Document Type

Article

Publication Date

Spring 3-2012

Publication Source

Diabetes Care

Volume

35

Inclusive pages

498-502

Publisher

The American Diabetes Association

Place of Publication

Alexandria VA

Peer Reviewed

yes

Abstract

OBJECTIVE: The study objective was to evaluate how the use of a pervasive blood glucose monitoring (BGM) technology relates to glycemic control, report of self-care behavior, and emotional response to BGM of children with type 1 diabetes and their parents.

RESEARCH DESIGN AND METHODS: Forty-eight children aged less than 12 years (mean 8.8 years) with type 1 diabetes were randomly assigned to one of two study groups, a control group (conventional care without technology) or an experimental group (conventional care with technology), and followed for 12 months. Families in the experimental group were given the Automated Diabetes Management System (ADMS), which automatically collects blood glucose (BG) values and sends to parent(s) a 21-day BG trending report via e-mail each night.Measures of glycemic control (HbA1c) were collected at baseline and at quarterly diabetes clinic visits; BGM effect and diabetes self-care behavior measures were obtained at the baseline, 6-month, and 12-month visits.

RESULTS: Children in the experimental group had significantly (P = 0.01) lower HbA1c at 12 months (7.44 6 0.94, 20.35 from baseline) than controls (8.31 6 1.24, +0.15 from baseline). Improvement in HbA1c was more profound in families using the ADMS more frequently. In addition, in these families, parents showed a significant improvement in BGM effect (P = 0.03) and children became more meticulous in diabetes self-care (P = 0.04). Children in both experimental and control groups experienced no change in their emotional response to BGM.

CONCLUSIONS: Using the ADMS 1–3 times/week may help children with type 1 diabetes improve glycemic control and gain diabetes self-management skills, as well as improve the BGM effect of parents.

Keywords

Type 1 Diabetes, Children, Technology, Blood Glucose Monitoring, Blood Glucose Trend Analysis, Diabetes Intervention

Disciplines

Endocrine System Diseases | Health Services Research | Nursing | Nutritional and Metabolic Diseases | Other Medicine and Health Sciences