Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy.
Clinical and Evaluative Epidemiology Unit, Department of Governance, APSS, Trento, Italy.
Diabetes Res Clin Pract. 2023 Oct;204:110895. doi: 10.1016/j.diabres.2023.110895. Epub 2023 Sep 6.
Continuous glucose monitoring (CGM) can improve glucometrics in children with type 1 diabetes (T1D), and its efficacy is positively related to glucose sensor use for at least 60% of the time. We therefore investigated the relationship between CGM satisfaction as assessed by a robust questionnaire and glucose control in pediatric T1D patients.
This was a cross-sectional study of children and adolescents with T1D using CGM. The CGM Satisfaction (CGM-SAT) questionnaire was administered to patients and demographic, clinical, and glucometrics data were recorded.
Two hundred and ten consecutively enrolled patients attending 14 Italian pediatric diabetes clinics completed the CGM-SAT questionnaire. CGM-SAT scores were not associated with age, gender, annual HbA1c, % of time with an active sensor, time above range (TAR), time below range (TBR), and coefficient of variation (CV). However, CGM satisfaction was positively correlated with time in range (TIR, p < 0.05) and negatively correlated with glycemia risk index (GRI, p < 0.05).
CGM seems to have a positive effect on glucose control in patients with T1D. CGM satisfaction is therefore an important patient-reported outcome to assess and it is associated with increased TIR and reduced GRI.
连续血糖监测（CGM）可改善 1 型糖尿病（T1D）患儿的血糖指标，其疗效与血糖传感器的使用时间至少达到 60%呈正相关。因此，我们研究了通过可靠问卷评估的 CGM 满意度与儿科 T1D 患者血糖控制之间的关系。
这是一项针对使用 CGM 的儿童和青少年的横断面研究。向患者发放 CGM 满意度（CGM-SAT）问卷，并记录人口统计学、临床和血糖指标数据。
14 家意大利儿科糖尿病诊所的 210 例连续入组患者完成了 CGM-SAT 问卷。CGM-SAT 评分与年龄、性别、年度 HbA1c、传感器活跃时间百分比、血糖值高于范围（TAR）、血糖值低于范围（TBR）和变异系数（CV）均无关。然而，CGM 满意度与血糖控制在目标范围内时间（TIR）呈正相关（p<0.05），与血糖风险指数（GRI）呈负相关（p<0.05）。
CGM 似乎对 T1D 患者的血糖控制有积极影响。因此，CGM 满意度是一个重要的患者报告结局评估指标，与增加 TIR 和降低 GRI 相关。
