Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and Effects
Sensors for continuous glucose monitoring (CGM) in intercellular fluid are used as a contemporary method to achieve better control in type 1 diabetes mellitus (DM), which is best shown through lower glycated hemoglobin (HbA1c) levels.The aim of this study was to assess how many of our patients us...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2021-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/399089 |
| _version_ | 1797206711848665088 |
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| author | Karla Rubelj Gordana Stipančić Lavinia La Grasta Sabolić Marija Požgaj Šepec |
| author_facet | Karla Rubelj Gordana Stipančić Lavinia La Grasta Sabolić Marija Požgaj Šepec |
| author_sort | Karla Rubelj |
| collection | DOAJ |
| description | Sensors for continuous glucose monitoring (CGM) in intercellular fluid are used
as a contemporary method to achieve better control in type 1 diabetes mellitus (DM), which is best
shown through lower glycated hemoglobin (HbA1c) levels.The aim of this study was to assess how
many of our patients used CGM (parents were solely financing all the cost of the device) and what was
the effect of CGM on the control of DM. Data were retrospectively collected from medical records of
patients actively treated at the Division of Endocrinology, Diabetology, Pulmonology and Allergology,
Department of Pediatrics, Sestre milosrdnice University Hospital Center. The t-test was used for independent
samples to compare the mean levels of HbA1c before and after the inclusion of CGM.
CGM was used by 81 (32.1%) of our patients with type 1 DM, of which 43 met the inclusion criteria.
The mean HbA1c level 6 months before the introduction of CGM was 8.2%±1.9 and after 12 months
of CGM use it was 7.4%±1.2, which was a statistically significant improvement (p=0.026). Furthermore,
our results demonstrated that the greatest improvement in HbA1c level was recorded in the
groups of young adults (18-25 years) and youngest children (<12 years). We confirmed the efficacy of
CGM in achieving better control of type 1 DM by significantly improving HbA1c levels in a population
of highly motivated patients. |
| first_indexed | 2024-04-24T09:11:22Z |
| format | Article |
| id | doaj.art-3ee671658e3248a58c2338adc7fe4a18 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:11:22Z |
| publishDate | 2021-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-3ee671658e3248a58c2338adc7fe4a182024-04-15T17:40:20ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.4.60961510.20471/acc.2021.60.04.07Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and EffectsKarla Rubelj0Gordana Stipančić1Lavinia La Grasta Sabolić2Marija Požgaj Šepec3Department of Pediatrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Pediatrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Department of Pediatrics, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Pediatrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Pediatrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaSensors for continuous glucose monitoring (CGM) in intercellular fluid are used as a contemporary method to achieve better control in type 1 diabetes mellitus (DM), which is best shown through lower glycated hemoglobin (HbA1c) levels.The aim of this study was to assess how many of our patients used CGM (parents were solely financing all the cost of the device) and what was the effect of CGM on the control of DM. Data were retrospectively collected from medical records of patients actively treated at the Division of Endocrinology, Diabetology, Pulmonology and Allergology, Department of Pediatrics, Sestre milosrdnice University Hospital Center. The t-test was used for independent samples to compare the mean levels of HbA1c before and after the inclusion of CGM. CGM was used by 81 (32.1%) of our patients with type 1 DM, of which 43 met the inclusion criteria. The mean HbA1c level 6 months before the introduction of CGM was 8.2%±1.9 and after 12 months of CGM use it was 7.4%±1.2, which was a statistically significant improvement (p=0.026). Furthermore, our results demonstrated that the greatest improvement in HbA1c level was recorded in the groups of young adults (18-25 years) and youngest children (<12 years). We confirmed the efficacy of CGM in achieving better control of type 1 DM by significantly improving HbA1c levels in a population of highly motivated patients.https://hrcak.srce.hr/file/399089Type 1 diabetes mellitusContinuous glucose monitoringChildrenAdolescents |
| spellingShingle | Karla Rubelj Gordana Stipančić Lavinia La Grasta Sabolić Marija Požgaj Šepec Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and Effects Acta Clinica Croatica Type 1 diabetes mellitus Continuous glucose monitoring Children Adolescents |
| title | Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and Effects |
| title_full | Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and Effects |
| title_fullStr | Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and Effects |
| title_full_unstemmed | Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and Effects |
| title_short | Continuous Glucose Monitoring and Type 1 Diabetes Mellitus Control in Child, Adolescent and Young Adult Population – Arguments for Its Use and Effects |
| title_sort | continuous glucose monitoring and type 1 diabetes mellitus control in child adolescent and young adult population arguments for its use and effects |
| topic | Type 1 diabetes mellitus Continuous glucose monitoring Children Adolescents |
| url | https://hrcak.srce.hr/file/399089 |
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