Effect of Education on Impaired Hypoglycemia Awareness and Glycemic Variablity in Children and Adolescents with Type 1 Diabetes Mellitus

Demir, Günay; Özen, Samim; Çetin, Hafize; Darcan, Şükran; Gökşen, Damla

doi:10.4274/jcrpe.galenos.2019.0009

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…43,47,48 The special situation of hypoglycemia unawareness would benefit significantly from the use of CGM for a certain time as it could improve the perception of hypoglycemia in persons who do not want to wear CGM continuously as a safeguard. [49][50][51]…”

Section: Education and Training In People With Diabetesmentioning

confidence: 99%

Intermittent Use of Continuous Glucose Monitoring: Expanding the Clinical Value of CGM

Ziegler¹,

Heinemann²,

Freckmann

et al. 2020

J Diabetes Sci Technol

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In addition to the continuous use, the intermittent use of continuous glucose monitoring (CGM) is an application of CGM, expanding the typical medical use cases. There are a variety of reasons and occasions that speak in favor of using CGM only for a limited time. To date, these circumstances have not been sufficiently discussed. In this article, we define discontinuous or intermittent CGM use, provide reasons for using it, and expand on the benefits and possibilities of using CGM on a temporary basis. We aim to draw attention to this important topic in the discussion of CGM use and give examples for a different method of CGM use. As well, we would like to foster the allocation of CGM to the right patient groups and indications, especially in cases of limited resources. From a global point of view, intermittent CGM use is more likely to occur than continuous use, primarily for economic reasons.

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Section: Education and Training In People With Diabetesmentioning

confidence: 99%

Intermittent Use of Continuous Glucose Monitoring: Expanding the Clinical Value of CGM

Ziegler¹,

Heinemann²,

Freckmann

et al. 2020

J Diabetes Sci Technol

View full text Add to dashboard Cite

show abstract

Technological Ecological Momentary Assessment Tools to Study Type 1 Diabetes in Youth: Viewpoint of Methodologies (Preprint)

Ray¹,

McMichael²,

Rivera-Santana³

et al. 2021

Preprint

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UNSTRUCTURED Type 1 diabetes (T1D) is one of the most common chronic childhood diseases, and its prevalence is rapidly increasing. The management of glucose in T1D is challenging, as youth must consider a myriad of factors when making diabetes care decisions. This task often leads to significant hyperglycemia, hypoglycemia, and glucose variability throughout the day, which have been associated with short- and long-term medical complications. At present, most of what is known about each of these complications and the health behaviors that may lead to them have been uncovered in the clinical setting or in laboratory-based research. However, the tools often used in these settings are limited in their ability to capture the dynamic behaviors, feelings, and physiological changes associated with T1D that fluctuate from moment to moment throughout the day. A better understanding of T1D in daily life could potentially aid in the development of interventions to improve diabetes care and mitigate the negative medical consequences associated with it. Therefore, there is a need to measure repeated, real-time, and real-world features of this disease in youth. This approach is known as ecological momentary assessment (EMA), and it has considerable advantages to in-lab research. Thus, this viewpoint aims to describe EMA tools that have been used to collect data in the daily lives of youth with T1D and discuss studies that explored the nuances of T1D in daily life using these methods. This viewpoint focuses on the following EMA methods: continuous glucose monitoring, actigraphy, ambulatory blood pressure monitoring, personal digital assistants, smartphones, and phone-based systems. The viewpoint also discusses the benefits of using EMA methods to collect important data that might not otherwise be collected in the laboratory and the limitations of each tool, future directions of the field, and possible clinical implications for their use.

show abstract

Effect of Education on Impaired Hypoglycemia Awareness and Glycemic Variablity in Children and Adolescents with Type 1 Diabetes Mellitus

Cited by 2 publications

References 23 publications

Intermittent Use of Continuous Glucose Monitoring: Expanding the Clinical Value of CGM

Intermittent Use of Continuous Glucose Monitoring: Expanding the Clinical Value of CGM

Technological Ecological Momentary Assessment Tools to Study Type 1 Diabetes in Youth: Viewpoint of Methodologies (Preprint)

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