PMID- 37927056
OWN - NLM
STAT- MEDLINE
DCOM- 20231221
LR  - 20240301
IS  - 2635-0114 (Electronic)
IS  - 2635-0106 (Print)
IS  - 2635-0106 (Linking)
VI  - 49
IP  - 6
DP  - 2023 Dec
TI  - Barriers and Facilitators to Uptake of Continuous Glucose Monitoring for 
      Management of Type 2 Diabetes Mellitus in Youth.
PG  - 426-437
LID - 10.1177/26350106231205030 [doi]
AB  - PURPOSE: The purpose of this study was to identify factors impacting the 
      acceptability of continuous glucose monitoring (CGM) in adolescents and young 
      adults (AYAs) with type 2 diabetes mellitus (T2DM). METHODS: In this 
      single-center study, semistructured interviews were conducted with AYAs with T2DM 
      and their parents to determine attitudes about CGM, including barriers and 
      facilitators. Interviews were audio-recorded, transcribed, and evaluated using 
      thematic analysis. RESULTS: Twenty AYAs and 10 parents participated (n = 30 
      total). AYAs were mean age 16.5 years (SD 2.2, range = 13.7-20.1) and had median 
      diabetes duration of 1.3 years. Most were female (65%) and from minoritized 
      background (40% non-Hispanic Black, 10% Hispanic, 5% Asian). Seven (35%) used 
      CGM. The primary facilitator elicited was convenience over glucose meter use. 
      Important barriers included the impact of physically wearing the device and 
      drawing unwanted attention, desire for AYA privacy, and inadequate education 
      about the device. CONCLUSIONS: In this diverse sample of AYAs with T2DM and their 
      parents, CGM was generally regarded as convenient, although concerns about 
      worsening stigma and conflict with parents were prevalent. These findings can 
      guide the development of patient-centered approaches to CGM for AYAs with T2DM, a 
      critical step toward reducing inequities in diabetes technology uptake.
FAU - Peyyety, Vaishnavi
AU  - Peyyety V
AD  - Division of Pediatric Endocrinology, Diabetes, and Metabolism and Center for 
      Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of 
      Medicine, Pittsburgh, Pennsylvania.
AD  - UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
FAU - Zupa, Margaret F
AU  - Zupa MF
AUID- ORCID: 0000-0002-8244-9295
AD  - Division of Endocrinology and Metabolism, University of Pittsburgh School of 
      Medicine, Pittsburgh, Pennsylvania.
FAU - Hewitt, Brianna
AU  - Hewitt B
AD  - Division of Pediatric Endocrinology, Diabetes, and Metabolism and Center for 
      Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of 
      Medicine, Pittsburgh, Pennsylvania.
AD  - UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
FAU - Rodriguez Gonzalez, Adriana
AU  - Rodriguez Gonzalez A
AD  - UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
FAU - Mani, Iswariya
AU  - Mani I
AD  - Division of Pediatric Endocrinology, Diabetes, and Metabolism and Center for 
      Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of 
      Medicine, Pittsburgh, Pennsylvania.
AD  - UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
FAU - Prioleau, Temiloluwa
AU  - Prioleau T
AD  - Department of Computer Science, Dartmouth College, Hanover, New Hampshire.
FAU - McCurley, Jessica
AU  - McCurley J
AD  - Department of Psychology, San Diego State University, San Diego, California.
FAU - Lin, Yu Kuei
AU  - Lin YK
AUID- ORCID: 0000-0003-1988-7046
AD  - Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann 
      Arbor, Michigan.
FAU - Vajravelu, Mary Ellen
AU  - Vajravelu ME
AUID- ORCID: 0000-0002-5839-7923
AD  - Division of Pediatric Endocrinology, Diabetes, and Metabolism and Center for 
      Pediatric Research in Obesity and Metabolism, University of Pittsburgh School of 
      Medicine, Pittsburgh, Pennsylvania.
AD  - UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
LA  - eng
GR  - K23 HL157763/HL/NHLBI NIH HHS/United States
GR  - UL1 TR001857/TR/NCATS NIH HHS/United States
GR  - KL2 TR001856/TR/NCATS NIH HHS/United States
GR  - K23 DK125719/DK/NIDDK NIH HHS/United States
GR  - K23 DK129724/DK/NIDDK NIH HHS/United States
PT  - Journal Article
DEP - 20231105
PL  - United States
TA  - Sci Diabetes Self Manag Care
JT  - The science of diabetes self-management and care
JID - 101775189
RN  - 0 (Blood Glucose)
MH  - Young Adult
MH  - Humans
MH  - Female
MH  - Adolescent
MH  - Adult
MH  - Male
MH  - *Diabetes Mellitus, Type 2/diagnosis
MH  - Blood Glucose/analysis
MH  - *Diabetes Mellitus, Type 1
MH  - Blood Glucose Self-Monitoring
MH  - Continuous Glucose Monitoring
PMC - PMC10895543
MID - NIHMS1966854
COIS- Declaration of Conflicting InterestsThe authors have no relevant conflicts of 
      interest.
EDAT- 2023/11/06 06:41
MHDA- 2023/12/21 06:43
PMCR- 2024/12/01
CRDT- 2023/11/06 03:40
PHST- 2024/12/01 00:00 [pmc-release]
PHST- 2023/12/21 06:43 [medline]
PHST- 2023/11/06 06:41 [pubmed]
PHST- 2023/11/06 03:40 [entrez]
AID - 10.1177/26350106231205030 [doi]
PST - ppublish
SO  - Sci Diabetes Self Manag Care. 2023 Dec;49(6):426-437. doi: 
      10.1177/26350106231205030. Epub 2023 Nov 5.