Barriers and Facilitators to Uptake of Continuous Glucose Monitoring for Management of Type 2 Diabetes Mellitus in Youth.
Vaishnavi Peyyety, Margaret F Zupa, Brianna Hewitt and 6 others
PMID 37927056WHAT IT FOUND
Youth with type 2 diabetes wanted CGM because it avoids finger sticks, but alarms, visible devices, stigma, and parental glucose sharing made some hesitant.
Parents valued real-time alerts and asked for hands-on CGM education.
Key findings
01Most youth were interested in CGM because it was more convenient than finger sticks.
02Some youth worried that a visible device and its alarms could draw unwanted attention to their diabetes.
03Privacy and education were key concerns: some adolescents disliked parental real-time glucose sharing, and CGM users emphasized the need for proper education to troubleshoot and use the device.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Twenty youth participants from one US clinic, with themes reaching saturation, so the findings may not represent all youth with type 2 diabetes. Only seven participants were using CGM, so lived experience with the device was limited. Mean glycemic control was at target, so participants may have had more confidence and positive views about diabetes technology than patients with poorer control. Parents were present for many interviews, which may have made youth say only what they were comfortable sharing with their parents. Participants with limited English proficiency were excluded, which may reduce relevance for Hispanic youth. The study did not test whether CGM improves glucose control or weight.
Declared interests
The authors reported no relevant conflicts of interest. The paper is listed as supported by NIH, Extramural.
The easy way to misread this
Do not read these themes as evidence that CGM improves diabetes control or weight. The study asked about experiences and preferences, and the lower BMI among CGM users was not tested as a cause.