Evidence map›Paper›PMID 37076165›Full record

ArticleBMJ open2023

Flash glucose monitoring in young people with type 1 diabetes-a qualitative study of young people, parents and health professionals: '

Lucy Beasant, Freyja Cullen, Elizabeth Thomas, Rebecca Kandiyali, Julian P H Shield, David Mcgregor, Nicol West, Jenny Ingram

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Expanding the Role of Continuous Glucose Monitoring in Modern Diabetes Care Beyond Type 1 Disease.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lucy BeasantCentre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-4279-5644
Freyja CullenChildren's Diabetes Support, University Hospitals Bristol & Weston NHS Foundation Trust, Bristol, UK.
Elizabeth ThomasChildren's Diabetes Support, University Hospitals Bristol & Weston NHS Foundation Trust, Bristol, UK.
Rebecca KandiyaliCentre for Health Economics, Warwick Medical School, Coventry, UK.
Julian P H ShieldTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0003-2601-7575
David McgregorRoyal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Nicol WestGreat Western Hospitals NHS Foundation Trust, Swindon, UK.
Jenny IngramCentre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK jenny.ingram@bristol.ac.uk.ORCID 0000-0003-2366-008X

Funding

Department of Health
6 · The paper itself

Abstract

objectivesFlash glucose monitoring for patients with T1 diabetes avoids frequent painful finger-prick testing, thus potentially improving frequency of glucose self-monitoring. Our study aimed to explore experiences of young people using Freestyle Libre sensors and their parents, and to identify benefits and challenges to National Health Service (NHS) staff of its adoption in their care provision.

participantsYoung people with T1 diabetes, their parents and healthcare professionals were interviewed between February and December 2021. Participants were recruited via social media and through NHS diabetes clinic staff.

designSemistructured interviews were conducted online and analysed using thematic methods. Staff themes were mapped onto normalisation process theory (NPT) constructs.

resultsThirty-four participants were interviewed: 10 young people, 14 parents and 10 healthcare professionals. Young people reported that life was much easier since changing to flash glucose monitoring, increasing confidence and independence to manage their condition. Parents' quality of life improved and they appreciated access to real-time data. Using the NPT concepts to understand how technology was integrated into routine care proved useful; health professionals were very enthusiastic about flash glucose monitoring and coped with the extra data load to facilitate more tailored patient support within and between clinic visits.

conclusionThis technology empowers young people and their parents to understand their diabetes adherence more completely; to feel more confident about adjusting their own care between clinic appointments; and provides an improved interactive experience in clinic. Healthcare teams appear committed to delivering improving technologies, acknowledging the challenge for them to assimilate new information required to provide expert advice.

Indexed as

Diabetes Mellitus, Type 1AdolescentBlood GlucoseBlood Glucose Self-MonitoringHumansParentsQuality of LifeState MedicineBlood Glucosegeneral diabetesmedical education & trainingqualitative research

Identifiers

PMID37076165
PMCPMC10124239

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.