Continuous Glucose Monitoring Pilot in Low-Income Type 1 Diabetes Patients
| العنوان: | Continuous Glucose Monitoring Pilot in Low-Income Type 1 Diabetes Patients |
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| المؤلفون: | Lucy Montoya, Dongyuan Xing, Paola A. Sequeira, Vincent Chen, Valerie Ruelas, Roy W. Beck, Anne L. Peters |
| المصدر: | Diabetes Technology & Therapeutics. 15:855-858 |
| بيانات النشر: | Mary Ann Liebert Inc, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Blood Glucose, Male, medicine.medical_specialty, Adolescent, endocrine system diseases, Endocrinology, Diabetes and Metabolism, Monitoring, Ambulatory, Pilot Projects, California, Health Services Accessibility, law.invention, Carbohydrate counting, Endocrinology, Randomized controlled trial, Diabetes management, law, Diabetes mellitus, Blood Glucose Self-Monitoring, medicine, Humans, Hypoglycemic Agents, Insulin, Prospective Studies, Intensive care medicine, Aged, Glycemic, Glycated Hemoglobin, Type 1 diabetes, Cross-Over Studies, business.industry, nutritional and metabolic diseases, Original Articles, Focus Groups, Middle Aged, medicine.disease, Crossover study, Self Care, Medical Laboratory Technology, Diabetes Mellitus, Type 1, Patient Satisfaction, Physical therapy, Educational Status, business |
| الوصف: | Continuous glucose monitoring (CGM) has been shown to be a valuable tool to improve glycemic control in patients with diabetes. The objective of this pilot study was to develop and implement CGM in an existing diabetes clinic for low-income patients on multiple daily injections.This was a single-center, prospective, randomized controlled, crossover pilot study. Initial focus groups were held to create low-literacy, Spanish and English guides to the use of carbohydrate counting and CGM. These tools were implemented to train participants on carbohydrate counting and insulin adjustments participants. Subjects were then randomized to start in Group A (CGM) or Group B (self-monitoring blood glucose and then switched after 28 weeks). Hemoglobin A1c (HbA1c) was obtained at baseline and at the end of both study phases.Twenty-five economically challenged, primarily Latino participants with minimal prior education on intensive diabetes management completed the study. No significant reduction in HbA1c or decrease in time spent in parameters of low and high blood glucose was shown. However, eighty percent of participants who completed the study wanted to continue to use CGM once the research study was over. The participants also felt that the CGM made adjusting insulin easier.CGM can be implemented in patients from a low-income public clinic; however, HbA1c reduction was not achieved. Given the underlying lack of baseline self-management knowledge, a longer trial might be necessary to see benefit with CGM in this population. |
| تدمد: | 1557-8593 1520-9156 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::49d9262367281d39015ac1da65a213d0Test https://doi.org/10.1089/dia.2013.0072Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....49d9262367281d39015ac1da65a213d0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15578593 15209156 |
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