Publications by authors named "Myron Andrew Lee"

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The impact of continuous glucose monitoring in youth with type I diabetes aged 15-21.

Intern Med J 2021 May 5. Epub 2021 May 5.

Diabetes Transition Support Programme, Department of Diabetes and Endocrinology, Westmead Hospital, New South Wales, Australia.

Background: People with T1DM under 21 are eligible for subsidised continuous glucose monitoring (CGM) products under the Australian National Diabetes Services Scheme. There are few real world published studies to evaluate the benefits of CGM in young adults.

Methods: Patients at the Westmead Hospital young adult diabetes clinic aged 15-21 who commenced CGM before July 2018 were followed for 6 months post commencement CGM. Differences in HbA1c and glucose metrics at baseline and follow up are compared between those commencing CGM and those that did not.

Results: 44 of 115 eligible patients (38%) commenced CGM. Demographic characteristics and baseline HbA1c did not differ significantly between those started on CGM and those not. At 6 months, 18 of 44 patients (41%) still used CGM, with discomfort and inconvenience the most common reasons for dropout. In CGM continuers, at 6 months compared to baseline there was no change in HbA1c (8.2% vs 8.0%, P = 0.8), CV of glucose (38% vs 39%, P = 0.5), or % time in range (52% vs 58%, P = 0.3). 6 month follow up HbA1c in CGM non-users deteriorated significantly compared to users. Mean hypoglycaemia fear scores (worry scale) was significantly decreased from baseline at 6 months (33 vs 18, P < 0.01).

Conclusion: There are high rates of discontinuation in CGM use amongst youth with T1DM. At six months of CGM use there was no significant change in glycaemic control, although HbA1c in non-users deteriorated significantly. Worry of hypoglycaemia was significantly decreased amongst those who continued CGM. This article is protected by copyright. All rights reserved.
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May 2021