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Patient satisfaction and barriers to initiating real-time continuous glucose monitoring in early pregnancy in women with diabetes.
- Source :
-
Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2012 Feb; Vol. 29 (2), pp. 272-7. - Publication Year :
- 2012
-
Abstract
- Aim: To evaluate self-reported satisfaction and barriers to initiating real-time continuous glucose monitoring in early pregnancy among women with pregestational diabetes.<br />Methods: Fifty-four women with Type 1 diabetes and 14 women with Type 2 diabetes were offered continuous glucose monitoring for 6 days at median 9 (range 6-14) gestational weeks and were asked to answer a semi-structured questionnaire on patient satisfaction.<br />Results: Median HbA1c was 49 (range 34-86) mmol/mol) [6.6 (5.3-10.0) %] and duration of diabetes was 12 (0.5-37) years. Continuous glucose monitoring was used for 6 (0.5-7) days, with 43 (65%) women using continuous glucose monitoring for at least 5 days. The women experienced 2.7 (0-12) alarms per 24 h, of which approximately one third was technical alarms and one third disturbed their sleep. Sixteen women (24%) reported discomfort with continuous glucose monitoring during daytime and twelve (18%) during sleep. Many women reported improved diabetes understanding (52%) and would recommend continuous glucose monitoring to others (83%). Twenty-four patients (36%) had continuous glucose monitoring removed earlier than planned ( before the intended 6 days of initial monitoring). Ten women (15%) did not wish to use continuous glucose monitoring again in pregnancy. Main causes behind early removal of continuous glucose monitoring were self-reported skin irritation, technical problems and continuous glucose monitoring inaccuracy. No differences were found in continuous glucose monitoring use, inconvenience or compliance with respect to diabetes type.<br />Conclusions: The majority of pregnant women with diabetes found real-time continuous glucose monitoring useful and the intervention was equally tolerated regardless of diabetes type. Nevertheless, continuous glucose monitoring was frequently removed earlier than planned, primarily because of skin irritation, technical problems and inaccuracy.<br /> (© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.)
- Subjects :
- Adult
Denmark epidemiology
Diabetes Mellitus, Type 1 epidemiology
Diabetes Mellitus, Type 2 epidemiology
Female
Humans
Pregnancy
Pregnancy in Diabetics epidemiology
Prenatal Care
Surveys and Questionnaires
Blood Glucose metabolism
Blood Glucose Self-Monitoring methods
Diabetes Mellitus, Type 1 blood
Diabetes Mellitus, Type 2 blood
Patient Satisfaction statistics & numerical data
Pregnancy in Diabetics blood
Subjects
Details
- Language :
- English
- ISSN :
- 1464-5491
- Volume :
- 29
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Diabetic medicine : a journal of the British Diabetic Association
- Publication Type :
- Academic Journal
- Accession number :
- 21883435
- Full Text :
- https://doi.org/10.1111/j.1464-5491.2011.03426.x