PMID- 19216684
OWN - NLM
STAT- MEDLINE
DCOM- 20090729
LR  - 20221207
IS  - 1520-9156 (Print)
IS  - 1557-8593 (Electronic)
IS  - 1520-9156 (Linking)
VI  - 11
IP  - 3
DP  - 2009 Mar
TI  - Continuous glucose monitoring in non-insulin-using individuals with type 2 
      diabetes: acceptability, feasibility, and teaching opportunities.
PG  - 151-8
LID - 10.1089/dia.2008.0053 [doi]
AB  - BACKGROUND: Continuous glucose monitoring (CGM) has the potential to provide 
      useful data for behavioral interventions targeting non-insulin-using, sedentary 
      individuals with type 2 diabetes mellitus (T2DM). The aims of this study were to 
      describe CGM in terms of (1) feasibility and acceptability and (2) dietary- and 
      exercise-teaching events. METHODS: Cross-sectional data were analyzed from 27 
      non-insulin-using adults with T2DM who wore CGM for 72 h as part of a larger 
      study on using CGM for exercise counseling in this population. Feasibility data 
      included accuracy of entering daily self-monitored blood glucose (SMBG) readings 
      and events (e.g., meals, exercise), sensor failures, alarms, optimal accuracy of 
      glucose data, and download failures. Acceptability data included CGM satisfaction 
      and wearing difficulties. Dietary- and exercise-teaching events were identified 
      from CGM and activity monitor data. RESULTS: CGM graphs showed 141 dietary- and 
      71 exercise-teaching events. About half the participants (52%) reported 
      difficulty remembering to enter events into CGM monitors, but most (82%) kept an 
      accurate paper log of events. Insufficient SMBG entries resulted in 32 CGM graphs 
      with "use clinical judgment" warnings. Eighty-three percent of missed SMBG 
      entries were from 18 participants 55-77 years old. Missing correlation 
      coefficients resulted from glucose concentrations varying <100 mg/dL. A majority 
      of participants (n = 19) were willing to wear CGM again despite reporting minor 
      discomfort at sensor site and with wearing the monitor. CONCLUSIONS: CGM data 
      provided several teaching opportunities in non-insulin-using adults with T2DM. 
      Overall, CGM was acceptable and feasible. Some identified problems may be 
      eliminated by newer technology.
FAU - Allen, Nancy A
AU  - Allen NA
AD  - Yale University, New Haven, Connecticut, USA. nancy.a.allen@yale.edu
FAU - Fain, James A
AU  - Fain JA
FAU - Braun, Barry
AU  - Braun B
FAU - Chipkin, Stuart R
AU  - Chipkin SR
LA  - eng
GR  - F31 NR008818-01A1/NR/NINR NIH HHS/United States
GR  - T32NR008346-05/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - Diabetes Technol Ther
JT  - Diabetes technology & therapeutics
JID - 100889084
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Blood Glucose Self-Monitoring/methods
MH  - Body Mass Index
MH  - Counseling
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*blood/rehabilitation
MH  - Eating
MH  - Educational Status
MH  - Exercise
MH  - Feasibility Studies
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Humans
MH  - Infections/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Ambulatory/adverse effects/*methods
MH  - Pain/etiology
MH  - Patient Education as Topic
PMC - PMC2939842
EDAT- 2009/02/17 09:00
MHDA- 2009/07/30 09:00
PMCR- 2010/03/01
CRDT- 2009/02/17 09:00
PHST- 2009/02/17 09:00 [entrez]
PHST- 2009/02/17 09:00 [pubmed]
PHST- 2009/07/30 09:00 [medline]
PHST- 2010/03/01 00:00 [pmc-release]
AID - 10.1089/dia.2008.0053 [pii]
AID - 10.1089/dia.2008.0053 [doi]
PST - ppublish
SO  - Diabetes Technol Ther. 2009 Mar;11(3):151-8. doi: 10.1089/dia.2008.0053.