Up all night? Sleep disruption in parents of young children newly diagnosed with type 1 diabetes

Objectives FreeStyle Libre 1 (FGM) has been approved by the FDA for children older than 4 years. It enables noninvasive glucose monitoring without the need for finger pricking. Parents of very young children often use the device off-label. Thus, we aimed to evaluate the safety of and user experience with FreeStyle Libre® 1 and determine its impact on sleep and glycemic control. Methods This was an ambi-directional cohort study. We recruited parents of very young children with type 1 diabetes mellitus (T1DM) who were less than 5 years old when they started using FGM at the King Saud University Diabetes Center. The parents filled out a survey evaluating their experience with the system. In addition, the glucose metrics of the children were also obtained from the Libre View system. Results We included 31 children with mean age of the children when they started using FGM was 3.88 ± 1.10 years (range, 1.46–5.4 years), and the mean sensor use was 2.3 ± 1.3 years. During the use of the device, the parents had increased sleep duration of 0.71 h (p-value=0.04), had earlier bedtime by 2.8 h (p-value=0.04), and were able to sleep in a separate room from their children. In addition, the time in range improved by 9.9%, the time above range decreased by 8.8%, and the HbA1c level reduced by 1.56%. Conclusions The safety profile of FGM used for very young children with T1DM is the same for older children, which leads to improved metabolic control and sleep quality of both the parent and the child.

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Safety and user experience with off-label use of a flash glucose monitor (FreeStyle Libre^® 1) among very young children with type 1 diabetes mellitus

Abulqasim

Alotaibi

Khalifah

2023

Journal of Pediatric Endocrinology and Metabolism

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5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2024

ElSayed,

Aleppo,

Bannuru

et al. 2023

Diabetes Care

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The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, an interprofessional expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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Up all night? Sleep disruption in parents of young children newly diagnosed with type 1 diabetes

Cited by 2 publications

References 24 publications

Safety and user experience with off-label use of a flash glucose monitor (FreeStyle Libre^® 1) among very young children with type 1 diabetes mellitus

Safety and user experience with off-label use of a flash glucose monitor (FreeStyle Libre^® 1) among very young children with type 1 diabetes mellitus

5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2024

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Up all night? Sleep disruption in parents of young children newly diagnosed with type 1 diabetes

Cited by 2 publications

References 24 publications

Safety and user experience with off-label use of a flash glucose monitor (FreeStyle Libre® 1) among very young children with type 1 diabetes mellitus

Safety and user experience with off-label use of a flash glucose monitor (FreeStyle Libre® 1) among very young children with type 1 diabetes mellitus

5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2024

Contact Info

Product

Resources

About

Safety and user experience with off-label use of a flash glucose monitor (FreeStyle Libre^® 1) among very young children with type 1 diabetes mellitus

Safety and user experience with off-label use of a flash glucose monitor (FreeStyle Libre^® 1) among very young children with type 1 diabetes mellitus