Insufficient knowledge and moderate attitudes and practices regarding continuous glucose monitoring among patients...

Continuous glucose monitoring (CGM) has shown increasing application in diabetes management. This study aimed to explore the knowledge, attitudes, and practices (KAP) of patients with various types of diabetes towards CGM. A cross-sectional study was conducted in Runda Community Health Service Center, Suzhou, between October 23, 2023, and November 27, 2023. A self-administered questionnaire was developed to collect demographic information and KAP. Structural equation modeling (SEM) was employed to analyze the relationships between the KAP dimensions. A total of 576 participants were included, with a mean age of 66.37 ± 7.51 years. The mean KAP scores were 5.55 ± 5.33 (possible range: 0-22), 31.41 ± 4.22 (possible range: 10-50), and 12.85 ± 3.83 (possible range: 5-25), respectively. Positive correlations were observed between knowledge and attitude (r = 0.514, P < 0.001), knowledge and practice (r = 0.486, P < 0.001), and attitude and practice (r = 0.339, P < 0.001). SEM based on standardized coefficients showed that knowledge had a significant direct effect on attitude (β = 0.553, 95% CI 0.484-0.623, P < 0.001) and practice (β = 0.439, 95% CI 0.347-0.532, P < 0.001). In addition, knowledge exerted an indirect effect on practice through attitude (β = 0.160, 95% CI 0.098-0.222, P < 0.001). This study revealed insufficient knowledge, moderate attitude, and practice toward CGM among patients with diabetes in Suzhou, China. Educational and behavioral interventions are recommended, particularly for diabetes patients with advanced age, lower educational levels, and not having education and promotion on dynamic blood glucose monitors.