Continuous Glucose Monitoring

Abstract

Purpose 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. Methods 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. Results 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. Conclusions 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.