EMERGING TRENDS AND FUTURE PERSPECTIVES ON CONTINUOUS MONITORING (E.G. CGM, REMOTE ECG) FOR OPTIMIZING TREATMENT ADHERENCE AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC CONDITIONS

Maria Rajkowska; Bernard Myszewski; Aleksandra Włodarczyk; Norbert Grabias; Jędrzej Piotrowski; Paulina Jarząbek; Julia Weronika Mieszkowska; Radosław Gryko; Anna Kinga Tejchma; Łukasz Dominik Woźniak

doi:10.31435/ijitss.1(49).2026.4700

Authors

Maria Rajkowska Copernicus Memorial Hospital, Lodz, Lodzkie, Poland https://orcid.org/0009-0005-2822-0595
Bernard Myszewski Copernicus Memorial Hospital, Lodz, Lodzkie, Poland https://orcid.org/0009-0000-0027-0789
Aleksandra Włodarczyk Copernicus Memorial Hospital, Lodz, Lodzkie, Poland https://orcid.org/0009-0007-5456-6703
Norbert Grabias Karol Jonscher Municipal Medical Center, Lodz, Lodzkie, Poland https://orcid.org/0009-0009-3681-5096
Jędrzej Piotrowski Copernicus Memorial Hospital, Lodz, Lodzkie, Poland https://orcid.org/0000-0001-8044-5496
Paulina Jarząbek Medical University of Lodz, Lodz, Łódź Voivodeship, Poland https://orcid.org/0009-0003-9859-1362
Julia Weronika Mieszkowska Healthcare Complex in Łęczyca, Łęczyca, Poland https://orcid.org/0009-0001-7699-9880
Radosław Gryko Copernicus Memorial Hospital, Lodz, Lodzkie, Poland https://orcid.org/0009-0002-8215-7011
Anna Kinga Tejchma University Clinical Hospital No. 2 of the Medical University of Lodz, Lodz, Lodzkie, Poland https://orcid.org/0009-0007-7322-5517
Łukasz Dominik Woźniak Medical University of Lodz, Lodz, Łódź Voivodeship, Poland https://orcid.org/0009-0007-5634-3810

DOI:

https://doi.org/10.31435/ijitss.1(49).2026.4700

Keywords:

Continuous Monitoring, CGM, Remote ECG, Treatment Adherence, Quality of Life, Artificial Intelligence, Digital Twins, Chronic Disease Management

Abstract

Background: The escalating prevalence of chronic non-communicable diseases (NCDs), including diabetes mellitus, cardiovascular diseases, and neurodegenerative disorders, presents a significant challenge to global healthcare systems. The traditional paradigm of episodic, reactive care is increasingly proving insufficient. Consequently, a digital transformation is underway, characterized by the adoption of Continuous Monitoring (CM) technologies such as Continuous Glucose Monitoring (CGM), remote Electrocardiography (ECG), and wearable biosensors.

Objectives: This narrative review aims to provide a comprehensive overview of emerging trends in continuous monitoring technologies from 2020 to 2025. Specifically, it evaluates the impact of these technologies on treatment adherence and Quality of Life (QoL), analyzes the integration of Artificial Intelligence (AI) and Digital Twins, and identifies sociotechnical barriers to widespread implementation.

Methodology: A rigorous narrative review was conducted based on a systematic search of high-impact literature. Thirty two key studies, including systematic reviews, meta-analyses, and technical frameworks, were synthesized to explore the intersection of technological innovation (IoMT, AI) and social science dimensions (behavioral change, patient empowerment, and equity).

Results: Current evidence indicates that CM technologies significantly improve clinical outcomes, including HbA1c reduction in diabetes and decreased hospital readmission rates for heart failure. However, the impact on QoL is bidirectional: while fostering empowerment and safety, continuous surveillance can also induce anxiety and symptom preoccupation. Novel frameworks like Digital Twins and AI-driven predictive analytics offer promising avenues for personalized medicine but raise ethical and privacy concerns.

Conclusion: Continuous monitoring serves as a critical enabler of proactive health management. Future advancements must prioritize user-centered design, interoperability, and equitable access to realize the full potential of these technologies in improving societal health and well-being.

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