A Nurse-Led Educational Intervention for Patients With Type 1 Diabetes Using Continuous Glucose Monitoring.
Marcos Pazos-Couselo, Verónica Izquierdo, Mercedes Muñoz Martinez and 4 others
PMID 41968908WHAT IT FOUND
In adults with type 1 diabetes scanning a glucose sensor 4 or fewer times/day, a nurse-taught session raised daily scans from 3.1 to 6.1 and improved time in range.
No control group, so benefit may not be due only to the session.
Key findings
01Mean daily scan frequency increased by 3.0 scans/day at 12 weeks (95% CI 1.8 to 4.1; p = 0.001).
02Time in range increased by 8.2% at 12 weeks (95% CI 0.3 to 16.2; p = 0.024).
03Each additional daily scan was associated with a 0.51% increase in time in range.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
There was no control group and no randomization, and all patients continued regular follow-up care, so the study cannot show the session alone caused the changes. The session included scanning frequency coaching, barrier discussion, goal setting, and interpretation of glucose values and trend arrows, so scanning behavior alone cannot be isolated. Baseline glucose data came from 14 days with 59.5% sensor active time, below the 70% often needed for accurate 3-month estimates. Follow-up was only 12 weeks, so long-term sustainability was not assessed. Participants had type 1 diabetes, had used the sensor for at least 6 months, and had prior Flash education, so new users were not studied. The study was single-center and recruited 34 patients consecutively by phone from one hospital diabetes technology unit.
Declared interests
The authors report no specific funding. They state they did not receive research support or compensation from Abbott. However, some authors report consultant fees, speaking honoraria, or consulting honoraria from companies including Abbott, Dexcom, Roche, Medtronic, Novalab, Ascensia, Novo Nordisk, Lilly, Sanofi, and Viatris.