Use of continuous glucose monitoring in young children with type 1 diabetes: implications for behavioral research

  1. Susana R Patton1,*,
  2. Laura B Williams2,
  3. Sally J Eder1,
  4. Megan J Crawford3,
  5. Lawrence Dolan4,
  6. Scott W Powers5

Article first published online: 10 MAR 2010

DOI: 10.1111/j.1399-5448.2010.00649.x

Issue

Pediatric Diabetes

Pediatric Diabetes

Volume 12, Issue 1, pages 18–24, February 2011

Additional Information

How to Cite

Patton, S. R., Williams, L. B., Eder, S. J., Crawford, M. J., Dolan, L. and Powers, S. W. (2011), Use of continuous glucose monitoring in young children with type 1 diabetes: implications for behavioral research. Pediatric Diabetes, 12: 18–24. doi: 10.1111/j.1399-5448.2010.00649.x

Author Information

  1. 1

    Department of Pediatrics, University of Michigan/CS Mott Children's Hospital, Ann Arbor MI, USA

  2. 2

    Department of Pediatrics, University of South Florida, Tampa, FL, USA

  3. 3

    Department of Clinical & Health Psychology, University of Florida, Gainesville, FL, USA

  4. 4

    Department of Pediatrics, Division of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA

  5. 5

    Department of Pediatrics, Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA

*Susana R Patton, PhD CDE, University of Michigan/CS Mott Children's Hospital, 1924 Taubman Center, P. O. Box 0318, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0318, USA. Tel: (734) 936-7967; fax: (734) 936-6897; e-mail: susanap@med.umich.edu

Publication History

  1. Issue published online: 10 MAR 2010
  2. Article first published online: 10 MAR 2010
  3. Submitted 9 October 2009. Accepted for publication 15 January 2010

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Keywords:

  • adherence;
  • continuous glucose monitoring;
  • technology;
  • type 1 diabetes mellitus

Patton SR, Williams LB, Eder SJ, Crawford MJ, Dolan L, Powers SW. Use of continuous glucose monitoring in young children with type 1 diabetes: implications for behavioral research.

Objective: This study presents data on the use of continuous glucose monitoring (CGM) in young children with type 1 diabetes mellitus (T1DM). CGM provides moment-to-moment tracking of glucose concentrations and measures of intra- and interday variability, which are particularly salient measures in young children with T1DM.

Methods: Thirty-one children (mean age = 5.0 yr ) with T1DM wore the Medtronic Minimed CGM for a mean of 66.8 h. The CGM was inserted in diabetes clinics, and parents were provided brief training.

Results: Few difficulties were experienced and families cited the acceptability of CGM. Participants' CGM data are compared with self-monitoring blood glucose (SMBG) data as well as data from older children with T1DM to illustrate differences in methodology and variability present in this population. CGM data are used to calculate glucose variability, which is found to be related to diabetes variables such as history of hypoglycemic seizures.

Conclusions: CGM is an acceptable research tool for obtaining glucose data in young children with T1DM and has been used previously in older children and adults. CGM may be particularly useful in young children who often experience more glucose variability. Data obtained via CGM are richer and more detailed than traditional SMBG data and allow for analyses to link blood glucose with behavior.

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