Satisfaction with continuous glucose monitoring in adults and youths with Type 1 diabetes

TitleSatisfaction with continuous glucose monitoring in adults and youths with Type 1 diabetes
Publication TypeJournal Article
Year of Publication2011
AuthorsTansey, M., Laffel L., Cheng J., Beck R., Coffey J., Huang E., Kollman C., Lawrence J., Lee J., Ruedy K., Tamborlane W., Wysocki T., & Xing D.
Corporate AuthorsJuvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group
JournalDiabetic medicine : a journal of the British Diabetic Association
Volume28
Issue9
Pagination1118-22
Date Published2011 Sep
ISSN1464-5491
KeywordsAdolescent; Adult; Blood Glucose Self-Monitoring; Diabetes Mellitus, Type 1; Female; Hemoglobin A, Glycosylated; Humans; Male; Patient Satisfaction; Quality of Life; Surveys and Questionnaires; Young Adult
Abstract

AIMS: To describe satisfaction with continuous glucose monitoring in Type 1 diabetes; to correlate continuous glucose monitoring satisfaction scores with usage; and to identify common themes in perceived benefits and barriers of monitoring reported by adults, youths and the parents of youths in the Juvenile Diabetes Research Foundation continuous glucose monitoring trials.
METHODS: The Continuous Glucose Monitoring Satisfaction Scale questionnaire was completed after 6 months of monitoring. Participants also answered open-ended queries of positive and negative attributes of continuous glucose monitoring.
RESULTS: More frequent monitoring was associated with higher satisfaction for adults (n = 224), youths (n = 208) and parents of youths (n = 192) (all P < 0.001) in both the 'benefits' and 'hassles' sub-scales of the Continuous Glucose Monitoring Satisfaction Scale, but the greatest differences between the two groups involved scores on hassle items. Common barriers to monitoring use included insertion pain, system alarms and body issues; while common benefits included glucose trend data, opportunities to self-correct out-of-range glucose levels and to detect hypoglycaemia.
CONCLUSIONS: As frequent use of continuous glucose monitoring is associated with improved glycaemic control without increased hypoglycaemia it is important to overcome barriers, reinforce benefits and set realistic expectations for this technology in order to promote its more consistent and frequent use in individuals with Type 1 diabetes.




DOI10.1111/j.1464-5491.2011.03368.x
Alternate JournalDiabet. Med
Refereed DesignationRefereed