Perspectives and Behaviors of People with Diabetes toward Time in Range and Glucose Control in Diabetes Management: An Online Survey.

IF 3.8 3区 医学 Q2 Medicine
Diabetes Therapy Pub Date : 2024-08-01 Epub Date: 2024-06-11 DOI:10.1007/s13300-024-01603-9
Christophe De Block, Alice Y Y Cheng, Gayathri Anil, John M D'Cruz, Anna Ginovker
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Abstract

Introduction: This study assessed experiences, attitudes, and behaviors of people with diabetes (PwD) regarding diabetes self-management and glucose control, and their level of awareness, knowledge, and attitudes toward time in range (TIR).

Methods: This quantitative survey was conducted using an online questionnaire across seven countries. Respondents were PwD classified into three subgroups: type 1 (T1), type 2 insulin (T2 insulin), and type 2 not on insulin (T2 N/insulin).

Results: Respondents included 621 people in the T1, 780 people in the T2 insulin, and 735 people in the T2 N/insulin subgroups. Awareness of TIR was low, particularly in the T2 N/insulin subgroup (T1 53%, T2 insulin 29%, T2 N/insulin 9%). Despite a lower current use of continuous glucose monitoring (CGM) among the T2 insulin and T2 N/insulin participants (38% and 9%, respectively), versus T1 participants (64%), most (> 70%) were positive toward utilizing new tools and measures to self-manage blood glucose. Recommendations from their healthcare professionals (HCPs) were cited as a strong motivator to try new measures for analyzing glucose levels. The main barriers cited were limited access to CGM and lack of understanding of TIR benefits. Cost was the main reason given by ≥ 40% of respondents for stopping CGM use.

Conclusions: There is an unmet need in diabetes management, and TIR and CGM offer a potential solution. PwD are motivated to manage their blood glucose levels and are positive toward utilizing new tools and measures to achieve this goal. HCPs play a pivotal role in informing and guiding PwD on new measures for analyzing glucose.

Abstract Image

糖尿病患者在糖尿病管理中对时间在量程内和血糖控制的看法和行为:在线调查。
简介:本研究评估了糖尿病患者(PwD)在糖尿病自我管理和血糖控制方面的经验、态度和行为,以及他们对在量程内时间(TIR)的认识水平、知识和态度:这项定量调查采用在线问卷的形式在七个国家进行。受访者为残疾人,分为三个亚组:1 型(T1)、2 型胰岛素(T2 胰岛素)和未使用胰岛素的 2 型(T2 N/胰岛素):受访者包括 T1 亚组 621 人、T2 胰岛素亚组 780 人和 T2 N/ 胰岛素亚组 735 人。对 TIR 的认知度较低,尤其是在 T2 N/胰岛素亚组(T1 53%,T2 胰岛素 29%,T2 N/胰岛素 9%)。尽管 T2 胰岛素亚组和 T2 N/ 胰岛素亚组目前使用连续血糖监测(CGM)的比例(分别为 38% 和 9%)低于 T1 亚组(64%),但大多数人(> 70%)对使用新工具和措施自我管理血糖持积极态度。医疗保健专业人员(HCP)的建议被认为是他们尝试新的血糖水平分析方法的强大动力。他们提到的主要障碍是获得 CGM 的机会有限,以及对 TIR 的益处缺乏了解。≥40%的受访者认为费用是停止使用 CGM 的主要原因:结论:糖尿病管理的需求尚未得到满足,TIR 和 CGM 提供了一个潜在的解决方案。糖尿病患者有管理血糖水平的动力,并积极利用新工具和措施来实现这一目标。保健医生在告知和指导残疾人使用新的血糖分析方法方面发挥着关键作用。
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来源期刊
Diabetes Therapy
Diabetes Therapy Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.90
自引率
7.90%
发文量
130
审稿时长
6 weeks
期刊介绍: Diabetes Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all areas of diabetes. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Diabetes Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
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