Long-term Impact of Continuous Glucose Monitoring Assistance on Glycemic Control in Children and Adolescents with Type 1 Diabetes Following the 2023 Kahramanmaraş Earthquake.

IF 1.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Journal of Clinical Research in Pediatric Endocrinology Pub Date : 2024-12-23 DOI:10.4274/jcrpe.galenos.2024.2024-9-9
Gürkan Tarçın, Nurgül Ataş, Mevra Yaşar, Kadriye Cansu Şahin, Gül Trabzon, İsmail Dündar, Dilek Çiçek, Hanife Gül Balkı, Hayrullah Manyas, Abdurrahman Bitkay, Can Celiloğlu, Semine Özdemir Dilek, Sümeyra Kılıç, Duygu Düzcan Kilimci, Aysun Ata, Emine Çamtosun, Eda Mengen, Murat Karaoğlan, Bilgin Yüksel, Seyit Ahmet Uçaktürk
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Abstract

Objective: This study aimed to evaluate the impact of continuous glucose monitoring (CGM) assistance on glycemic control in children with type 1 diabetes (T1D) in earthquake-affected regions, comparing those who benefited from CGM with those who did not. Additionally, the study assessed changes in CGM metrics over nine months of CGM use.

Methods: A multicenter, cross-sectional study was conducted across 11 centers in Türkiye. Children with T1D were divided into two groups: those who received CGM support (CGM+) and those who continued with finger-stick glucose monitoring (CGM-). HbA1c levels were measured at four intervals: pre-earthquake, 3-6 months, 6-9 months, and 9-12 months post-earthquake. In the second phase, CGM metrics were analyzed over 90-day intervals in the CGM+ group with at least 85% sensor usage.

Results: A total of 532 children were included. Median HbA1c levels decreased from 9.1% pre-earthquake to 8.8% 3-6 months post-earthquake (p=0.027). In the CGM+ group, HbA1c levels significantly decreased from 8.8% to 8.3% (p<0.001), while no significant change was observed in the CGM- group. Of the 412 subjects with access to CGM reports, 105 (25.4%) had less than 85% sensor usage and were excluded. In the remaining 307 patients, there was a significant increase in active sensor time and daily glucose measurements, along with a reduction in hypoglycemia frequency over the 90-day intervals (p<0.001 for all three).

Conclusion: CGM assistance improved glycemic control in children with T1D, even under the challenging conditions of the earthquake. These findings highlight the need for broader access to CGM devices to enhance diabetes management.

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2023年kahramanmaraki地震后持续血糖监测对1型糖尿病儿童和青少年血糖控制的长期影响
目的:本研究旨在评估持续血糖监测(CGM)对地震灾区1型糖尿病(T1D)儿童血糖控制的影响,比较CGM受益与未受益的儿童。此外,该研究评估了使用CGM 9个月后CGM指标的变化。方法:在日本11个中心进行了一项多中心横断面研究。将T1D患儿分为两组:接受CGM支持组(CGM+)和继续手指棒血糖监测组(CGM-)。在地震前、地震后3-6个月、地震后6-9个月和地震后9-12个月四个时间段测量HbA1c水平。在第二阶段,在CGM+组中,在传感器使用率至少为85%的情况下,每隔90天对CGM指标进行分析。结果:共纳入532例患儿。中位HbA1c水平从地震前的9.1%降至地震后3-6个月的8.8% (p=0.027)。在CGM+组中,HbA1c水平从8.8%显著下降到8.3%(结论:CGM辅助改善了T1D儿童的血糖控制,即使在地震的挑战性条件下也是如此。这些发现强调需要更广泛地使用CGM设备来加强糖尿病管理。
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来源期刊
Journal of Clinical Research in Pediatric Endocrinology
Journal of Clinical Research in Pediatric Endocrinology ENDOCRINOLOGY & METABOLISM-PEDIATRICS
CiteScore
3.60
自引率
5.30%
发文量
73
审稿时长
20 weeks
期刊介绍: The Journal of Clinical Research in Pediatric Endocrinology (JCRPE) publishes original research articles, reviews, short communications, letters, case reports and other special features related to the field of pediatric endocrinology. JCRPE is published in English by the Turkish Pediatric Endocrinology and Diabetes Society quarterly (March, June, September, December). The target audience is physicians, researchers and other healthcare professionals in all areas of pediatric endocrinology.
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