Parental experiences of using continuous glucose monitoring in their young children with early-stage type 1 diabetes: a qualitative interview study
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Updated: Jun 6, 2025

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Published on: February 24, 2023
Alison G Roberts1,2, Alexandra S Tully2, Sabrina K Binkowski2
1Department of Endocrinology and Diabetes, Perth Children's Hospital, Perth, WA, Australia.
Insights
Parents reported positive experiences using continuous glucose monitoring (CGM) for young children with type 1 diabetes. Information from CGM reduced uncertainty, and participation in research provided valuable support.
Area of Science:
- Pediatrics
- Endocrinology
- Diabetes Research
Background:
- Type 1 diabetes (T1D) management in young children presents unique challenges.
- Continuous Glucose Monitoring (CGM) offers potential benefits for T1D management.
- Understanding parental experiences with CGM in early-stage T1D is crucial.
Purpose of the Study:
- To explore parents' experiences using CGM in young children with early-stage T1D.
- To investigate parental perceptions of CGM's impact on diabetes management and family life.
- To identify factors influencing the acceptance and utilization of CGM technology in pediatric T1D.
Main Methods:
- Semi-structured phone interviews were conducted with parents of children in the ENDIA CGM sub-study.
- Interviews focused on experiences during a blinded CGM monitoring period.
- Thematic analysis was applied to transcribed interview data to identify key themes.
Main Results:
- Three primary themes emerged: information empowerment, family acceptance of CGM, and research involvement as support.
- Parents reported positive experiences and high tolerance for CGM use in their children.
- Knowledge of glucose levels and patterns empowered parents and reduced uncertainty.
Conclusions:
- Parents reported a positive experience with blinded CGM use in young children with T1D.
- CGM use was well-tolerated by children and empowering for parents.
- This study offers novel insights into parental experiences with CGM in very young children diagnosed with T1D.
Aim:
To explore parents' experiences of using continuous glucose monitoring (CGM) in their young children with early-stage type 1 diabetes, being followed in the Australian Environmental Determinants of Islet Autoimmunity (ENDIA) study.
Methods:
Parents of children with persistent islet autoimmunity who enrolled in the ENDIA CGM sub-study were invited to participate in an optional interview. Semi-structured phone interviews were conducted by a single researcher using an interview guide developed by a multi-disciplinary team. Interviews were conducted following a single CGM monitoring period and prior to parents receiving feedback on their child's glycemic status. Following transcription, thematic analysis was conducted to determine common themes.
Results:
Nine parents (8 mothers, 1 father) were interviewed corresponding to ten children, with a mean (SD) age of 5.6 (2.2) years, who wore CGM for 97 (0.1)% of the time during their monitoring period. Three main themes were identified: (1) Information empowers and helps to reduce uncertainty; (2) Families' acceptance of using CGM; and (3) Involvement in research provides support and preparation for the unknown.
Conclusions:
Parents reported a positive experience of their young child wearing blinded CGM, and the children tolerated wearing CGM very well. Parents were empowered by knowing they would receive information on their child's glucose levels and patterns and felt well supported. This study provides novel insights into parents' experiences of using CGM in very young children with early-stage type 1 diabetes.
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