Flash Glucose Monitoring in Clinical Management of Patients with Type 1 Diabetes Mellitus

The aim of this study was to evaluate the effects of flash glucose monitoring on dietary variety, physical activity, and self-care behavior in patients with diabetes. This study included outpatients with diabetes using insulin who presented at the Department of Diabetes and Metabolism of the Ise Red Cross Hospital. Before initiating flash glucose monitoring and 12 weeks after its initiation, blood glucose-related parameters were assessed and self-administered questionnaires were completed (Dietary Variety Score (DVS), the International Physical Activity Questionnaire (IPAQ), the Summary of Diabetes Self-Care Activities Measure (SDSCA), and the Diabetes Treatment Satisfaction Questionnaire (DTSQ)) and compared between the two time points. We analyzed 42 patients with type 1 diabetes mellitus and 48 patients with type 2 diabetes mellitus. In patients with type 2 diabetes mellitus, but not type 1 diabetes mellitus, there was an increase in moderate/high category scores for IPAQ (P<0.001) and for treatment satisfaction reported via DTSQ. Furthermore, in patients with type 2 diabetes mellitus, the glycemic excursion index improved significantly and HbA1c decreased significantly (from 7.7 (1.2) to 7.4 (0.8), P=0.025). Results showed that standard deviation and mean amplitude of glycemic excursions significantly decreased in patients with type 1 diabetes mellitus (from 71.2 (20.4) to 66.2 (17.5), P=0.033 and from 124.6 (31.9) to 108.1 (28.4), P<0.001, respectively). Flash glucose monitoring is a useful tool to improve physical activity in patients with type 2 diabetes.

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Review for "Cutaneous Adverse Events in a Randomized Controlled Trial of Flash Glucose Monitoring Among Youth with Type 1 Diabetes Mellitus"

10.1111/pedi.13121/v2/review1 ◽

2020 ◽

Keyword(s):

Diabetes Mellitus ◽

Randomized Controlled Trial ◽

Type 1 Diabetes ◽

Adverse Events ◽

Type 1 Diabetes Mellitus ◽

Controlled Trial ◽

Glucose Monitoring ◽

Flash Glucose Monitoring ◽

Randomized Controlled

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Nighttime Hypoglycemia in Children with Type 1 Diabetes after one Day of Football Tournament

International Journal of Sports Medicine ◽

10.1055/a-1192-5992 ◽

2020 ◽

Vol 41 (13) ◽

pp. 972-980

Author(s):

Mikołaj Kamiński ◽

Andrzej Gawrecki ◽

Aleksandra Araszkiewicz ◽

Agnieszka Szadkowska ◽

Bogda Skowrońska ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Confidence Interval ◽

Type 1 Diabetes Mellitus ◽

Continuous Glucose Monitoring ◽

Odds Ratio ◽

Glucose Monitoring ◽

Flash Glucose Monitoring ◽

Negatively Associated

AbstractThe aim of the study was to investigate factors related to the occurrence of nighttime hypoglycemia after a football tournament in children with type 1 diabetes mellitus. The multicenter study (GoalDiab study) included 189 children and adolescents with type 1 diabetes mellitus, from 11 diabetes care centers in Poland. Hypoglycemia was defined according to the International Hypoglycemia Study Group Statement. We analyzed the data of 95 participants with completed protocols with regards to nighttime hypoglycemia (82% male), aged 11.6 (9.8–14.2) years, diabetes duration 5.0 (2.0–8.0) years. There were 47 episodes of nighttime Level 1 hypoglycemia (≤3.9 mmol/L). Occurrence of clinically important Level 2 hypoglycemia (<3.0 mmol/L) during a game period was positively associated with nighttime hypoglycemia (≤3.9 mmol/L) incident (Odds Ratio=10.7; 95% Confidence Interval: 1.1–100.2; p=0.04). Using Continuous Glucose Monitoring was negatively associated with the occurrence of nighttime hypoglycemia (≤3.9 mmol/L) compared with using glucose meters or Flash Glucose Monitoring (Odds Ratio=0.31; 95% Confidence Interval: 0.12–0.83; p=0.02). The occurrence of clinically important hypoglycemia related to physical activity is associated with the occurrence of hypoglycemia during the night. Continuous Glucose Monitoring is negatively associated with nighttime hypoglycemia after a day of competition.

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