Comparing Real-Time Continuous Glucose Monitoring to Self-Monitoring of Blood Glucose: Advantages and Limitations for Children and Adolescents With Type 1 Diabetes

被引:1
|
作者
Aljuhani, Reyof [1 ]
Adas, Merna [1 ]
Alnaami, Raghad [1 ]
Alshehri, Reham [1 ]
Alqarni, Rahaf [1 ]
NoorSaeed, Sundus [2 ]
Al-Agha, Abdulmoein [3 ]
机构
[1] King Abdulaziz Univ Hosp, Med, Jeddah, Saudi Arabia
[2] King Abdulaziz Univ, Pediat, Jeddah, Saudi Arabia
[3] King Abdulaziz Univ Hosp, Pediat, Jeddah, Saudi Arabia
关键词
hypoglycemia; glycemic control; t1d; smbg; rtcgm;
D O I
10.7759/cureus.51496
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives We aimed to determine the benefits and drawbacks of real-time continuous glucose monitoring (rtCGM) compared with those of self-monitoring of blood glucose (SMBG) in children and adolescents with type 1 diabetes (T1D) and their impact on glycemic control, hypo-and hyperglycemic episodes, exercise, quality of life, and psychosocial factors. Methodology This quantitative, comparative, cross-sectional study was conducted between July 2022 and March 2023 at the Pediatric Endocrine Outpatient Clinic, King Abdulaziz University Hospital, Saudi Arabia. Data were obtained via a clinical interview with children and adolescents with T1D aged 2-18 years. Results The study involved 121 participants, with 71 (58.7%) male patients and 50 (41.3%) female patients. The participants' mean age was 11.9 +/- 4.4 years. Compared with patients using SMBG, patients using rtCGM demonstrated a more significant decrease in the mean glycated hemoglobin (HbA1c) level from baseline (7.79 +/- 1.17 vs. 8.92 +/- 1.63, P = 0.001), a reduction in the number of hypoglycemic episodes (85.7% vs. 70.6%, P = 0.028), and stable blood glucose level during exercise (97.2% vs. 76.4%, P = 0.001). Additionally, 65 (92.9%) rtCGM users had undisturbed sleep compared with 22 (43.1%) SMBG users. Approximately 64 (91.4%) rtCGM users reported that the sensor helped decrease their anxiety levels and pain sensations. Conclusions In this novel study in Saudi Arabia, rtCGM demonstrated a significantly better impact than SMBG on glycemic control, hypo-and hyperglycemic episodes, and psychosocial factors in children and adolescents with T1D.
引用
收藏
页数:9
相关论文
共 50 条
  • [41] Frequency and motives of blood glucose self-monitoring in type 1 diabetes
    Hansen, M. V.
    Pedersen-Bjergaard, U.
    Heller, S. R.
    Wallace, T. M.
    Rasmussen, A. K.
    Jorgensen, H. V.
    Pramming, S.
    Thorsteinsson, B.
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2009, 85 (02) : 183 - 188
  • [42] Effectiveness of Real-Time, Remote Continuous Glucose Monitoring in Adolescents with Poorly Controlled Type 1 Diabetes
    Choudhari, Pooja
    Marwa, Albara
    White, Perrin C.
    Choudhary, Abha
    DIABETES, 2024, 73
  • [43] Type 2 Diabetes and the Use of Real-Time Continuous Glucose Monitoring
    Jackson, Melanie A.
    Ahmann, Andrew
    Shah, Viral N.
    DIABETES TECHNOLOGY & THERAPEUTICS, 2021, 23 : S27 - S34
  • [44] COST-EFFECTIVENESS OF REAL-TIME CONTINUOUS GLUCOSE MONITORING SYSTEM (RTCGM) VERSUS SELF-MONITORING OF BLOOD GLUCOSE (SMBG) IN PEOPLE WITH TYPE 2 DIABETES ON INSULIN THERAPY IN FRANCE
    Alshannaq, H.
    Roze, S.
    Joubert, M.
    Norman, G.
    DIABETES TECHNOLOGY & THERAPEUTICS, 2023, 25 : A142 - A143
  • [45] Real-World Response to Real-Time Continuous Glucose Monitoring by Caregivers of Children with Type 1 Diabetes
    Howell, Haley
    Yeung, Brittany J.
    Nguyen, Andrew
    Wong, Jenise C.
    DIABETES, 2020, 69
  • [46] Self-monitoring of blood glucose in type 2 diabetes - Time for evidence of efficacy
    Kennedy, L
    DIABETES CARE, 2001, 24 (06) : 977 - 978
  • [47] Self-monitoring of blood glucose: Role in Type 2 diabetes
    Levy, Philip
    JOURNAL OF DIABETES, 2011, 3 (02) : 93 - 94
  • [48] Self-monitoring of blood glucose and type 2 diabetes mellitus
    Le Devehat, C.
    DIABETES & METABOLISM, 2006, 32 (02) : 2S17 - 2S20
  • [49] Long-term Cost-Effectiveness of Dexcom G6 Real-time Continuous Glucose Monitoring Versus Self-Monitoring of Blood Glucose in Patients With Type 1 Diabetes in the UK
    Roze, Stephane
    Isitt, John
    Smith-Palmer, Jayne
    Javanbakht, Mehdi
    Lynch, Peter
    DIABETES CARE, 2020, 43 (10) : 2411 - 2417
  • [50] Self-monitoring of blood glucose in treatment of type 2 diabetes
    Szymborska-Kajanek, Aleksandra
    Psurek, Anna
    Hese, Robert
    Strojek, Krzysztof
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2009, 86 : S49 - S52