1형 당뇨병 아동 및 청소년의 연속혈당측정기 사용 기간에 따른 혈당 관리 = The glucose management according to the period of Continuous Glucose Monitoring (CGM) use in children and adolescents with type 1 diabetes mellitus

다국어 초록 (Multilingual Abstract)

This study investigated the perception of continuous glucose monitoring (CGM), glucose management behavior, and diabetes-related stress according to the period of CGM use in children and adolescents with type 1 diabetes mellitus (T1DM).
From February 14 to March 11, 2022, through the 「Korea Society of Type 1 Diabetes」, 35 children and adolescents aged 9 to 18 years with T1DM, including socio-demographic characteristics, diabetes-related characteristics, and a structured questionnaire consisting of CGM benefits/burden (16 items in total), diabetes knowledge (23 items), diabetes management behavior (29 items), and diabetes-related stress (14 items) was used. The collected data were analyzed by descriptive statistics, Pearson's correlations, two-sample t-test, one-way ANOVA, and regression analysis, and the p-value was set to less than 0.05.
Through ROC analysis, based on 3 years of entering HbA1c level of 7.0%, CGM was divided into a group with a period of less than 3 years (short-term user, SU) and a group with a period of more than 3 years (long-term user, LU). The duration of T1DM and the frequency of insulin use per day were higher in the LU group than in the SU group (<.001, <.016). There was no difference in the total score between the two groups in terms of benefits and burdens related to CGM use, but the LU group scored higher than the SU group in “feeling more secure” among the details of the CGM use-related benefits (<.033). There was no difference between the two groups in the overall score of diabetes knowledge and diabetes management behavior, but the LU group had a higher score than the SU group in temporary coping, a detailed item of diabetes management behavior (<.034). There was no difference in diabetes stress between the two groups. For each year of CGM use, HbA1c decreased by 0.235%. Also, there was a significant negative correlation between HbA1c and diabetes management behavior (total) (<.05), and a significant positive correlation (<.01) between the benefits related to CGM use and diabetes management behavior (total).
As basic data related to glucose management in children and adolescents with T1DM who use CGM, it is expected that it will contribute to the development of health care policies for practitioners such as CGM users and medical personnel/diabetes educators.

목차 (Table of Contents)

• Ⅰ. 서론 1
• Ⅱ. 대상 및 방법 6
• Ⅲ. 성적 11
• Ⅳ. 고찰 21
• Ⅴ. 요약 24
• 참고문헌 26
• 영문초록 29