The benefits and accuracy of real-time continuous glucose monitoring in children and adolescents with type 1 diabetes attending a summer camp.

IF 3.2 3区医学

Journal of Diabetes Investigation Pub Date : 2024-10-30 DOI:10.1111/jdi.14337

Tatsuya Kondo, Takafumi Senokuchi, Jun Morinaga, Azusa Miyashita, Mayumi Yano, Haruo Takeda, Kenro Nishida, Naoto Kubota

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Abstract

Aims/introduction: This study evaluated the usability, satisfaction, and accuracy of a real-time continuous glucose monitoring (rt-CGM) in children and adolescents with type 1 diabetes (T1D) attending a summer camp.

Materials and methods: Seven children and adolescents with T1D (camper) and 31 of healthcare providers (HCPs) participating in a 2-day summer camp in Kumamoto, Japan were enrolled. The usability and satisfaction were evaluated by tailored questionnaire. The accuracy of rt-CGM was evaluated using self-monitoring of blood glucose (BG) and sensor glucose (SG) values before or after (off camp) and during (on camp) the camp.

Results: The score of the usefulness of rt-CGM showed 3.29 ± 0.90 in campers and 4.23 ± 0.87 in HCPs (P = 0.017). The degree of recommendation score for rt-CGM was 3.29 ± 1.11 in campers and 4.23 ± 0.79 in HCPs (P = 0.013). Time in range (TIR) off camp was 45.9% and that on camp was 57.0%. Time above range (TAR) off camp was 53.4% and that on camp was 42.4%. The mean absolute relative difference (MARD) off camp was 19.7% ± 25.2%, whereas that on camp was 16.0% ± 14.8% (P = 0.367). Clinically acceptable zones of the error grid analyses were approximately 96% in total.

Conclusions: Rt-CGM exhibited higher usability and recommendation scores in HCPs than those in campers. This may be related to relatively lower accuracy in rt-CGM. Overall usability and recommendation are clinically satisfactory, but due to relatively low accuracy, no decision should be made based on a single, non-verified SG value alone.

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对参加夏令营的 1 型糖尿病儿童和青少年进行实时连续血糖监测的益处和准确性。

目的/简介：本研究评估了实时连续血糖监测（rt-CGM）在参加夏令营的 1 型糖尿病（T1D）儿童和青少年中的可用性、满意度和准确性：7 名 T1D 儿童和青少年（营员）和 31 名医疗保健提供者（HCPs）参加了在日本熊本举办的为期 2 天的夏令营。通过量身定制的调查问卷对可用性和满意度进行了评估。在夏令营前后（营外）和夏令营期间（营内），通过自我监测血糖（BG）和传感器血糖（SG）值来评估 rt-CGM 的准确性：营员对 rt-CGM 有用性的评分为（3.29 ± 0.90），保健医生为（4.23 ± 0.87）（P = 0.017）。营员对 rt-CGM 的推荐度评分为 3.29 ± 1.11，医生为 4.23 ± 0.79（P = 0.013）。营外在量程内的时间（TIR）为 45.9%，营内为 57.0%。营地外时间超过范围（TAR）为 53.4%，营地内时间超过范围（TAR）为 42.4%。营地外的平均绝对相对差值（MARD）为 19.7% ± 25.2%，营地内为 16.0% ± 14.8%（P = 0.367）。临床可接受的误差网格分析区域总计约为 96%：Rt-CGM在HCP中的可用性和推荐得分均高于在营员中的可用性和推荐得分。这可能与 Rt-CGM 的准确性相对较低有关。总体可用性和建议在临床上是令人满意的，但由于准确性相对较低，不应仅根据单一的、未经验证的 SG 值做出决定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Diabetes Investigation Medicine-Internal Medicine

自引率

9.40%

发文量

218

期刊介绍： Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).