Glycemic and Psychosocial Correlates of Continuous Glucose Monitor Use Among Adolescents With Type 1 Diabetes.

IF 3.7 Q2 ENDOCRINOLOGY & METABOLISM Journal of Diabetes Science and Technology Pub Date : 2025-03-01 Epub Date: 2023-10-17 DOI:10.1177/19322968231186428

Emma Straton, Hailey Inverso, Hailey Moore, Kashope Anifowoshe, Kendall Washington, Randi Streisand, Karishma Datye, Sarah S Jaser

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Abstract

Background: Continuous glucose monitor (CGM) use has been linked with better glycemic outcomes (HbA1c), yet many adolescents with type 1 diabetes (T1D) struggle to maintain optimal CGM use.

Methods: This study examined CGM use and its association with HbA1c and psychosocial factors among adolescents with T1D experiencing at least moderate diabetes distress (N = 198). We examined mean differences in HbA1c, diabetes distress, diabetes-related family conflict, and quality of life among CGM user groups (Current Users, Past Users, and Never Users).

Results: Current Users demonstrated significantly lower HbA1c than Never Users and significantly lower diabetes distress than Past Users. CGM use was not associated with family conflict or quality of life.

Conclusions: CGM use was associated with lower HbA1c and diabetes distress but not with other psychosocial outcomes. Longitudinal data may explain why many adolescents do not experience improvements in quality of life with CGM use.

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1型糖尿病青少年持续使用血糖监测仪的血糖和心理社会相关性。

背景：持续使用血糖监测仪（CGM）与更好的血糖结果（HbA1c）有关，但许多患有1型糖尿病（T1D）的青少年难以保持最佳的CGM使用。方法：本研究调查了至少有中度糖尿病困扰的T1D青少年（N=198）CGM的使用及其与HbA1c和心理社会因素的关系。我们研究了CGM用户组（当前用户、过去用户和从未用户）在HbA1c、糖尿病困扰、糖尿病相关家庭冲突和生活质量方面的平均差异。结果：当前使用者的HbA1c显著低于从未使用者，糖尿病困扰显著低于过去使用者。CGM的使用与家庭冲突或生活质量无关。结论：CGM的使用与较低的HbA1c和糖尿病困扰有关，但与其他心理社会结果无关。纵向数据可以解释为什么许多青少年使用CGM后生活质量没有改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Diabetes Science and Technology Medicine-Internal Medicine

CiteScore

7.50

自引率

12.00%

发文量

148

期刊介绍： The Journal of Diabetes Science and Technology (JDST) is a bi-monthly, peer-reviewed scientific journal published by the Diabetes Technology Society. JDST covers scientific and clinical aspects of diabetes technology including glucose monitoring, insulin and metabolic peptide delivery, the artificial pancreas, digital health, precision medicine, social media, cybersecurity, software for modeling, physiologic monitoring, technology for managing obesity, and diagnostic tests of glycation. The journal also covers the development and use of mobile applications and wireless communication, as well as bioengineered tools such as MEMS, new biomaterials, and nanotechnology to develop new sensors. Articles in JDST cover both basic research and clinical applications of technologies being developed to help people with diabetes.