Novel ambulatory glucose-sensing technology improves hypoglycemia detection and patient monitoring adherence in children and adolescents with type 1 diabetes.

Ambulatory Flash Glucose Hypoglycemia Libre Monitoring

Journal

Journal of diabetes and metabolic disorders
ISSN: 2251-6581
Titre abrégé: J Diabetes Metab Disord
Pays: Switzerland
ID NLM: 101590741

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 19 03 2018
accepted: 14 08 2018
entrez: 6 7 2019
pubmed: 6 7 2019
medline: 6 7 2019
Statut: epublish

Résumé

Glucose monitoring [GM] is a mainstay of diabetes control and management. Improving glycemic control is essential to prevent microvascular complications. However, adherence to GM can be a challenge in children and adolescents. Detecting hypoglycemia is essential for its prevention and treatment. We aim to study the impact of the flash ambulatory glucose monitoring in detecting hypoglycemia and enhancing adherence in children and adolescents with type 1 diabetes. The study is prospective involving 3 hospital visits. Children and adolescents with diabetes were enrolled in the study which involved a period on conventional glucose self-monitoring [glucometers] followed by a similar period of monitoring using the flash glucose monitoring device (FreeStyle Libre). Frequency of GM, duration and frequency of hypoglycemia were compared on conventional and the flash monitoring. 75 subjects were studied. Age mean (range) was 11.9 years (2-19). Significant difference was seen in hypoglycemia detection between both testing devices. 68 (94%) and 65 (90%) patients detected nocturnal and diurnal hypoglycemia respectively on Flash monitoring compared to 12 (16.6%) and 30 (41%) on glucometer testing ( Flash monitoring is a useful tool to improve adherence to GM and detecting hypoglycemia [diurnal and nocturnal] in children and adolescents with type 1 diabetes.

Identifiants

pubmed: 31275868
doi: 10.1007/s40200-018-0351-9
pii: 351
pmc: PMC6582115
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1-6

Déclaration de conflit d'intérêts

Conflict of interestAuthors have no conflict of interest to declare.

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Auteurs

A Deeb (A)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

H Yousef (H)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

N Al Qahtani (N)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

I Artan (I)

Medical School, Gulf University, Ajman, United Arab Emirates.

S Suliman (S)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

M Tomy (M)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

L Abdulrahman (L)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

H Al Suwaidi (H)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

S Attia (S)

1Paediatric Endocrinology Department, Mafraq Hospital, P O Box 2951, Abu Dhabi, United Arab Emirates.

N Nagelkerke (N)

Institute of Public Health, Emirates University, Al Ain, United Arab Emirates.

Classifications MeSH