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Prim Care Diabetes. 2019 Feb;13(1):63-70. doi: 10.1016/j.pcd.2018.08.004. Epub 2018 Sep 26.

Evaluation of flash glucose monitoring after long-term use: A pediatric survey.

Author information

1
Assistance-Publique des Hôpitaux de Marseille (APHM), Multidisciplinary Pediatric Service - La Timone Children's Hospital, 264 rue Saint Pierre, 13385 Marseille, France. Electronic address: julia.vergier@ap-hm.fr.
2
Pediatric Val Pré Vert Rehabilitation and Recuperative Care Facilities, 929 route de Gardanne, 13105 Mimet, France.
3
Montpellier University Hospital, Department of Pediatrics, Arnaud De Villeneuve Hospital, 371 avenue Doyen Gaston Giraud, 34295 Montpellier, France; Saint-Pierre Institute, Department of Pediatrics, 371 Avenue de l'évêché de Maguelone, 34250 Palavas-les-Flots, France.
4
Saint-Pierre Institute, Department of Pediatrics, 371 Avenue de l'évêché de Maguelone, 34250 Palavas-les-Flots, France.
5
Avignon Hospital, Department of Pediatrics, 305 Rue Raoul Follereau, 84902 Avignon, France.
6
Assistance-Publique des Hôpitaux de Marseille (APHM), Multidisciplinary Pediatric Service - La Timone Children's Hospital, 264 rue Saint Pierre, 13385 Marseille, France.
7
Nîmes University Hospital, Department of Pediatrics, Place du Pr. Robert Debré, 30029 Nîmes, France.
8
Aix-en-Provence Pertuis Hospital, Department of Pediatrics, Avenue des Tamaris, Aix-en Provence, France.
9
Aix-en-Provence Pertuis Hospital, Department of Pediatrics, Avenue des Tamaris, Aix-en Provence, France; Marseille Saint Joseph Hospital, Department of Pediatrics, 26 boulevard de Louvain, 13008 Marseille, France.
10
Nice-Lenval University Hospital, Department of Pediatrics, 57 Avenue de la Californie, Nice, France.
11
Aubagne Hospital, Department of Pediatrics, 179 Av des Sœurs Gastine, 13677 Aubagne, France.
12
Assistance-Publique des Hôpitaux de Marseille (APHM), Multidisciplinary Pediatric Service - La Timone Children's Hospital, 264 rue Saint Pierre, 13385 Marseille, France; Aix Marseille Univ, INSERM, MMG (Marseille Medical Genetics) Marseille, France.

Abstract

AIMS:

To understand the opinions of children with type 1 diabetes about their everyday use of flash glucose monitoring. (FGM).

METHODS:

Children with type 1 diabetes using the FreeStyle Libre® FGM system and/or their parents were surveyed in several French medical centers between December 2016 and June 2017, regardless of their treatment regimen and metabolic control.

RESULTS:

Of the 347 patients recruited, 79.5% had been using the sensor for more than three months (average usage time: 285 days). The main reported motivations for initiating this type of monitoring were to avoid finger prick pain (for 85.9% of patients) and to allow parents to check nocturnal glucose levels (60.8%). Two-thirds of respondents experienced difficulties, mainly the sensor falling off (47.6%), measurement discrepancies (25.1%) and cutaneous reactions (22.2%); 89.5% changed their habits: 70.6% took more scans, 37.2% corrected their hyperglycemia more promptly, and 37.5% used trends to adjust their insulin dosage. About one-third of the study group (35.1%) experienced lower HbA1c levels, and two thirds (67.1%) were satisfied with the device.

CONCLUSIONS:

Our results show that FGM is a widely accepted option for self-monitoring diabetes, but that specific training is required to improve its use for insulin dosage adjustment and metabolic results.

PMID:
30268507
DOI:
10.1016/j.pcd.2018.08.004
[Indexed for MEDLINE]

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