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Feb 11, 2019

12th International Conference on Advanced Technologies & Treatments for Diabetes

REAL WORLD USE OF CGM-SYSTEMS AMONG ADOLESCENTS AND YOUNG ADULTS WITH TYPE 1 DIABETES: REDUCED BURDEN, BUT LITTLE INTEREST IN DATA-ANALYSES

cgm use

real world

adolescents

diabetes

data analysis

cgm use and adolescents

data analysis and cgm

cgm real world

diabetes and data analysis

Abstract

Abstract

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Keywords

cgm use

real world

adolescents

diabetes

data analysis

cgm use and adolescents

data analysis and cgm

cgm real world

diabetes and data analysis

Abstract

Since September 2016 CGM-systems are reimbursed by health insurance companies in Germany for patients with T1D. The rate and quality of use of CGM-systems among young people were assessed. Participants of a German Diabetes Camp for young people with T1D (16-25 yrs.) were invited to anonymously answer a structured questionnaire on their glucose monitoring habits and satisfaction with use (11 Items), their clinical data and diabetes distress (PAID 5). Overall 308 participants (77% response-rate) (age: 21.4±3.5 yrs; diabetes-duration: 10.1±5.9 yrs.; 73% female; HbA1c 7.7±1.5%; CSII 60.6%) participated. Of them 29.5% used rtCGM, 45.8% iscCGM and 24.4% SMBG. HbA1c was highest with SMBG (8.0±1.9%) compared to iscCGM (7.7±1.4%) and rtCGM (7.7±1.4%) without reaching significance. Diabetes distress was not associated with the method of glucose monitoring (PAID_5 sum-score: 6.2±4.4). Participants using either CGM-system reported of better well-being (97.6%) compared to SMBG, higher satisfaction (88.2%), better feeling of security (80.3%), important new information (62.0%); few reported of inconvenience (7.0%) or disturbances (11.0%) due to alarms of rtCGM. Regularly CGM-data analyses were reported by 19.1% of young people, their HbA1c was significantly lower compared to other CGM users (7.2±1.2% vs. 7.7±1.4%; p=0.04). In this huge but selected sample of Diabetes Camp participants 75% were using a CGM-system continuously. It contributes to significant improvement in several aspects of their everyday life, but was not associated with reduced diabetes distress or better glycaemic outcome as long as the young people don’t analyse the CGM-data regularly. Structured education and motivation to analyse CGM-data regularly and effectively is necessary.

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© Copyright 2019 Morressier GmbH.
All rights reserved.