The Quality of Life and Satisfaction with Continuous Glucose Monitoring Therapy in Children under 7 Years of Age with T1D Using the rtCGM System Integrated with Insulin Pump-A Caregivers Point of View.
Ewa Rusak, Natalia Ogarek, Karolina Wolicka, Anna Mrówka, Sebastian Seget, Magdalena Kuźnik, Przemysława Jarosz-Chobot
Author Information
Ewa Rusak: Department of Children's Diabetology, Medical University of Silesia, 40-752 Katowice, Poland. ORCID
Natalia Ogarek: Students' Scientific Association at the Department of Children's Diabetology, Medical University of Silesia, 40-752 Katowice, Poland.
Karolina Wolicka: Students' Scientific Association at the Department of Children's Diabetology, Medical University of Silesia, 40-752 Katowice, Poland.
Anna Mrówka: Students' Scientific Association at the Department of Children's Diabetology, Medical University of Silesia, 40-752 Katowice, Poland.
Sebastian Seget: Department of Children's Diabetology, Medical University of Silesia, 40-752 Katowice, Poland. ORCID
Magdalena Kuźnik: The Upper Silesian Child Health Centre, 40-752 Katowice, Poland.
Przemysława Jarosz-Chobot: Department of Children's Diabetology, Medical University of Silesia, 40-752 Katowice, Poland.
Quality of life (QoL) is an important parameter that affects the choice of therapy. Assessment of QoL and satisfaction with therapy using the rtCGM in children with T1D aged < 7 years was conducted. The study group consisted of 38 children with T1D aged < 7 years (34% aged 2-4, 66% aged 5-7 years), HbA1c: 6.53 ± 0.63%, duration of diabetes: 2.6 ± 1.6 years, treated with an rtCGM-augmented insulin pump for 1.92 ± 1.15 years. Two anonymous surveys were conducted: a. PedsQL3.0 diabetes standardized questionnaire-QoL assessment among age groups: 2-4/5-7 years. b. An original survey assessing the CGM use satisfaction. The mean scores in PedsQL3.0: communication 75%, worries 30%, treatment 70%, and problems associated with diabetes 65%. The QoL scale is: 0-19% very low, 20-39% low, 40-59% moderate, 60-79% high, 80-100% very high. The most frequently reported concerns were long-term diabetes complications and prick pain. Satisfaction with CGM use was high (68% in group aged 5-7 and 92% 2-4 years). Twenty-seven (71%) caregivers confirmed the positive effect of CGM on sleep. During the use of rtCGM a high quality of life was reported, and the quality of sleep in their caregivers was increased.
