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1 型糖尿病诊断后最初 18 个月内幼儿持续血糖监测仪使用模式。

Patterns of Continuous Glucose Monitor Use in Young Children Throughout the First 18 Months Following Type 1 Diabetes Diagnosis.

机构信息

Children's National Hospital, Washington, District of Columbia, USA.

The George Washington University School of Medicine, Washington, District of Columbia, USA.

出版信息

Diabetes Technol Ther. 2021 Nov;23(11):777-781. doi: 10.1089/dia.2021.0183. Epub 2021 Jul 29.

Abstract

To describe sociodemographic and parent psychosocial characteristics associated with patterns of continuous glucose monitor (CGM) use across the first 18 months post-type 1 diabetes (T1D) diagnosis among young children. One hundred fifty-seven parent-child dyads enrolled in a behavioral intervention for parents of young children (1-6 years) newly diagnosed with T1D. Parents reported on baseline sociodemographic characteristics and psychosocial functioning; child CGM use was assessed at five time points during the first 18 months post-diagnosis. Most participants (81.8%) used CGM at least once. Four CGM trajectories emerged ( and . Participants with private insurance were more likely to be in the , , or groups versus the group. Youth in the and groups had lower mean HbA1c at 18 months than those in the group. Given the health benefits of CGM, further exploration of barriers to CGM use in families with public health insurance is needed. ClinicalTrials.gov identifier: NCT02527525.

摘要

描述社会人口学和父母心理社会特征与 1 型糖尿病(T1D)诊断后最初 18 个月内连续血糖监测仪(CGM)使用模式之间的关系。157 对父母-子女对参加了一项针对新诊断为 T1D 的 1-6 岁幼儿父母的行为干预措施。父母报告了基线社会人口学特征和心理社会功能;在诊断后最初的 18 个月内,在五个时间点评估了儿童的 CGM 使用情况。大多数参与者(81.8%)至少使用过一次 CGM。出现了四种 CGM 轨迹( 和 。有私人保险的参与者更有可能处于 、 或 组,而不是 组。与 组相比,处于 和 组的青少年在 18 个月时的平均 HbA1c 较低。鉴于 CGM 的健康益处,需要进一步探索公共医疗保险家庭中 CGM 使用的障碍。ClinicalTrials.gov 标识符:NCT02527525。

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