Continuous Glucose Monitoring in Children with Type 1 Diabetes Improves Well-Being, Alleviates Worry and Fear of Hypoglycemia

Ng, Sze May; Moore, Helen S; Clemente, Marisa; Pintus, Dona; Soni, Astha

doi:10.1089/dia.2018.0347

Cited by 34 publications

(26 citation statements)

References 30 publications

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“…In a RCT evaluating children in the age 2–12 years and their parents, parental stress level was lower in the arm using rtCGM compared to the control group (51, Moderate). In another study including 16 children aged 2–17 years, rtCGM use was associated with an improvement in children and parents' anxieties [( 56 ), Low].…”

Section: Anxietymentioning

confidence: 99%

“…Fear of hypoglycemia (FOH) was reduced by isCGM use in adolescents older than 12 years in a 3-month prospective study [( 59 ), Moderate]. Similarly, rtCGM use reduced FOH in 16 children aged 2–12 years in a 12-month cohort study [( 56 ), Low]. Likewise, fear associated with hypoglycemic events resulted significantly lower in parents of youth using rtCGM in several studies [( 51 , 57 , 58 ), Moderate, ( 56 ), Low].…”

Section: Fear/worry Of Hypoglycemiamentioning

confidence: 99%

“…Similarly, rtCGM use reduced FOH in 16 children aged 2–12 years in a 12-month cohort study [( 56 ), Low]. Likewise, fear associated with hypoglycemic events resulted significantly lower in parents of youth using rtCGM in several studies [( 51 , 57 , 58 ), Moderate, ( 56 ), Low]. RtCGM reduced the fear of nocturnal hypoglycemia in youth when integrated with a pump that automatically suspend insulin delivery in case of hypoglycemia [( 54 ), Low].…”

Section: Fear/worry Of Hypoglycemiamentioning

confidence: 99%

“…RtCGM systems has been reported to improve QoL in children, for easier management of insulin dosages, diet, physical activity and in school and extra-home management [( 54 , 55 , 62 ), Moderate-Low]. Similarly, in parents of youths, rtCGM has been reported to improve QoL and well-being [( 51 , 56 ), Moderate-Low].…”

Section: Quality Of Life/well-beingmentioning

confidence: 99%

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Intermittently Scanned and Continuous Glucose Monitor Systems: A Systematic Review on Psychological Outcomes in Pediatric Patients

Franceschi

Micheli

Mozzillo³

et al. 2021

Front. Pediatr.

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Aim: To explore the impact of real-time continuous glucose monitoring (rtCGMs) or intermittently scanned/viewed CGM (isCGM) on psychological outcomes in children and caregivers, and to grade the level of evidence.Method: Systematic review of the literature from PubMed, Embase, Cochrane Library, Web of Science, CINAHL, Nursing reference center, Up to date, Google Scholar, and PsycINFO databases. The studies selected used validated questionnaires for investigating the psychological outcomes. We applied GRADE (Grading of Recommendations Assessment, Development and Evaluation) to rank the quality of a body of evidence.Results: A total of 192 studies were identified in the initial search and after the process of evaluation 25 studies were selected as appropriate to be included in this systematic review. We found in moderate quality studies that isCGM in adolescents can improve diabetes related distress, family conflicts, fear of hypoglycemia, and quality of life, while depression, anxiety, and quality of sleep have not yet been evaluated by validated questionnaires. In moderate—high quality studies, rtCGM technology does not impact on diabetes burden, diabetes specific family conflict, and depressive symptoms. The effect on fear of hypoglycemia, sleep quality, and anxiety is still debated and RCT studies powered to find significant results in psychological outcomes are lacking. RtCGM increases satisfaction and quality of life in parents and patients wearing rtCGM.Conclusion: these data present an interesting point to consider when families are deciding whether or not to start CGM use, choosing between rtCGM to reach a tighter metabolic control, or isCGM which allows greater benefits on psychological outcomes.

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Section: Anxietymentioning

confidence: 99%

Section: Fear/worry Of Hypoglycemiamentioning

confidence: 99%

Section: Fear/worry Of Hypoglycemiamentioning

confidence: 99%

Section: Quality Of Life/well-beingmentioning

confidence: 99%

See 2 more Smart Citations

Intermittently Scanned and Continuous Glucose Monitor Systems: A Systematic Review on Psychological Outcomes in Pediatric Patients

Franceschi

Micheli

Mozzillo³

et al. 2021

Front. Pediatr.

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show abstract

“…Although knowledge about advanced technologies (n = 2), such as CGMs and artificial pancreases, can improve the FOH and QOL in adult patients, they may still have a sense of dependence, and forced monitoring awareness can make them constantly check whether the blood glucose level is safe and interrupt some of their ongoing behaviours, resulting in serious restrictions on daily activities (Ng et al, 2019; Polonsky et al, 2017; van Beers et al, 2017). Thus, healthcare providers should inform patients that there is no need to continuously verify blood glucose levels after the system has set the alarm level to reduce the frequency of activity interruption resulting from frequently checking glucose levels.…”

Section: Discussionmentioning

confidence: 99%

Fear of hypoglycaemia in patients with type 1 and 2 diabetes: a systematic review

Zhang

Zou

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To summarise and thematise fear of hypoglycaemia (FOH) in individuals with type 1 diabetes (T1D) and type 2 diabetes (T2D) to provide a theoretical basis for the development of effective interventions. Background FOH is common in this population and can reduce quality of life (QOL) and adversely impact upon diabetes self‐care management. Design A systematic review. Methods Articles published between 2000–2019 were searched in PubMed, MEDLINE, EMBASE, Web of Science and three Chinese databases (CNKI, Wan‐fang data and VIP). Eligible articles were selected using the Preferred Reporting Item for Systematic Review and Meta‐analysis (PRISMA) guidelines. The quality of all articles finally included was evaluated by the Joanna Briggs Institute (JBI) Critical Appraisal tools. Results Eighteen studies from 8654 papers were included. The sample size of each study ranged from 48–3812 subjects. FOH negatively impacted QOL, particularly psychosocial functioning, daily life and sleep quality. Conclusions FOH is a common and serious problem for patients, leading to poor QOL. It has been suggested that psychological concerns, QOL and effective countermeasures in individuals with T1D and T2D should be taken seriously. Advanced technology should be evaluated for its benefits before being used by patients. Relevance to Clinical Practice The review highlights that FOH negatively impacts QOL, including psychosocial factors, daily life and sleep quality. Healthcare providers should develop targeted and professional assessment tools for FOH and QOL for patients with T2D, especially for patients who are about 60 years old. Advanced technology should be evaluated for its benefits before being used by patients.

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The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study

Lee

et al. 2021

Nursing Open

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Aim The study aimed to explore the association between diabetes‐related distress as a dependent variable and fear of hypoglycaemia as a independent variable in Chinese individuals with type 2 diabetes, which can provide a basis for the development of effective nursing interventions. Design A cross‐sectional descriptive study. Methods Pre‐piloted scales were used to determine whether they experienced fear of hypoglycaemia and whether this impacted upon their management of the disease. From June–October 2019, participants were asked to complete the “hypoglycaemia fear survey” and “diabetes distress scales” to assess levels of fear and distress. Stepwise multivariate regression analysis was applied to reveal relationship between distress as a dependent variable and fear as a independent variable. Covariates included demographic, clinical or lifestyle factors. Results A total of 258 participants were recruited for the survey, and they were characterized by little or no distress (39.53%), moderate distress (45.35%) and high distress (15.12%). The prevalence of moderate to severe distress in patients was 60.47%. Increased diabetes‐related distress was strongly correlated with increased fear of hypoglycaemia and closely associated with the scores of the worry and behaviour subscales. These results indicated that 62.3% of diabetes‐related distress may be explained by fear of hypoglycaemia. Conclusion Increased diabetes‐related distress is associated with increased fear of hypoglycaemia in individuals with type 2 diabetes.

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Continuous Glucose Monitoring in Children with Type 1 Diabetes Improves Well-Being, Alleviates Worry and Fear of Hypoglycemia

Cited by 34 publications

References 30 publications

Intermittently Scanned and Continuous Glucose Monitor Systems: A Systematic Review on Psychological Outcomes in Pediatric Patients

Intermittently Scanned and Continuous Glucose Monitor Systems: A Systematic Review on Psychological Outcomes in Pediatric Patients

Fear of hypoglycaemia in patients with type 1 and 2 diabetes: a systematic review

The association between diabetes‐related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross‐sectional descriptive study

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