Keeping safe. Continuous glucose monitoring (CGM) in persons with Type 1 diabetes and impaired awareness of hypoglycaemia
| Autor: | Erik H. Serné, Wilmy Cleijne, M. de Wit, Frank J. Snoek, C. A. J. van Beers, Petronella H. Geelhoed-Duijvestijn, A. F. Vloemans, Mark H. H. Kramer, Stefanie M. P. A. Rondags |
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| Přispěvatelé: | Plastic, Reconstructive and Hand Surgery, Internal medicine, AGEM - Endocrinology, metabolism and nutrition, Medical psychology, ACS - Diabetes & metabolism, APH - Mental Health, APH - Health Behaviors & Chronic Diseases, Amsterdam Reproduction & Development (AR&D), ACS - Microcirculation, Medical Psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Blood Glucose Male endocrine system diseases Endocrinology Diabetes and Metabolism Population 030209 endocrinology & metabolism Context (language use) law.invention 03 medical and health sciences Young Adult 0302 clinical medicine Endocrinology Quality of life (healthcare) Insulin Infusion Systems Randomized controlled trial law Internal Medicine Medicine Humans Insulin 030212 general & internal medicine education Glycated Hemoglobin education.field_of_study business.industry Blood Glucose Self-Monitoring nutritional and metabolic diseases Awareness Middle Aged Hypoglycemia Distress Diabetes Mellitus Type 1 Quality of Life Female Thematic analysis business Clinical psychology Qualitative research Mirroring Follow-Up Studies |
| Zdroj: | Vloemans, A F, van Beers, C A J, de Wit, M, Cleijne, W, Rondags, S M, Geelhoed-Duijvestijn, P H, Kramer, M H H, Serné, E H & Snoek, F J 2017, ' Keeping safe. Continuous glucose monitoring (CGM) in persons with Type 1 diabetes and impaired awareness of hypoglycaemia : a qualitative study ', Diabetic Medicine, vol. 34, no. 10, pp. 1470-1476 . https://doi.org/10.1111/dme.13429 Diabetic Medicine, 34(10), 1470-1476. Wiley-Blackwell Diabetic medicine, 34(10), 1470-1476. Wiley-Blackwell |
| ISSN: | 0742-3071 |
| DOI: | 10.1111/dme.13429 |
| Popis: | Aim To further our understanding of individual use and experience of continuous glucose monitoring (CGM) in adults with Type 1 diabetes and impaired awareness of hypoglycaemia, we conducted a qualitative study supplementary to a randomized controlled trial, using semi-structured interviews. Methods Twenty-three participants of the IN CONTROL trial were interviewed within 4 weeks after the last study visit. The interview centred around experiences of CGM, taking into account the person's expectations prior to the trial. The interview was semi-structured, using open-ended questions and, if needed, prompts were offered to elicit further responses. Using thematic analysis, the interview transcripts were coded independently by three members of the research team. The consolidated criteria for reporting qualitative research (COREQ) were followed. Results Overall, CGM was experienced as helpful in gaining more insight into glucose variability, and temporarily improved sense of control, reduced distress and made participants less dependent on others. However, some participants experienced confrontation with CGM output as intrusive, while some reported frustration due to failing technique and difficulty trusting the device. Participants reported active and passive self-management behaviours mirroring individual differences in attitudes and coping styles. Conclusions In adults with Type 1 diabetes at risk of recurrent hypoglycaemia due to impaired awareness of hypoglycaemia, CGM use enhances a sense of control and safety for most, but not all. Future studies should further explore differential use of CGM in this population in the context of active and passive self-management styles. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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