دورية أكاديمية

Performance of intermittently scanned continuous glucose monitoring systems in people with type 1 diabetes: A pooled analysis

التفاصيل البيبلوغرافية
العنوان: Performance of intermittently scanned continuous glucose monitoring systems in people with type 1 diabetes: A pooled analysis
المؤلفون: Moser, Othmar, Sternad, Christoph, Eckstein, Max L, Szadkowska, Agnieszka, Michalak, Arkadiusz, Mader, Julia K, Ziko, Haris, Elsayed, Hesham, Aberer, Felix, Sola-Gazagnes, Agnes, Larger, Etienne, Fadini, Gian Poalo, Bonora, Benedetta Maria, Bruttomesso, Daniela, Boscari, Federico, Freckmann, Guido, Pleus, Stefan, Christiansen, Sverre C, Sourij, Harald
المساهمون: Moser, Othmar, Sternad, Christoph, Eckstein, Max L, Szadkowska, Agnieszka, Michalak, Arkadiusz, Mader, Julia K, Ziko, Hari, Elsayed, Hesham, Aberer, Felix, Sola-Gazagnes, Agne, Larger, Etienne, Fadini, Gian Poalo, Bonora, Benedetta Maria, Bruttomesso, Daniela, Boscari, Federico, Freckmann, Guido, Pleus, Stefan, Christiansen, Sverre C, Sourij, Harald
بيانات النشر: WILEY
سنة النشر: 2022
المجموعة: Padua Research Archive (IRIS - Università degli Studi di Padova)
مصطلحات موضوعية: continuous glucose monitoring (CGM), type 1 diabete, Adolescent, Adult, Blood Glucose Self-Monitoring, Child, Glucose, Human, Blood Glucose, Diabetes Mellitus, Type 1
الوصف: Aims To conduct a pooled analysis to assess the performance of intermittently scanned continuous glucose monitoring (isCGM) in association with the rate of change in sensor glucose in a cohort of children, adolescents, and adults with type 1 diabetes. Material and Methods In this pooled analysis, isCGM system accuracy was assessed depending on the rate of change in sensor glucose. Clinical studies that have been investigating isCGM accuracy against blood glucose, accompanied with collection time points were included in this analysis. isCGM performance was assessed by means of median absolute relative difference (MedARD), Parkes error grid (PEG) and Bland-Altman plot analyses. Results Twelve studies comprising 311 participants were included, with a total of 15 837 paired measurements. The overall MedARD (interquartile range) was 12.7% (5.9-23.5) and MedARD differed significantly based on the rate of change in glucose (P < 0.001). An absolute difference of -22 mg/dL (-1.2 mmol/L) (95% limits of agreement [LoA] 60 mg/dL (3.3 mmol/L), -103 mg/dL (-5.7 mmol/L)) was found when glucose was rapidly increasing (isCGM glucose minus reference blood glucose), while a -32 mg/dL (1.8 mmol/L) (95% LoA 116 mg/dL (6.4 mmol/L), -51 mg/dL (-2.8 mmol/L)) absolute difference was observed in periods of rapidly decreasing glucose. Conclusions The performance of isCGM was good when compared to reference blood glucose measurements. The rate of change in glucose for both increasing and decreasing glucose levels diminished isCGM performance, showing lower accuracy during high rates of glucose change.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/34866293; info:eu-repo/semantics/altIdentifier/wos/WOS:000734104300001; volume:24; issue:3; firstpage:522; lastpage:529; numberofpages:8; journal:DIABETES, OBESITY AND METABOLISM; http://hdl.handle.net/11577/3451697Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85121435789
DOI: 10.1111/dom.14609
الإتاحة: https://doi.org/10.1111/dom.14609Test
http://hdl.handle.net/11577/3451697Test
رقم الانضمام: edsbas.A3F541E4
قاعدة البيانات: BASE