Impact of continuous glucose monitoring on diabetes management and marital relationships of adults with Type 1 diabetes and their spouses: a qualitative study

Ritholz, Marilyn D.; Beste, M.; Edwards, Stephanie S.; Beverly, Elizabeth A.; Atakov-Castillo, Astrid; Wolpert, Howard

doi:10.1111/dme.12276

Cited by 35 publications

(122 citation statements)

References 18 publications

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“…When the initial search was repeated with ‘qualitative’ as the refining search term, 13 articles were found, reduced to 10 research based articles, and 7 selected for further review. Search 2 and 3 combined yielded a total of nine articles included in this meta‐synthesis .…”

Section: Resultsmentioning

confidence: 99%

“…A sense of independence and personal control may be heightened with CGM use . CGM allows confidence in independent activities that previously caused concern for self or significant others such as taking solo vacations or driving .…”

Section: Resultsmentioning

confidence: 99%

“…Many spouses are supportive of CGM use, and appreciate the additional insight they gain into their partners’ diabetes . CGM users can share some of the burden of Type 1 diabetes as the spouse gains insight into glucose trends and diabetes management.…”

Section: Resultsmentioning

confidence: 99%

“…When the initial search was repeated with 'qualitative' as the refining search term, 13 articles were found, reduced to 10 research based articles, and 7 selected for further review. Search 2 and 3 combined yielded a total of nine articles included in this meta-synthesis [14,16,18,[30][31][32][33][34][35]. Key features of the articles including study design and population characteristics are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

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Best friend or spy: a qualitative meta‐synthesis on the impact of continuous glucose monitoring on life with Type 1 diabetes

Messer

Johnson

Driscoll³

et al. 2017

Diabet. Med.

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CGM affects physical, emotional and relational aspects of life. Clinicians can help minimize the burden of CGM with carefully delivered education and expectation-setting with individuals. Empowerment and relational partnerships in diabetes care can be explored to maximize satisfaction with CGM. Systematic interpretive synthesis of qualitative studies provides a comprehensive, contextual understanding of the impact of CGM on daily life and relationships.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Best friend or spy: a qualitative meta‐synthesis on the impact of continuous glucose monitoring on life with Type 1 diabetes

Messer

Johnson

Driscoll³

et al. 2017

Diabet. Med.

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show abstract

“…However, CGM and its alarms can be experienced as intrusive and patients can feel overwhelmed by the precise feedback on blood glucose fluctuations. To date, in people with intact hypoglycaemia awareness [10][11][12], CGM has shown mixed results regarding quality of life outcomes [6,7,13]. To date, in people with intact hypoglycaemia awareness [10][11][12], CGM has shown mixed results regarding quality of life outcomes [6,7,13].…”

Section: Introductionmentioning

confidence: 99%

Keeping safe. Continuous glucose monitoring (CGM) in persons with Type 1 diabetes and impaired awareness of hypoglycaemia: a qualitative study

Vloemans¹,

Beers

Wit³

et al. 2017

Diabet. Med.

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Evaluation of High-Deductible Health Plans and Acute Glycemic Complications Among Adults With Diabetes

et al. 2023

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ImportanceOptimal diabetes care requires regular monitoring and care to maintain glycemic control. How high-deductible health plans (HDHPs), which reduce overall spending but may impede care by increasing out-of-pocket expenses, are associated with risks of severe hypoglycemia and hyperglycemia is unknown.ObjectiveTo examine the association between an employer-forced switch to HDHP and severe hypoglycemia and hyperglycemia.Design, Setting, and ParticipantsThis retrospective cohort study used deidentified administrative claims data for privately insured adults with diabetes from a single insurance carrier with multiple plans across the US between January 1, 2010, and December 31, 2018. Analyses were conducted between May 15, 2020, and November 3, 2022.ExposuresPatients with 1 baseline year of enrollment in a non-HDHP whose employers subsequently forced a switch to an HDHP were compared with patients who did not switch.Main Outcomes and MeasuresMixed-effects logistic regression models were used to examine the association between switching to an HDHP and the odds of severe hypoglycemia and hyperglycemia (ascertained using diagnosis codes in emergency department [ED] visits and hospitalizations), adjusting for patient age, sex, race and ethnicity, region, income, comorbidities, glucose-lowering medications, baseline ED and hospital visits for hypoglycemia and hyperglycemia, and baseline deductible amount, and applying inverse propensity score weighting to account for potential treatment selection bias.ResultsThe study population was composed of 42 326 patients who switched to an HDHP (mean [SD] age: 52 [10] years, 19 752 [46.7%] women, 7375 [17.4%] Black, 5740 [13.6%] Hispanic, 26 572 [62.8%] non-Hispanic White) and 202 729 patients who did not switch (mean [SD] age, 53 [10] years, 89 828 [44.3%] women, 29 551 [14.6%] Black, 26 689 [13.2%] Hispanic, 130 843 [64.5%] non-Hispanic White). When comparing all study years, switching to an HDHP was not associated with increased odds of experiencing at least 1 hypoglycemia-related ED visit or hospitalization (OR, 1.01 [95% CI, 0.95-1.06]; P = .85), but each year of HDHP enrollment did increase these odds by 2% (OR, 1.02 [95% CI, 1.00-1.04]; P = .04). In contrast, switching to an HDHP did significantly increase the odds of experiencing at least 1 hyperglycemia-related ED visit or hospitalization (OR, 1.25 [95% CI, 1.11-1.42]; P &lt; .001), with each year of HDHP enrollment increasing the odds by 5% (OR, 1.05 [95% CI, 1.01-1.09]; P = .02).Conclusions and RelevanceIn this cohort study, employer-forced switching to an HDHP was associated with increased odds of potentially preventable acute diabetes complications, potentially because of delayed or deferred care. These findings suggest that employers should be more judicious in their health plan offerings, and health plans and policy makers should consider allowing preventive and high-value services to be exempt from deductible requirements.

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Impact of continuous glucose monitoring on diabetes management and marital relationships of adults with Type 1 diabetes and their spouses: a qualitative study

Cited by 35 publications

References 18 publications

Best friend or spy: a qualitative meta‐synthesis on the impact of continuous glucose monitoring on life with Type 1 diabetes

Best friend or spy: a qualitative meta‐synthesis on the impact of continuous glucose monitoring on life with Type 1 diabetes

Keeping safe. Continuous glucose monitoring (CGM) in persons with Type 1 diabetes and impaired awareness of hypoglycaemia: a qualitative study

Evaluation of High-Deductible Health Plans and Acute Glycemic Complications Among Adults With Diabetes

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