Continuous glucose monitoring: the experience of women with type 2 diabetes.

Continuous glucose monitoring: the experience of women with type 2 diabetes.
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DOI:
10.1177/0145721709355835
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发表时间:
2010-03
期刊:
The Diabetes educator
影响因子:
--
通讯作者:
Surdyk PM
Surdyk PM
中科院分区:
其他
文献类型:
--
作者:
Fritschi C;Quinn L;Penckofer S;Surdyk PM

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这项描述性研究的目的是记录 2 型糖尿病 (T2DM) 女性佩戴连续血糖监测 (CGM) 设备的体验。 CGM 的出现为患者和临床医生提供了描述饮食、运动和药物对血糖水平的直接影响的机会;然而,很少有数据检验患者使用 CGM 的经历和可接受性。 35 名患有 T2DM 的女性连续 3 天进行 CGM。我们进行了半结构化访谈,以捕捉自我描述的佩戴 CGM 的体验。使用三个开放式问题来引导参与者进行自我反思。采访内容被转录和分析。这些女性表达了需要更频繁地检查血糖和佩戴监测仪的积极和消极方面。查看结果后,大多数女性对血糖波动的幅度和频率感到惊讶。他们立即检查了自己佩戴 CGM 期间的行为。当他们试图通过追踪 CGM 期间的食物摄入量、体力活动和压力经历来确定高血糖的原因时,独立解决问题的能力变得明显。最重要的是,大多数女性在查看 CGM 结果后表示,她们有兴趣改变与糖尿病相关的自我护理行为,尤其是饮食和运动行为。 CGM 通常被 T2DM 女性所接受,并为患者及其医疗保健从业者提供了常规血糖监测的可能替代方案,以评估现实生活中的事件对血糖水平的影响。
The purpose of this descriptive study was to document the experience of wearing a continuous glucose monitoring (CGM) device in women with type 2 diabetes (T2DM). The availability of CGM has provided patients and clinicians with the opportunity to describe the immediate effects of diet, exercise, and medications on blood glucose levels; however, there are few data examining patients’ experiences and acceptability of using CGM. Thirty-five women with T2DM wore a CGM for 3 days. Semistructured interviews were conducted to capture the self-described experience of wearing a CGM. Three open-ended questions were used to guide the participants’ self-reflection. Interviews were transcribed and analyzed. The women verbalized both positive and negative aspects of needing to check their blood glucose more frequently and wearing the monitor. After viewing the results, most women were surprised by the magnitude and frequency of blood glucose excursions. They immediately examined their behaviors during the time they wore the CGM. Independent problem-solving skills became apparent as they attempted to identify reasons for hyperglycemia by retracing food intake, physical activity, and stress experiences during the period of CGM. Most important, the majority of women stated they were interested in changing their diabetes-related self-care behaviors, especially eating and exercise behaviors, after reviewing their CGM results. CGM is generally acceptable to women with T2DM and offers patients and their health care practitioners a possible alternative to routine glucose monitoring for assessing the effects of real-life events on blood glucose levels.
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