title: Effectiveness of continuous glucose monitoring in children, adolescents, and young adults with poorly controlled type 1 diabetes.
abstract: The purpose of this study was to determine the effect of continuous glucose monitoring (CGM) on glycemic control in children, adolescents, and young adults ages 7-21 years with poorly controlled diabetes HbA1c 9.0% or more (74 mmol/mol IFCC).
  
  
  
  The primary outcome was improvement in HbA1c. The secondary outcome included self-reported hypoglycemia. This 12-week study used a prospective, one-group, pre- and posttest pre-experimental design with a convenience sample. The study used the Medtronic Guardian CGM with Enlite Sensor.
  
  
  
  Thirty-three subjects enrolled in the study. The mean age of the participants was 15.57 years, range was 11-20 years, 47.6% were male, and 52.4% were female. Twenty-one (63.6%) completed the final study visit. There was a clinically and statistically significant reduction of 1.46 (SD = 1.6711) (p = .001) in HbA1c at 12 weeks. Fifteen of the 21 participants (71.4%) had an HbA1c reduction of greater than 0.5%. The CGM monitor was worn a mean of 4.262 days a week. None of the subjects reported significant hypoglycemia while wearing the monitor. CGM was effective in improving glycemic control in this population with poorly controlled diabetes.
authors.affiliation: Clinical Associate Professor, West Virginia University, School of Medicine, Charleston, West Virginia.
authors.forename: Kevin R
authors.initials: KR
authors.lastname: Lewis
authors.affiliation: Professor, West Virginia University, School of Nursing, Morgantown, West Virginia.
authors.forename: Susan
authors.initials: S
authors.lastname: McCrone
authors.affiliation: Associate Professor, West Virginia University, School of Nursing, Morgantown, West Virginia.
authors.forename: Pamela
authors.initials: P
authors.lastname: Deiriggi
authors.affiliation: Assistant Professor, West Virginia University, School of Medicine, Charleston, West Virginia.
authors.forename: Sachin
authors.initials: S
authors.lastname: Bendre
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation*; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood*; D004334:Drug Administration Schedule; D005260:Female; D006441:Hemoglobin A / Q000032:analysis*; D006801:Humans; D007003:Hypoglycemia / Q000097:blood*; D008297:Male; D011446:Prospective Studies; D013997:Time Factors; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D006441:Hemoglobin A
keywords: Adolescents; adolescents & uncontrolled; children; continuous glucose monitoring; diabetes