Metabolic Control of the FreeStyle Libre System in the Pediatric Population with Type 1 Diabetes Dependent on Sensor Adherence.

Autor: Leiva-Gea I; Pediatric Endocrinology, Hospital Regional Materno Infantil de Málaga, 29011 Malaga, Spain.; Multidisciplinary Group on Paediatric Research, Instituto de Investigación Biomédica de Málaga, 29010 Malaga, Spain.; Pharmacology and Pediatrics Department, University of Malaga, 29016 Malaga, Spain., Martos-Lirio MF; Pediatric Endocrinology, Hospital Regional Materno Infantil de Málaga, 29011 Malaga, Spain.; Pharmacology and Pediatrics Department, University of Malaga, 29016 Malaga, Spain., Gómez-Perea A; Pediatric Endocrinology, Hospital Regional Materno Infantil de Málaga, 29011 Malaga, Spain., Ariza-Jiménez AB; Pediatric Endocrinology, Hospital Universitario Reina Sofia, 14004 Cordoba, Spain., Tapia-Ceballos L; Pediatric Endocrinology, Hospital Regional Materno Infantil de Málaga, 29011 Malaga, Spain.; Multidisciplinary Group on Paediatric Research, Instituto de Investigación Biomédica de Málaga, 29010 Malaga, Spain., Jiménez-Hinojosa JM; Pediatric Endocrinology, Hospital Regional Materno Infantil de Málaga, 29011 Malaga, Spain., Lopez-Siguero JP; Pediatric Endocrinology, Hospital Regional Materno Infantil de Málaga, 29011 Malaga, Spain.; Multidisciplinary Group on Paediatric Research, Instituto de Investigación Biomédica de Málaga, 29010 Malaga, Spain.; Pharmacology and Pediatrics Department, University of Malaga, 29016 Malaga, Spain.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Jan 06; Vol. 11 (2). Date of Electronic Publication: 2022 Jan 06.
DOI: 10.3390/jcm11020286
Abstrakt: Aims: To evaluate the relationship between daily sensor scan rates and changes in HbA1c and hypoglycemia in children.
Methods: We enrolled 145 paediatric T1D patients into a prospective, interventional study of the impact of the FreeStyle Libre 1 system on measures of glycemic control.
Results: HbA1c was higher at lower scan rates, and decreased as the scan rate increased to 15-20 scans, after which it rose at higher scan rates. An analysis of the change in hypoglycemia, based on the number of daily sensor scans, showed there was a significant correlation between daily scan rates and hypoglycemia. Subjects with higher daily scan rates reduced all levels of hypoglycaemia.
Conclusions: HbA1c is higher at lower scan rates, and decreases as scan rate increases. Reductions in hypoglycemia were evident in subjects with higher daily scan rates.
Databáze: MEDLINE
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