Impact of continuous glucose monitoring on everyday life of young children with type 1 diabetes and their parents: An evaluation of 114 families

Aouchiche, K.; Bernoux, D.; Baechler Sadoul, E.; Haine, E.; Joubert, F.; Epstein, S.; Faure Galon, N.; Dalla-Vale, F.; Combe, J.C.; Samper, M.; Simonin, G.; Castets, S.; Marquant, E.; Vergier, J.; Reynaud, R.

doi:10.1016/j.pcd.2023.11.002

Primary Care Diabetes

2024

DOI: 10.1016/j.pcd.2023.11.002

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Impact of continuous glucose monitoring on everyday life of young children with type 1 diabetes and their parents: An evaluation of 114 families

K. Aouchiche,

D. Bernoux,

E. Baechler Sadoul

et al.

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2024

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Cited by 3 publications

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Caregiver satisfaction with the use of continuous glucose monitoring and flash glucose monitoring in very young children with type 1 diabetes

Aouchiche,

Bernoux,

Sadoul

et al. 2024

Archives de Pédiatrie

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Caregiver satisfaction with the use of continuous glucose monitoring and flash glucose monitoring in very young children with type 1 diabetes

Aouchiche,

Bernoux,

Sadoul

et al. 2024

Archives de Pédiatrie

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‘We're taught green is good’: Perspectives on time in range and time in tight range from youth with type 1 diabetes, and parents of youth with type 1 diabetes

Tanenbaum,

Pang,

Tam

et al. 2024

Diabet Med

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AimsContinuous glucose monitoring (CGM) systems are standard of care for youth with type 1 diabetes with the goal of spending >70% time in range (TIR; 70–180 mg/dL, 3.9–10 mmol/L). We aimed to understand paediatric CGM user experiences with TIR metrics considering recent discussion of shifting to time in tight range (TITR; >50% time between 70 and 140 mg/dL, 3.9 and 7.8 mmol/L).MethodsSemi‐structured interviews and focus groups with adolescents with type 1 diabetes and parents of youth with type 1 diabetes focused on experiences with TIR goals and reactions to TITR. Groups and interviews were audio‐recorded, transcribed and analysed using content analysis.ResultsThirty participants (N = 19 parents: age 43.6 ± 5.3 years, 79% female, 47% non‐Hispanic White, 20 ± 5 months since child's diagnosis; N = 11 adolescents: age 15.3 ± 2 years, 55% female, 55% non‐Hispanic White, 16 ± 3 months since diagnosis) attended. Participants had varying levels of understanding of TIR. Some developed personally preferred glucose ranges. Parents often aimed to surpass 70% TIR. Many described feelings of stress and disappointment when they did not meet a TIR goal. Concerns about TITR included increased stress and burden; risk of hypoglycaemia; and family conflict. Some participants said TITR would not change their daily lives; others said it would improve their diabetes management. Families requested care team support and a clear scientific rationale for TITR.ConclusionsThe wealth of CGM data creates frequent opportunities for assessing diabetes management and carries implications for management burden. Input from people with type 1 diabetes and their families will be critical in considering a shift in glycaemic goals and targets.

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Clinical Significance of Flash Monitoring Glycemia Indicators in Children With Type 1 Diabetes Mellitus

Alimova,

Demyanenko

2024

Russian Medicine

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One of the basic principles of the treatment of type 1 diabetes mellitus, along with insulin therapy and diet therapy, is regular self-monitoring of glycemia. Glucose meters are most often used for daily self-monitoring, and in recent years devices for continuous and flash monitoring of glycemia have been used. The article discusses the clinical aspects of the application of a glycemic monitoring system with periodic scanning (flash monitoring). The principle of operation of the system is described, as well as the main parameters obtained when using this system – time in the target range, time above and below the target range and their sub-ranges, an indicator of glycemic variability and an indicator of glycemic control, their normative levels, as well as their practical significance and relationship with the clinical aspects of the course of diabetes mellitus and the prognosis of chronic complications. The results of major international and domestic studies on the effectiveness of the flash monitoring system in different age groups are presented. The advantages of the second generation of flash glycemia monitoring sensors are described, and the results of clinical studies of the accuracy of this monitoring system in both children and adult patients with diabetes mellitus are presented.

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Impact of continuous glucose monitoring on everyday life of young children with type 1 diabetes and their parents: An evaluation of 114 families

Cited by 3 publications

References 37 publications

Caregiver satisfaction with the use of continuous glucose monitoring and flash glucose monitoring in very young children with type 1 diabetes

Caregiver satisfaction with the use of continuous glucose monitoring and flash glucose monitoring in very young children with type 1 diabetes

‘We're taught green is good’: Perspectives on time in range and time in tight range from youth with type 1 diabetes, and parents of youth with type 1 diabetes

Clinical Significance of Flash Monitoring Glycemia Indicators in Children With Type 1 Diabetes Mellitus

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