Patient-Reported Usefulness and Challenges in Using Hypoglycemia-Informing Features of Continuous Glucose Monitors to Manage Hypoglycemia. Issue 3 (June 2023)

• Record Type: Journal Article
• Authors: Lin, Yu Kuei; Agni, Annika; Chuisano, Samantha; Fetters, Michael D.; Funnell, Martha; Pop-Busui, Rodica; DeJonckheere, Melissa J.
• Is Part Of: Science of diabetes self-management and care. Volume 49:Issue 3(2023)
• Page Start: 229
• Page End: 238
• Publication Date: 2023-06
• Subjects: Diabetes -- Study and teaching -- Periodicals; Patient education -- Periodicals; 616.4620071
• DOI: 10.1177/26350106231168859
• Languages: English
• ISSNs: 2635-0114

Abstract

Purpose: The purpose of this study series, which involves a questionnaire survey and qualitative interviews, was to (a) evaluate patient-reported usefulness of continuous glucose monitor (CGM) hypoglycemia-informing features and (b) identify challenges in using these features (ie, CGM glucose numbers, trend arrows, trend graphs, and hypoglycemia alarms) during hypoglycemia in adults with type 1 diabetes (T1DM). Methods: A cross-sectional questionnaire survey study was conducted with adults who have T1DM and were using CGMs to assess the perceived usefulness of hypoglycemia-informing features. A semistructured interview study with T1DM CGM-using adults and inductive thematic analysis were subsequently performed to identify challenges in using CGM hypoglycemia-informing features to manage hypoglycemia. Results: In the survey study (N = 252), the CGM glucose numbers, trend arrows, trend graphs, and hypoglycemia alarms were found to be very useful by 79%, 70%, 43%, and 64% of participants, respectively. Several challenges in using these features to manage hypoglycemia were identified in the qualitative study (N = 23): (1) hypoglycemia information not fully reliable, ; (2) unpredictability of future blood glucose levels, (3) lack of awareness about how information can be used, and (4) disruptions associated with information. Conclusions: Although the majority of T1DM adults found their CGMs' hypoglycemia-informing features helpful, challenges in optimally using these features persisted. Targeted knowledge and behavioral interventions could improve CGM use to reduce hypoglycemia.