Vanderbilt University Medical Center, Nashville, Tennessee.
The George Washington University School of Medicine, Washington, District of Columbia.
Sci Diabetes Self Manag Care. 2024 Feb;50(1):9-18. doi: 10.1177/26350106231220023. Epub 2024 Jan 19.
The purpose of the study was to identify demographic factors associated with continuous glucose monitor (CGM) and automated insulin delivery (AID) use among adolescents with type 1 diabetes and to explore why adolescents may start and stop using CGMs.
Adolescents ages 13 to 17 and caregivers completed demographic and device use surveys at baseline for a randomized trial of a behavioral intervention conducted at 2 large medical centers in the United States. This study is a secondary analysis of the demographic and device use data.
The study sample consisted of 198 participants ages 13 to 17, 58% female, 57% non-Hispanic White, 24% non-Hispanic Black, 19% other race and ethnicity. Eighty-one percent of adolescents were using CGM, and 10% reported past use. Forty percent of adolescents reported taking CGM breaks ranging hours to weeks. Higher CGM use was found in higher income families (>$90 000). No difference in CGM use was observed related to race or ethnicity.
These findings suggest CGM use is increasing even among adolescents, a group that historically has had the lowest device use. However, adolescents often take CGM breaks, and it is not clear if they adjust their diabetes management during these times. It is important for providers to understand when and why patients may take CGM breaks so education about diabetes management while off CGM can occur. Further investigation into management during CGM breaks, particularly in those using an AID system, is needed.
本研究旨在确定与青少年 1 型糖尿病患者连续血糖监测（CGM）和自动胰岛素输送（AID）使用相关的人口统计学因素，并探讨青少年开始和停止使用 CGM 的原因。
13 至 17 岁的青少年及其照顾者在美国 2 家大型医疗中心进行的一项行为干预随机试验的基线时完成了人口统计学和设备使用调查。本研究是对人口统计学和设备使用数据的二次分析。
研究样本包括 198 名 13 至 17 岁的参与者，其中 58%为女性，57%为非西班牙裔白人，24%为非西班牙裔黑人，19%为其他种族和民族。81%的青少年正在使用 CGM，10%的青少年报告过去曾使用过 CGM。40%的青少年报告 CGM 中断时间为数小时至数周。收入较高的家庭（>$90000）的 CGM 使用率更高。种族或民族之间未观察到 CGM 使用的差异。
这些发现表明，即使在青少年中，CGM 的使用也在增加，而青少年历来是设备使用率最低的群体。然而，青少年经常暂停使用 CGM，尚不清楚他们在此期间是否调整了糖尿病管理。了解患者何时以及为何可能暂停使用 CGM 对提供者来说很重要，以便可以在暂停使用 CGM 期间进行有关糖尿病管理的教育。需要进一步研究 CGM 暂停期间的管理，特别是在使用 AID 系统的患者中。
