Frequent scanning using flash glucose monitoring contributes to better glycemic control in children and adolescents with type 1 diabetes.

Tytuł:: Frequent scanning using flash glucose monitoring contributes to better glycemic control in children and adolescents with type 1 diabetes.
Autorzy:: Urakami T; Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan.
Yoshida K; Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan.
Kuwabara R; Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan.
Mine Y; Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan.
Aoki M; Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan.
Suzuki J; Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan.
Morioka I; Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan.
Źródło:: Journal of diabetes investigation [J Diabetes Investig] 2022 Jan; Vol. 13 (1), pp. 185-190. Date of Electronic Publication: 2021 Jul 17.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Tokyo : Asian Association for the Study of Diabetes and Blackwell Pub. Asia
MeSH Terms:: Time Factors*
Blood Glucose Self-Monitoring/*methods
Diabetes Mellitus, Type 1/*blood
Glycemic Control/*statistics & numerical data
Adolescent ; Blood Glucose/analysis ; Child ; Child, Preschool ; Diabetes Mellitus, Type 1/drug therapy ; Female ; Glycated Hemoglobin/analysis ; Glycemic Control/methods ; Humans ; Hypoglycemic Agents/administration & dosage ; Insulin/administration & dosage ; Insulin Infusion Systems ; Male ; Multivariate Analysis
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Contributed Indexing:: Keywords: Flash glucose monitoring; Scanning; Time in range
Substance Nomenclature:: 0 (Blood Glucose)
0 (Glycated Hemoglobin A)
0 (Hypoglycemic Agents)
0 (Insulin)
Entry Date(s):: Date Created: 20210618 Date Completed: 20220204 Latest Revision: 20240405
Update Code:: 20240405
PubMed Central ID:: PMC8756333
DOI:: 10.1111/jdi.13618
PMID:: 34143544
: Czasopismo naukowe

Pełny tekst

Aims/introduction: We examined the impact of scanning frequency with flash glucose monitoring on glycemic control in children and adolescents with type 1 diabetes.
Materials and Methods: The study included 85 patients, aged 14.0 ± 0.5 years, with type 1 diabetes. The median time in the target glucose range (TIR) and glycosylated hemoglobin (HbA1c) values were 50.0 ± 1.4% and 7.5 ± 0.1%, respectively.
Results: The median scanning frequency using flash glucose monitoring was 12.0 ± 0.4 times/day. Scanning frequency showed a significant positive correlation with TIR and an inverse correlation with HbA1c. Scanning frequency was identified to be the determinant of TIR and HbA1c by using multivariate analysis. The participants whose scanning frequency was <12 times/day were categorized as the low-frequency group (n = 40), and those who carried out the scanning >12 times/day were categorized as the high-frequency group (n = 45). Patients in the high-frequency group were more likely to be treated with insulin pumps compared with those in the low-frequency group; however, this difference was not significant (21.3 vs 5.3%, P = 0.073). The high-frequency group showed significantly greater TIR than the low-frequency group (57 ± 1.6 vs 42 ± 1.7%, P = 0.002). Furthermore, the high-frequency group showed significantly lower HbA1c levels than the low-frequency group (6.8 ± 0.1 vs 8.0 ± 0.1%, P < 0.001).
Conclusions: These findings showed that patients with a higher scanning frequency had better glycemic control, with greater TIRs and lower HbA1c levels, compared with those with a lower scanning frequency. Scanning frequency of >12 times/day might contribute to better glycemic outcomes in real-world practice in children with type 1 diabetes.
(© 2021 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.)

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