TY - JOUR
T1 - Satisfaction with continuous glucose monitoring is positively correlated with time in range in children with type 1 diabetes
AU - Marigliano, Marco
AU - Pertile, Riccardo
AU - Mozzillo, Enza
AU - Troncone, Alda
AU - Maffeis, Claudio
AU - Morotti, Elisa
AU - Di Candia, Francesca
AU - Fedi, Ludovica
AU - Iafusco, Dario
AU - Zanfardino, Angela
AU - Cauvin, Vittoria
AU - Maltoni, Giulio
AU - Zucchini, Stefano
AU - Cherubini, Valentino
AU - Tiberi, Valentina
AU - Minuto, Nicola
AU - Bassi, Marta
AU - Rabbone, Ivana
AU - Savastio, Silvia
AU - Tinti, Davide
AU - Tornese, Gianluca
AU - Schiaffini, Riccardo
AU - Passanisi, Stefano
AU - Lombardo, Fortunato
AU - Bonfanti, Riccardo
AU - Scaramuzza, Andrea
AU - Franceschi, Roberto
N1 - Publisher Copyright:
© 2023 Elsevier B.V.
PY - 2023/10
Y1 - 2023/10
N2 - Aims: Continuous glucose monitoring (CGM) can improve glucometrics in children with type 1 diabetes (T1D), and its efficacy is positively related to glucose sensor use for at least 60% of the time. We therefore investigated the relationship between CGM satisfaction as assessed by a robust questionnaire and glucose control in pediatric T1D patients. Methods: This was a cross-sectional study of children and adolescents with T1D using CGM. The CGM Satisfaction (CGM-SAT) questionnaire was administered to patients and demographic, clinical, and glucometrics data were recorded. Results: Two hundred and ten consecutively enrolled patients attending 14 Italian pediatric diabetes clinics completed the CGM-SAT questionnaire. CGM-SAT scores were not associated with age, gender, annual HbA1c, % of time with an active sensor, time above range (TAR), time below range (TBR), and coefficient of variation (CV). However, CGM satisfaction was positively correlated with time in range (TIR, p < 0.05) and negatively correlated with glycemia risk index (GRI, p < 0.05). Conclusions: CGM seems to have a positive effect on glucose control in patients with T1D. CGM satisfaction is therefore an important patient-reported outcome to assess and it is associated with increased TIR and reduced GRI.
AB - Aims: Continuous glucose monitoring (CGM) can improve glucometrics in children with type 1 diabetes (T1D), and its efficacy is positively related to glucose sensor use for at least 60% of the time. We therefore investigated the relationship between CGM satisfaction as assessed by a robust questionnaire and glucose control in pediatric T1D patients. Methods: This was a cross-sectional study of children and adolescents with T1D using CGM. The CGM Satisfaction (CGM-SAT) questionnaire was administered to patients and demographic, clinical, and glucometrics data were recorded. Results: Two hundred and ten consecutively enrolled patients attending 14 Italian pediatric diabetes clinics completed the CGM-SAT questionnaire. CGM-SAT scores were not associated with age, gender, annual HbA1c, % of time with an active sensor, time above range (TAR), time below range (TBR), and coefficient of variation (CV). However, CGM satisfaction was positively correlated with time in range (TIR, p < 0.05) and negatively correlated with glycemia risk index (GRI, p < 0.05). Conclusions: CGM seems to have a positive effect on glucose control in patients with T1D. CGM satisfaction is therefore an important patient-reported outcome to assess and it is associated with increased TIR and reduced GRI.
KW - Adolescent
KW - Child
KW - Continuous glucose monitoring
KW - Satisfaction
KW - Time in range
KW - Young people
UR - https://www.scopus.com/pages/publications/85170416680
U2 - 10.1016/j.diabres.2023.110895
DO - 10.1016/j.diabres.2023.110895
M3 - Article
SN - 0168-8227
VL - 204
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
M1 - 110895
ER -