Updating Our Understanding of Device Use in Adolescents: Demographic Factors and Preferences in a Group of Adolescents With Type 1 Diabetes.
Sydney Garretson, Angelee Parmar, Randi Streisand and 2 others
PMID 38240246WHAT IT FOUND
Most adolescents with type 1 diabetes used continuous glucose monitors, but many stopped wearing them for skin irritation, pain, activity or supplies.
Automated insulin delivery depends on CGM wear, so glucose checks are needed during breaks.
Key findings
01Caregivers reported 81% of adolescents were using CGM, but 28% of adolescent CGM users said they wore it less than 21 days in the past month.
02Adolescents whose caregiver had less than a college degree used CGM less often (73%) than those whose caregiver had a college degree or higher (87%).
03Current CGM users had a significantly lower mean A1C than nonusers, 9.0% versus 9.9%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Device use and CGM wear were self-reported or caregiver-reported, not verified by device data. Some survey questions had limited responses. Participants had to have moderate diabetes distress, so results may not apply to adolescents with lower distress. Insurance status was not collected, so cost and coverage barriers could not be analyzed. The study was done at large academic medical centers, so it may not represent rural or smaller settings.
Declared interests
The authors declared no conflict of interest, and the work was supported by the National Institutes of Health.
The easy way to misread this
Do not conclude that CGM use caused lower A1C. This was a baseline observational analysis, not a randomized comparison of CGM versus no CGM.