Continuous glucose monitoring remote monitoring does not meet the needs of all adult users: A qualitative study of adults with type 1 diabetes who do not use remote monitoring

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-08-13 DOI:10.1111/dme.70120

Anjana Rathan, Alisa Boucsein, Hamish Crocket, Benjamin J. Wheeler

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引用次数: 0

Abstract

Aims

Continuous glucose monitoring (CGM) is increasingly popular in the management of type 1 diabetes (T1D). These devices have a remote monitoring function that allows for a third-party individual to monitor the user's glucose levels. While remote monitoring in CGM devices is widely used in T1D management, especially in paediatric populations, there are some individuals with T1D that do not utilise this function. This study aimed to explore the reasons behind some adults not using the remote following function on their real-time CGM (rtCGM) devices.

Methods

Adults with T1D who had been using rtCGM without the remote monitoring function were invited to participate in a semi-structured interview. Interviews explored the participants' experiences using CGM and their reasons on why remote monitoring was not for them. Interviews were analysed thematically.

Results

Interviews were conducted with fifteen people with T1D. Mean age was 27.3 years ± 9.34 SD. Thematic analysis identified three remote monitoring themes: (1) anxiety/concern regarding sharing data; (2) independence with diabetes management; and (3) desire for more customised sharing. There was a universal appeal of the efficacy, ease and practicality of glucose management with CGM devices among participants, particularly when compared to their past experiences with finger-prick testing.

Conclusions

Remote monitoring can be a valuable complement to CGM, but it may not appeal to all individuals with T1D, particularly some adults. These findings offer insights for healthcare teams and provide feedback to help CGM manufacturers develop a more customised remote monitoring experience. Some users clearly wish to prioritise privacy and autonomy while still gaining a safety net in critical situations.

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连续血糖监测远程监测不能满足所有成人用户的需求：一项不使用远程监测的成人1型糖尿病患者的定性研究。

目的：连续血糖监测（CGM）在1型糖尿病（T1D）的治疗中越来越受欢迎。这些设备具有远程监测功能，允许第三方个人监测用户的血糖水平。虽然CGM设备中的远程监测广泛用于T1D管理，特别是在儿科人群中，但仍有一些T1D患者不使用该功能。本研究旨在探讨一些成年人不使用实时CGM （rtCGM）设备上的远程跟随功能背后的原因。方法：采用半结构化访谈法，对一直使用无远程监控功能rtCGM的成年T1D患者进行访谈。访谈探讨了参与者使用CGM的经验，以及他们为什么不适合远程监控的原因。访谈按主题进行分析。结果：对15名T1D患者进行了访谈。平均年龄27.3岁±9.34 SD。专题分析确定了三个远程监测主题：(1)对共享数据的焦虑/担忧；(2)独立管理糖尿病；(3)对更多定制共享的渴望。参与者普遍认为使用CGM设备进行血糖管理的有效性、便利性和实用性，特别是与他们过去的手指点刺试验经验相比。结论：远程监测可能是对CGM的一种有价值的补充，但它可能不适用于所有T1D患者，特别是一些成年人。这些发现为医疗团队提供了见解，并提供了反馈，以帮助CGM制造商开发更加定制化的远程监控体验。一些用户显然希望优先考虑隐私和自主权，同时在危急情况下仍能获得安全网。

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

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”