It's a game changer in terms of diabetic management’: A qualitative study of adolescents' and parents' experiences of a 6-month trial of continuous glucose monitoring in type 2 diabetes

IF 3.3 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2026-10-15 Epub Date: 2026-07-22 DOI:10.1111/dme.70430

Maheesha Fernando, Alexia S. Peña, Ashlee King, Melissa Oxlad

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引用次数: 0

Abstract

Aim

To qualitatively explore adolescents with type 2 diabetes (T2D) using any treatment regimen and parents of such adolescents' experiences of a 6-month trial of continuous glucose monitoring (CGM) and its perceived barriers and facilitators.

Methods

Adolescents provided with CGM sensors (Freestyle Libre 2) free of charge for 6 months and parents recruited from the outpatient paediatric diabetes clinic at the Women's and Children's Hospital, South Australia participated. Four adolescents and six parents participated in a separate focus group or a semi-structured interview within 1 month (baseline) of CGM use; three adolescents and four parents participated in a focus group after 6 months of CGM use. Data were analysed using reflexive thematic analysis.

Results

We generated four themes: (1) A Convenient and Practical Tool for Adolescent Monitoring, Self-Management, Education, and Behaviour Change; (2) Enhanced Parental Diabetes Oversight and Reduced Family Emotional Burden; (3) Psychosocial, Practical, and Affordability Barriers to Adolescent CGM Use; (4) Education, Improved Adhesion, and Supportive School Environments as Facilitators of Adolescent CGM Use.

Conclusions

Adolescents with T2D and parents perceived CGM as a more acceptable and convenient tool than finger prick blood glucose monitoring. CGM benefits included facilitating education, improving self-management skills, and promoting behavioural modification. CGM was also perceived to reduce families' emotional burden associated with diabetes management. Device limitations, including technology accuracy, alarms, and adhesion issues, posed challenges for families. Equitable access and funding models were the main barriers to the wider adoption of CGM in this population within Australia.

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“这是糖尿病管理方面的游戏规则改变者”：一项对青少年和父母进行为期6个月的2型糖尿病持续血糖监测试验的定性研究。

目的：定性地探讨使用任何治疗方案的青少年2型糖尿病（T2D），以及这些青少年的父母在为期6个月的连续血糖监测（CGM）试验中的经历及其感知的障碍和促进因素。方法：免费提供CGM传感器（Freestyle Libre 2） 6个月的青少年和从南澳大利亚妇女儿童医院儿科糖尿病门诊门诊招募的家长参与。4名青少年和6名家长在使用CGM的1个月内（基线）参加了一个单独的焦点小组或半结构化访谈；使用CGM 6个月后，3名青少年和4名家长参加了一个焦点小组。数据分析采用反身性主题分析。结果：我们产生了四个主题：(1)青少年监测、自我管理、教育和行为改变的方便实用的工具；(2)加强父母糖尿病监护，减轻家庭情绪负担；(3)青少年使用CGM的社会心理、实际和负担障碍；(4)教育、改善的粘附性和支持性学校环境是青少年使用CGM的促进因素。结论：青少年T2D患者及家长认为CGM比手指刺血血糖监测更容易接受和方便。CGM的好处包括促进教育、提高自我管理技能和促进行为矫正。CGM还被认为可以减轻与糖尿病管理相关的家庭情感负担。设备的限制，包括技术准确性，报警和粘附问题，给家庭带来了挑战。公平的获取机会和筹资模式是澳大利亚在这一人群中更广泛地采用割礼的主要障碍。

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.”