Updating Our Understanding of Device Use in Adolescents: Demographic Factors and Preferences in a Group of Adolescents With Type 1 Diabetes.

Autor: Garretson S; Vanderbilt University Medical Center, Nashville, Tennessee., Parmar A; Vanderbilt University Medical Center, Nashville, Tennessee., Streisand R; The George Washington University School of Medicine, Washington, District of Columbia.; Children's National Hospital, Washington, District of Columbia., Jaser S; Vanderbilt University Medical Center, Nashville, Tennessee., Datye K; Vanderbilt University Medical Center, Nashville, Tennessee.
Jazyk: angličtina
Zdroj: The science of diabetes self-management and care [Sci Diabetes Self Manag Care] 2024 Feb; Vol. 50 (1), pp. 9-18. Date of Electronic Publication: 2024 Jan 19.
DOI: 10.1177/26350106231220023
Abstrakt: Purpose: The purpose of the study was to identify demographic factors associated with continuous glucose monitor (CGM) and automated insulin delivery (AID) use among adolescents with type 1 diabetes and to explore why adolescents may start and stop using CGMs.
Methods: Adolescents ages 13 to 17 and caregivers completed demographic and device use surveys at baseline for a randomized trial of a behavioral intervention conducted at 2 large medical centers in the United States. This study is a secondary analysis of the demographic and device use data.
Results: The study sample consisted of 198 participants ages 13 to 17, 58% female, 57% non-Hispanic White, 24% non-Hispanic Black, 19% other race and ethnicity. Eighty-one percent of adolescents were using CGM, and 10% reported past use. Forty percent of adolescents reported taking CGM breaks ranging hours to weeks. Higher CGM use was found in higher income families (>$90 000). No difference in CGM use was observed related to race or ethnicity.
Conclusions: These findings suggest CGM use is increasing even among adolescents, a group that historically has had the lowest device use. However, adolescents often take CGM breaks, and it is not clear if they adjust their diabetes management during these times. It is important for providers to understand when and why patients may take CGM breaks so education about diabetes management while off CGM can occur. Further investigation into management during CGM breaks, particularly in those using an AID system, is needed.
Competing Interests: Declaration of Conflicting InterestsThe authors declare that there is no conflict of interest.
Databáze: MEDLINE