Barbara Davis Center for Diabetes, University of Colorado School of Medicine.
Department of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University.
J Pediatr Psychol. 2019 Jan 1;44(1):32-39. doi: 10.1093/jpepsy/jsx151.
To determine patterns of blood glucose monitoring in children and adolescents with type 1 diabetes (T1D) before and after routine T1D clinic visits.
Blood glucose monitoring data were downloaded at four consecutive routine clinic visits from children and adolescents aged 5-18 years. Linear mixed models were used to analyze patterns of blood glucose monitoring in patients who had at least 28 days of data stored in their blood glucose monitors.
In general, the frequency of blood glucose monitoring decreased across visits, and younger children engaged in more frequent blood glucose monitoring. Blood glucose monitoring increased before the T1D clinic visits in younger children, but not in adolescents. It declined after the visit regardless of age.
Members of the T1D care team need to consider that a T1D clinic visit may prompt an increase in blood glucose monitoring when making treatment changes and recommendations. Tailored interventions are needed to maintain that higher level of adherence across time.
确定 1 型糖尿病（T1D）患儿和青少年在常规 T1D 就诊前后的血糖监测模式。
从 5-18 岁的儿童和青少年连续四次常规就诊中下载血糖监测数据。使用线性混合模型分析至少有 28 天血糖监测仪数据的患者的血糖监测模式。
一般来说，血糖监测的频率在就诊过程中逐渐降低，年龄较小的儿童进行更频繁的血糖监测。在年幼的儿童中，血糖监测在 T1D 就诊前增加，但在青少年中则没有。无论年龄大小，就诊后都会下降。
T1D 护理团队成员在进行治疗改变和建议时，需要考虑到 T1D 就诊可能会促使血糖监测增加。需要有针对性的干预措施来保持更长时间的高依从性。
