title: Continuous glucose monitoring in children, adolescents, and adults with type 1 diabetes mellitus: analysis from the prospective DPV diabetes documentation and quality management system from Germany and Austria.
abstract: OBJECTIVE
  To determine frequency, duration, and relationship of continuous glucose monitoring (CGM) to glycemic control and rate of hypoglycemia in children and adults in Germany and Austria.
  
  
  METHODS
  From 59,920 patients documented in the DPV (Diabetessoftware zur prospektiven Verlaufsdokumentation) database, 144,385 sensor days of 2874 patients using CGM between January 2008 and September 2010 were analyzed.
  
  
  RESULTS
  Overall, 4.8% of patients used CGM. In pediatric patients, study period (p = 0.0309), age (p = 0.0140), insulin dose (p < 0.0001), and use of insulin analogs (p < 0.0001) significantly influenced hemoglobin A1c (HbA1c), but duration of diabetes, sex, and CGM use did not. In contrast, adults with longer CGM use (>30 d) had significantly lower HbA1c (p < 0.0016). Severe hypoglycemia was not reduced in patients using CGM for <30 d.
  
  
  CONCLUSIONS
  CGM is still rarely used in Germany and Austria. CGM use is associated with a significant reduction of HbA1c in adults but not in children. Hypoglycemic events were not reduced, irrespective of age.
authors: Children's Hospital, Oberschwabenklinik GmbH, Ravensburg, Germany.
authors: Carmen U
authors: CU
authors: Ludwig-Seibold
authors: Martin
authors: M
authors: Holder
authors: Birgit
authors: B
authors: Rami
authors: Klemens
authors: K
authors: Raile
authors: Bettina
authors: B
authors: Heidtmann
authors: Reinhard W
authors: RW
authors: Holl
mesh_terms: D000293:Adolescent; D000328:Adult; D001317:Austria / Q000453:epidemiology; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation / Q000379:methods / Q000592:standards; D002648:Child; D003625:Data Collection / Q000379:methods; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000453:epidemiology / Q000628:therapy; D004282:Documentation / Q000379:methods*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000453:epidemiology; D008297:Male; D011446:Prospective Studies; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D058996:Quality Improvement / Q000458:organization & administration; D055815:Young Adult