Flash Continuous Home Glucose Monitoring to Improve Adherence to Self-Monitoring of Blood Glucose and Self-Efficacy in Adolescents With Type 1 Diabetes

Lim, Sheow Lei; Huang, Fang; Lek, Ngee; Pereira, Katherine

doi:10.2337/cd19-0051

Cited by 3 publications

(40 citation statements)

References 18 publications

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“…All 6 non-randomized studies [24][25][26][27][28][29] were prospective, single-centre, single-arm cohort studies. None of these non-randomized studies [24][25][26][27][28][29] included a control group; instead, these studies made comparisons from before to after switching from SMBG to FGM with the FreeStyle Libre. Study durations were 4 weeks, 26,28 12 weeks, 24,27 12 months, 29 and 24 months.…”

Section: Methodsmentioning

confidence: 99%

“…None of these non-randomized studies [24][25][26][27][28][29] included a control group; instead, these studies made comparisons from before to after switching from SMBG to FGM with the FreeStyle Libre. Study durations were 4 weeks, 26,28 12 weeks, 24,27 12 months, 29 and 24 months. 25…”

Section: Methodsmentioning

confidence: 99%

“…These comprised 3 health technology assessments [14][15][16] (that each included a systematic review with 14,15 or without 16 meta-analysis), 5 systematic reviews [17][18][19][20][21] (3 with meta-analysis 17,19,21 ), 2 publications 22,23 related to 1 randomized controlled trial (RCT), and 6 non-randomized studies. [24][25][26][27][28][29] Appendix 1 presents the PRISMA 30 flow chart of the study selection. Additional references of potential interest are provided in Appendix 5.…”

Section: Quantity Of Research Availablementioning

confidence: 99%

“…Three relevant health technology assessments (that each included a systematic review with 14,15 or without 16 meta-analysis), 5 systematic reviews [17][18][19][20][21] (3 with meta-analysis 17,19,21 ), 2 publications 22,23 related to 1 RCT, and 6 non-randomized studies [24][25][26][27][28][29] were identified for inclusion in this review. Detailed study characteristics are available in Appendix 2, Table 2 and Table 3.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

“…The RCT was conducted in New Zealand. 22,23 Non-randomized studies were conducted in Belgium, 25 Saudi Arabia, 24,27 Singapore, 26 the UK, 29 and the United Arab Emirates. 28…”

Section: Country Of Originmentioning

confidence: 99%

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Flash Glucose Monitoring Systems in Pediatric Populations With Diabetes

Young¹,

Grobelna²

2021

cjht

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Flash glucose monitoring (FGM) is a method of glucose testing where a sensor inserted into the skin continuously measures interstitial glucose levels. It can be used by people with diabetes to inform treatment decisions, such as insulin dosing, as an alternative or complement to blood glucose testing. Evidence of variable quality from 2 randomized controlled trials and 8 non-randomized studies, including those summarized within systematic reviews, suggests that FGM may improve quality of life, patient satisfaction, diabetes distress, self-efficacy, and frequency of glucose monitoring compared to self-monitoring blood glucose techniques in pediatric populations with type 1 diabetes. Findings related to other outcomes, such as hemoglobin A1C, glucose time in range metrics, and adverse events were mixed or inconclusive (i.e., in some studies the use of FGM was associated with improved outcomes, while in other studies it was not). While the results summarized in this report generally suggest that the use of FGM is associated with improved clinical outcomes in pediatric populations with type 1 diabetes, the limitations of the included literature should be considered when interpreting these findings. No studies were identified that compared the clinical effectiveness of FGM systems with hypoglycemic, hyperglycemia, or signal loss alarms (e.g., FreeStyle Libre 2) to FGM systems without these features (e.g., FreeStyle Libre) in people of any age with diabetes requiring insulin therapy.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Quantity Of Research Availablementioning

confidence: 99%

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

“…The RCT was conducted in New Zealand. 22,23 Non-randomized studies were conducted in Belgium, 25 Saudi Arabia, 24,27 Singapore, 26 the UK, 29 and the United Arab Emirates. 28…”

Section: Country Of Originmentioning

confidence: 99%

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Flash Glucose Monitoring Systems in Pediatric Populations With Diabetes

Young¹,

Grobelna²

2021

cjht

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Psychosocial Self-efficacy and its Association with Selected Potential Factors Among Adults with Type 1 Diabetes: A Cross-Sectional Survey Study

Stephen,

Nordin,

Johansson

et al. 2024

Diabetes Ther

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Introduction The management of type 1 diabetes, a non-preventable chronic disease, leads to a high physical and psychological burden on the individual. Digital health technology can improve a person’s psychosocial self-efficacy and thereby contribute to improved diabetes self-care. The aim of this study was to explore associations between psychosocial self-efficacy and demographic-, disease specific-, well-being as well as digital health technology (DHT) related factors among adults with type 1 diabetes. Methods A primarily web-based cross sectional survey was conducted among adults with type 1 diabetes in Sweden ( n = 301). Psychosocial self-efficacy was assessed using the Swedish version of the Diabetes Empowerment Scale, Swe-DES-23. The survey also contained questions related to demographic-, disease specific-, well-being as well as digital health technology related variables. Results Higher well-being scores and lower HbA1c levels were associated with higher psychosocial self-efficacy in multiple linear regression analysis. In multivariate analysis, gender, body mass index, well-being scores, and HbA1c levels showed association with psychosocial self-efficacy. None of the DHT factors were found associated with psychosocial self-efficacy. Conclusions In this study, higher well-being score and lower self-reported HbA1c levels were associated with higher psychosocial self-efficacy in both univariate- and multivariate analysis and accounted for 30% of the variation in psychosocial self-efficacy in the regression model. Thus, measures to improve psychosocial self-efficacy in adults with type 1 diabetes may help maintain their psychological well-being and blood glucose control. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-024-01581-y.

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Effect of Continuous Glucose Monitoring Device Assistance on Glycemic Control of 2023 Kahramanmaras Doublet Earthquake Survivors with Type 1 Diabetes in Adana, Turkey

Tarcin,

Dilek,

Kilic

et al. 2023

Turkish Archives of Pediatrics

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Objective: The aim of this study was to investigate the effects of the devastating 2023 Kahramanmaraş earthquake on the glycemic control of children with type 1 diabetes (T1DM) in Adana, Turkey. Additionally, the study aimed to assess the impact of continuous glucose monitoring (CGM) device assistance on glycemic control after the earthquake. Materials and Methods: A retrospective study was conducted involving 134 children with T1DM receiving intensive insulin treatment. Participants were divided into 2 groups: CGM (+) (n = 58), who benefited from CGM device assistance, and CGM (−) (n = 76), who did not utilize CGM device after the earthquake. Glycated hemoglobin (HbA1c) levels were recorded before and after the earthquake. Results: Following the earthquake, the median HbA1c for all participants changed insignificantly from 8.9% to 8.6% ( P = .491). However, in the CGM (+) group, HbA1c levels significantly improved post earthquake ( P = .001). Conversely, the CGM (−) group experienced a deterioration in glycemic control ( P = .027). A 2-way repeated measures ANOVA revealed a significant interaction effect between CGM device usage and the earthquake on HbA1c levels ( F = 17.257, P < .001). Subgroup analysis based on age indicated that the effectiveness of CGM was more pronounced in adolescents (≥12 years) than in younger children (<12 years). Conclusion: This study highlights the adverse impact of the earthquake on glycemic control in children with T1DM and underscores the effectiveness of CGM in improving glycemic control, particularly among adolescents. The provision of CGM devices following the earthquake led to enhanced outcomes, mitigating the negative effects of the disaster on glycemic control.

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Flash Continuous Home Glucose Monitoring to Improve Adherence to Self-Monitoring of Blood Glucose and Self-Efficacy in Adolescents With Type 1 Diabetes

Cited by 3 publications

References 18 publications

Flash Glucose Monitoring Systems in Pediatric Populations With Diabetes

Flash Glucose Monitoring Systems in Pediatric Populations With Diabetes

Psychosocial Self-efficacy and its Association with Selected Potential Factors Among Adults with Type 1 Diabetes: A Cross-Sectional Survey Study

Effect of Continuous Glucose Monitoring Device Assistance on Glycemic Control of 2023 Kahramanmaras Doublet Earthquake Survivors with Type 1 Diabetes in Adana, Turkey

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