The use of continuous glucose monitoring systems in a pediatric population with type 1 diabetes mellitus in real-life settings: the AWeSoMe Study Group experience

M. Rachmiel*, Z. Landau, M. Boaz, K. Mazor Aronovitch, N. Loewenthal, M. Ben-Ami, Y. Levy-Shraga, D. Modan-Moses, A. Haim, S. Abiri, O. Pinhas-Hamiel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: The aim of the study was (a) to compare annual glycemic control in pediatric patients with type 1 diabetes mellitus (T1DM) who used a healthcare-funded continuous glucose monitoring system (RT-CGMS) to that of those who performed self-monitoring blood glucose (SMBG) only, in a real-life setting, and (b) to define parameters associated with compliance and glycemic control. Methods: A total of 149 youth with T1DM (52.3 % females), mean age 11.8 ± 3.6 years, and 83 in the CGMS group were followed prospectively for 12 months. Glycemic control parameters and compliance to RT-CGMS were assessed periodically. Results: Glycemic parameters did not differ significantly between the groups during follow-up periods. The time spent with RT-CGMS decreased and only 38 % used it for more than 75 % of the time during the 12 months (consistent users). Mean HbA1c decreased by 0.27 % in consistent users and increased by 0.21 % among intermittent users (used RT-CGMS less than 75 % of time), p = 0.013. Consistent users were younger 10. 6 ± 4.2 vs. 12.5 ± 3.6, p = 0.07, and had higher frequency of SMBG at baseline, 10.6 ± 4.9 vs. 6.3 ± 2.8, p = 0.011. Conclusions: The adoption of RT-CGMS was low, even in a healthcare system that funds its use. Caregivers should consider patient characteristics when recommending RT-CGMS use.

Original languageEnglish
Pages (from-to)323-329
Number of pages7
JournalActa Diabetologica
Volume52
Issue number2
DOIs
StatePublished - 16 Sep 2015

Keywords

  • Children
  • Compliance
  • Continuous glucose monitoring
  • Glycemic control
  • HbA1c
  • Sensor

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