Validation of continuous glucose monitoring in children and adolescents with cystic fibrosis: a prospective cohort study
Autor: | Stephen M P, O'Riordan, Peter, Hindmarsh, Nathan R, Hill, David R, Matthews, Sherly, George, Peter, Greally, Gerard, Canny, Dubhfeasa, Slattery, Nuala, Murphy, Edna, Roche, Colm, Costigan, Hilary, Hoey |
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Rok vydání: | 2009 |
Předmět: |
Blood Glucose
Male endocrine system diseases Adolescent Cystic Fibrosis Clinical Care/Education/Nutrition/Psychosocial Research nutritional and metabolic diseases Monitoring Ambulatory Reproducibility of Results Glucose Tolerance Test Sensitivity and Specificity Cohort Studies Diabetes Complications Young Adult Glucose Intolerance Humans Female Prospective Studies Child Monitoring Physiologic Original Research |
Zdroj: | Diabetes Care |
ISSN: | 1935-5548 |
Popis: | OBJECTIVE To validate continuous glucose monitoring (CGM) in children and adolescents with cystic fibrosis. RESEARCH DESIGN AND METHODS Paired oral glucose tolerance tests (OGTTs) and CGM monitoring was undertaken in 102 children and adolescents with cystic fibrosis (age 9.5–19.0 years) at baseline (CGM1) and after 12 months (CGM2). CGM validity was assessed by reliability, reproducibility, and repeatability. RESULTS CGM was reliable with a Bland-Altman agreement between CGM and OGTT of 0.81 mmol/l (95% CI for bias ± 2.90 mmol/l) and good correlation between the two (r = 0.74–0.9; P < 0.01). CGM was reproducible with no significant differences in the coefficient of variation of the CGM assessment between visits and repeatable with a mean difference between CGM1 and CGM2 of 0.09 mmol/l (95% CI for difference ± 0.46 mmol/l) and a discriminant ratio of 13.0 and 15.1, respectively. CONCLUSIONS In this cohort of children and adolescents with cystic fibrosis, CGM performed on two occasions over a 12-month period was reliable, reproducible, and repeatable. |
Databáze: | OpenAIRE |
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