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Abstract
Background
Continuous and flash glucose monitoring devices produce data reports (e.g., ambulatory
glucose profile, AGP) that can be used by the person with diabetes and health care
providers (HCP). Clinical benefits of these reports have been published, however the
patient perspective is under reported.
Methods
We conducted an online survey for adults with type 1 diabetes (T1D) who use continuous/flash
glucose monitoring to understand their use and attitudes towards the AGP report. Barriers
and facilitators related to digital health technology were explored.
Results
The survey included 291 respondents: 63% were <40 years, and 65% lived with T1D for
>15 years. Nearly 80% review their AGP report, with 50% often discussing it with their
HCP. Support from family and HCPs was positively associated with the use of the AGP
report, and there was a positive relationship between motivation and better understanding
of the AGP report (OR:2.61,95%CI:1.45-4.71). Nearly all respondents (92%) consider the AGP report important
for their diabetes management, but most were dissatisfied with the cost of the device.
Open-ended responses indicated some concern with the complexity of information from
the AGP report.
Conclusions
This online survey found that there may be few barriers to the use of the AGP report
by people with T1D, except for the cost of the devices. Facilitators for the use of
the AGP report included motivation and support from both family and the HCP. Facilitating
discussion between HCPs and patients may be a strategy to improve the use and potential
benefit of the AGP report.
Keywords
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Article info
Publication history
Accepted:
January 3,
2023
Received in revised form:
December 21,
2022
Received:
August 18,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Katharine Mackett, McMaster University, 1280 Main St W, Hamilton, ON, L8S 4L8, 9052464803 [email protected]
Hertzel Gerstein, McMaster University, 1280 Main St W, Hamilton, ON, L8S 4L8, [email protected]
Nancy Santesso, McMaster University, 1280 Main St W, Hamilton, ON, L8S 4L8, [email protected]
Key Messages: 1. Patient perspectives and use of the ambulatory glucose profile (AGP) is often underreported in the literature.
2. This online survey found that people with type 1 diabetes consider the AGP important towards their care, with few barriers to its use.
3. Feeling supported, in particular by health care professionals, may be a key facilitator to the use of the AGP.
Identification
Copyright
© 2023 Canadian Diabetes Association.
