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Evaluation of flash glucose monitoring after long-term use: A pediatric survey

Julia Vergier1, Martine Samper2, Fabienne Dalla-Vale3

  • 1Assistance-Publique des Hôpitaux de Marseille (APHM), Multidisciplinary Pediatric Service - La Timone Children's Hospital, 264 rue Saint Pierre, 13385 Marseille, France.

Primary Care Diabetes
|October 1, 2018
PubMed

Insights

Children with type 1 diabetes find flash glucose monitoring (FGM) acceptable for managing their condition. While generally satisfied, they require specific training to optimize its use for insulin adjustments and improve metabolic outcomes.

Area of Science:

  • Pediatric Endocrinology
  • Diabetes Technology
  • Patient-Reported Outcomes

Background:

  • Type 1 diabetes management in children requires effective glucose monitoring.
  • Flash glucose monitoring (FGM) offers an alternative to traditional blood glucose testing.

Purpose of the Study:

  • To assess children's perspectives on using flash glucose monitoring (FGM) in their daily lives.
  • To understand the motivations, challenges, and impact of FGM on children with type 1 diabetes.

Main Methods:

  • A survey was conducted among children with type 1 diabetes using the FreeStyle Libre® FGM system and their parents.
  • Data was collected from 347 patients across French medical centers between December 2016 and June 2017.

Main Results:

  • Most patients (85.9%) initiated FGM to avoid finger prick pain; parents valued nocturnal monitoring (60.8%).
  • Common issues included sensor detachment (47.6%) and skin reactions (22.2%).
  • Many users (89.5%) altered habits, with 70.6% increasing scans and 37.5% using trends for insulin adjustment; 35.1% saw improved HbA1c.

Conclusions:

  • Flash glucose monitoring (FGM) is widely accepted by children with type 1 diabetes.
  • Specific training is crucial for enhancing FGM's utility in insulin dosing and achieving better metabolic control.
Abstract

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