Continuous glucose monitoring in older people with diabetes and memory problems: a mixed-methods feasibility study in the UK

Autor: Ketan Dhatariya, Charlotte Salter, Yoon K Loke, Katharina Mattishent, Kathleen Lane, Helen M May, Sankalpa Neupane
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: BMJ Open, Vol 9, Iss 11 (2019)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2019-032037
Popis: Objectives Older people with diabetes are at increased risk of harm from hypoglycaemia, particularly where there are coexisting memory problems. Continuous glucose monitoring (CGM) offers important benefits in terms of detecting hypoglycaemia, but the feasibility of use and extent of data capture has not been tested in this patient group. Our objective was to investigate the feasibility of trialling a CGM intervention in the community setting in older people with diabetes and memory problems.Design Mixed-methods feasibility study.Setting Community dwellings in the UK.Participants Patients aged ≥65 with diabetes and abbreviated mental test score ≤8 or known dementia.Intervention FreeStyle Libre CGM.Primary and secondary outcome measures Feasibility criteria were numbers of eligible patients, recruitment, attrition, extent of capture of glucose readings and adverse events. Qualitative interview.Results We identified 49 eligible participants; 17 consented, but 5 withdrew before recording of data because they or their carers felt unable to manage study procedures. 12 participants (mean age 85 years) completed the study without adverse events. Data capture across 14 days ranged between 3% and 92% (mean 55%); 6 participants had
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