Real-World Use of Continuous Glucose Monitoring Systems Among Adolescents and Young Adults With Type 1 Diabetes: Reduced Burden, but Little Interest in Data Analysis
Authors' conclusion
In this large sample of young people, 75% were using a CGM system. Treatment satisfaction was very high, but CGM use was not associated with reduced diabetes distress or better glycemic control. However, young people who regularly analyzed their CGM data reported lower HbA1c levels.
Study context
- Population
- Young people with T1D attending a diabetes camp, Germany; age 21.4 ± 3.5 years, 73% female, diabetes duration 10.1 ± 5.9 yearscompleted questionnaire
- Participants
- 308 people
- Exposure
- Self-monitoring of blood glucose (SMBG) vs isCGM vs real-time continuous glucose monitoring (rtCGM)
- Outcome
- Method of glucose monitoring used
Methodological detailsanonymous questionnaire, diabetes camp
- Anonymous questionnaire
- Diabetes camp
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | SMBG | iscCGM | rtCGM | P value |
|---|---|---|---|---|
| HbA1c, SMBG vs CGM usersSlightly, not significantly higher with SMBG | mean 8.0% ± 1.9% | — not stated in the abstract | — not stated in the abstract | P = 0.791 |
| Diabetes distress (PAID-5)Between SMBG and iscCGM vs rtCGM · not associated with method | 5.6 | 6.2 | 6.5 | P = 0.386 |
| Regular CGM data analysis and HbA1cRegular data analysis vs Other CGM users · lower HbA1c with regular data analysis | P = 0.039 |
— not stated in the abstract
- Regular continuous glucose monitoring (CGM) data analysis and HbA1c — CGM users reporting regular data analyses
- 19%
- HbA1c, SMBG vs CGM users: CGM mean 7.7% ± 1.4%
- Regular CGM data analysis and HbA1c: Regular data analysis 7.2% ± 1.2%
- Regular CGM data analysis and HbA1c: Other CGM users 7.7% ± 1.4%
Better well-being with CGM vs previous SMBG (CGM users)
- CGM users reporting better well-being
- 98%
Original publication
Real-World Use of Continuous Glucose Monitoring Systems Among Adolescents and Young Adults With Type 1 Diabetes: Reduced Burden, but Little Interest in Data Analysis. J Diabetes Sci Technol. Published 7 March 2022. doi:10.
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