Flash Continuous Home Glucose Monitoring to Improve Adherence to Self-Monitoring of Blood Glucose and Self-Efficacy in Adolescents With Type 1 Diabetes
Author(s) -
Soo Ting Joyce Lim,
Fang Huang,
Ngee Lek,
Katherine Pereira
Publication year - 2020
Publication title -
clinical diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.931
H-Index - 37
eISSN - 1945-4953
pISSN - 0891-8929
DOI - 10.2337/cd19-0051
Subject(s) - medicine , glycemic , hypoglycemia , self monitoring , type 1 diabetes , blood glucose self monitoring , diabetes mellitus , continuous glucose monitoring , diabetes management , type 2 diabetes , population , intensive care medicine , endocrinology , environmental health , psychology , social psychology
Adolescents with type 1 diabetes face self-management challenges that make it difficult for them to achieve good glycemic control. In our population of adolescents with poorly controlled type 1 diabetes, the use of continuous glucose monitoring (CGM) improved patients' glycemic time in range (TIR) and identified hypoglycemia more frequently than with intermittent self-monitoring of blood glucose throughout a 4-week interval. However, the adolescents were unable to synthesize this information to problem-solve or reduce the frequency of hypoglycemic events. Setting SMART (specific, measurable, achievable, relevant, and time-bound) diabetes management goals and providing intensive diabetes education and support could increase adolescents' TIR and prevent hypoglycemia.
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