raised the preference for effectual diabetes management systems.

Transparency Market Research (TMR), a market intelligence company, studies the continuous glucose monitoring market in detail. It provides the reasons behind their increased demand and the type of devices leading the market.

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Q. Why are CGMS gaining popularity over the conventionally utilized glucose monitoring systems?

The utilization of CGMS is immensely rising and they are overtaking the conventionally utilized glucose monitoring systems owing to them being user friendly, more accurate, and their provision of presenting access to real-time trends and values. In addition, continuous glucose monitoring systems aid in the management of diabetes, particularly in patients having diabetes I and also aid in lowering long-terms complexities related to diabetes. Furthermore, the increasing technological innovations are also amongst the prime factors behind the increasing employment of these systems, making the control and management of diabetes mellitus relatively simpler. The early identification of hypoglycemic and hyperglycemic levels by the utilization of CGMS devices will also fuel their demand over other types of blood glucose monitoring systems.

Q What are the key opportunities and which factors may negatively impact the growth of the market?

There are numerous growth opportunities in the market as a number of companies have made investments in the research and development of CGMS, thus making the management and control of diabetes easier. For instance, Dexcom, Inc. has developed the next generation disposable continuous glucose monitoring device and it will be introduced in the market by 2021. This launch will positively impact the growth of the market. In addition, the artificial pancreas’ approval, which makes the utilization of CGMS mandatory has also emerged as a key opportunity in the global continuous glucose monitoring devices market. However, the dearth in the reimbursement options and the strict regulatory norms in some nations are amongst the crucial factors impeding the growth of the continuous glucose monitoring market.

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Q. Which device/brand and region have dominated the market?

The segment of Guardian Real Time CGM System led the market in 2012 and was trailed by Dexcom Seven Plus CGM system. On the other hand, in the forecast horizon between 2013 and 2019, the development of the segment of FreeStyle Navigator will witness immense growth.

Geographically, North America held a dominant share in the market for CGMS on the basis of revenue in 2012. This is due to the increasing geriatric population, the increasing obesity, and the growing acceptance of cutting-edge devices in this region. North America was trailed by Europe, which was further followed by Asia Pacific, constituting the third position in the market. In addition, Asia Pacific is predicted to hold the most lucrative opportunities in the growth of the market in forthcoming years.

Continuous Glucose Monitoring MarketContinuous Glucose Monitoring Market - Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013 - 2019

Continuous glucose monitoring devices are smart, tiny automated machines that provide a wide range of information about a patient’s fluctuating blood glucose levels  such as the frequency, magnitude, direction, duration and causes of the glucose fluctuation in the patient’s body and help in taking optimal treatment decisions well before the outburst of an emergency situation. 

Conventional glucose mentoring systems, which require obtaining a speck of blood on a lancing device and analyzing the glucose level in the blood sample thus obtained by using a glucose meter, are generally used once a day by most patients. Continuous glucose monitoring systems, on the other hand, allow for a continuous monitoring of blood glucose levels per day. As such a close inspection of trends in a patient’s glucose level fluctuation is possible, allowing the identification and prevention of emergencies.

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The difference between a conventional glucose mentoring system and a continuous glucose monitoring system is similar to the difference between a conventional camera and a security video surveillance camera. The camera takes accurate snapshots at discrete moments, specifically at the moments when it is manually operated. The small set of pictures thus taken can be carefully studied to analyze any given situation but no specific data about trends in the situation under-cover can be gathered from the pictures.
The security surveillance camera, on the other hand, records video streams of multiple frames, albeit poorly focused, and displays a sequential array of these recorded frames. The trend observable from the array of frames can be used to predict future. But, too much information is captured on each frame, making it quite difficult to study each frame carefully. Also, no manual interaction is required for it to record something, except for the initial set-up efforts to turn it on. 

The two types of glucose monitors essentially have the similar kind of differences:
A conventional glucose monitor can measure glucose levels at discrete intervals almost accurately, whereas a continuous glucose monitor can measure glucose levels at multiple moments with fair accuracy. A conventional glucose monitor cannot predict future glucose levels as it does not study or analyze trends from past results. With a continuous glucose monitor, however, this is possible as a result of its capability of capturing and analyzing trends by making use of past results.  Also, conventional glucose monitors require manual efforts to operate whereas continuous glucose monitors are automated.
Looking back at the camera analogy, we know that a security surveillance camera is often more useful than a regular camera in cases when the outcome is more important than just the momentary frames. Correspondingly, the best way to monitor blood glucose levels often may be a continuous glucose monitor rather than a conventional glucose monitor. 

The technology used in the currently available continuous glucose monitors is either the continuous measurement of the interstitial fluid (ISF) that involves minimal invasiveness or by applying electromagnetic currents through the skin to the blood vessels of the body that involves no invasion in the body.
The most common method of these two methods is the one that measures the ISF through minimal invasion in the body. It involves fixing a sensor into the abdominal wall or the arm so that it comes in contact with the ISF of one’s body. The ISF is harvested by using various methods and is then delivered to an external sensor that monitors the glucose levels.

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This technique is called minimally invasive as the sensor is pricked on the skin only as deep as to compromise the barrier of skin and not puncturing any blood vessel.
Continuous glucose monitors are basically simple-looking devices that produce complex-looking data and this can, especially at times when the user is not well educated about the correct meaning of these data-pieces, can disguise the patient in taking erroneous corrective measures. Also, it should be understood that the glucose levels are prone to rise at times such as right after eating something or after a period of exercise. Such conditions should not prompt the patient in taking doses of insulin or eating something, to manage the sudden fluctuation. Instead the patient should be prompted to check the glucose level by finger-sticking a blood sample through a conventional glucose monitor. 

It is obvious that continuous glucose monitoring techniques are currently less accurate than the conventional glucose monitors. But they are more beneficial as they provide data every frequent interval and keep feeding data throughout the day and night. Most systems also incorporate alarms for extreme results that may indicate cases of hyper and hypoglycemia. Also, when these systems are in use almost continuously over extensive time periods, there is huge possibility that significant improvements in controlling glucose levels can be easily achieved.

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