Impact of continuous glucose monitoring on improving emotional well-being among adult people with type 1 diabetes mellitus: a systematic review and meta-analysis

Kłak, Anna; Mańczak, Małgorzata; Owoc, Jakub; Olszewski, Robert

doi:10.20452/pamw.16047

Cited by 10 publications

(52 citation statements)

References 30 publications

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“…Of the 5 systematic reviews, 9,11,[29][30][31] 4 included meta-analyses. 9,11,30,31 The relevant primary studies included in the systematic reviews were parallel or crossover RCTs, and ranged in number between 5 and 13 RCTs. The latest literature search dates were between June 2019 and May 2021.…”

Section: Methodsmentioning

confidence: 99%

“…Five systematic reviews, 9,11,[29][30][31] 1 RCT, 14 and 2 economic evaluations 25,32 were included in this report.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

“…The 5 systematic reviews 9,11,[29][30][31] had broader inclusion criteria than the present review. One systematic review reported primary studies of both adult and pediatric populations with type 1 diabetes; 11 these studies were only included if the data were reported separately for adult and pediatric subgroups.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

“…One systematic review reported primary studies of both adult and pediatric populations with type 1 diabetes; 11 these studies were only included if the data were reported separately for adult and pediatric subgroups. All 5 systematic reviews 9,11,[29][30][31] also assessed other interventions (e.g., intermittently scanned CGM or flash glucose monitoring). Four systematic reviews 9,11,29,30 also included studies with other comparators or no comparison group.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

“…All 5 systematic reviews 9,11,[29][30][31] also assessed other interventions (e.g., intermittently scanned CGM or flash glucose monitoring). Four systematic reviews 9,11,29,30 also included studies with other comparators or no comparison group. Only the subset of primary studies meeting our inclusion criteria is presented here.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

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Real-Time Continuous Glucose Monitoring for People Living With Type 1 Diabetes

Barbara¹,

Grobelna²

2022

cjht

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Continuous glucose monitoring (CGM) is a method of glucose testing in which a sensor is inserted into the skin and continuously monitors interstitial glucose concentrations. Real-time continuous glucose monitoring (rtCGM) systems automatically measure glucose and display a recent glucose value. Evidence suggests that rtCGM may improve hemoglobin A1C and time in range in adults and pediatric patients with type 1 diabetes, but this is uncertain. Limited evidence suggests that in people with type 1 diabetes, there is little to no difference between rtCGM and self-monitoring of blood glucose (SMBG) on quality of life, diabetic ketoacidosis, and severe adverse events. Safety evidence suggests that rtCGM may decrease severe hypoglycemia in adults and pediatric patients with type 1 diabetes, but this is uncertain. rtCGM may be more cost-effective in the long term than SMBG in adults with type 1 diabetes.

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Section: Methodsmentioning

confidence: 99%

“…Five systematic reviews, 9,11,[29][30][31] 1 RCT, 14 and 2 economic evaluations 25,32 were included in this report.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

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Real-Time Continuous Glucose Monitoring for People Living With Type 1 Diabetes

Barbara¹,

Grobelna²

2022

cjht

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Sex-driven factors associated with anxiety and depression in autoimmune diabetes

Saudelli,

Moscatiello,

Baldari

et al. 2024

Acta Diabetol

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Aim To analyze the prevalence of anxiety and depression in a large cohort of adults with autoimmune diabetes, identifying sex-driven associated factors. Materials and methods In this cross-sectional study, we enrolled 553 consecutive adults with Type 1 diabetes mellitus or latent autoimmune diabetes in adults who came to the Division of Endocrinology of the S.Orsola-Malpighi Polyclinic, Bologna (Italy), to receive their second dose of SARS-CoV-2 vaccine. We administered the questionnaires: Hospital Anxiety and Depression Scale, Diabetes Distress Scale, Diabetes-related Quality of Life, Diabetes Treatment Satisfaction Questionnaire. We collected clinical and biochemical data and 14 days glucose metrics in patients with sensor use > 70% in a time span of ± 4 months from the questionnaires’ administration. We excluded 119 patients from our analyses with missing data (final cohort n = 434: 79% of those enrolled). Results Anxiety and depression prevalence was respectively 30.4% and 10.8%. According to the multivariate analysis, higher diabete-related emotional burden, lower treatment satisfaction, but not physician-related distress, were risk factors for anxiety and depression; female sex was associated with anxiety (OR 0.51, 95% 0.31–0.81; p = 0.005); in women, depression was associated with increasing age (males vs. females OR 0.96 per 1 year increase, 95% CI 0.92–1.00; p = 0.036), whilst in men with HbA1c (OR 1.08 per 1 mmol/mol increase, 95% CI 1.03–1.13; p = 0.002). Conclusion Nearly 1/3 of patients with autoimmune diabetes suffers from anxiety and 1/10 from depression. These conditions are associated with independent modifiable and non-modifiable characteristics. For depression, these characteristics differ between males and females.

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