{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:00:24Z","timestamp":1760122824733},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T00:00:00Z","timestamp":1545177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine patient\/carer expectations of continuous glucose monitoring (CGM) and short\u2010term satisfaction, to assess the efficacy of CGM in improving: fear of hypoglycaemia and glycaemic control (HbA<jats:sub>1c<\/jats:sub>, ketosis, hypoglycaemia) and to determine time requirements of diabetes clinic staff in commencing and administering CGM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We assessed CGM\u2010na\u00efve patients starting on CGM at a Sydney Diabetes Centre following the introduction of a nationwide government subsidy for CGM. A standardised questionnaire was administered collecting demographic and glycaemic information in addition to Likert scale assessment of expectations and satisfaction. Clinic staff reported time dedicated to CGM education, commencement and follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 55 patients or parents\/carers completed baseline questionnaires, with 37 completing a 3\u2010month follow\u2010up questionnaire. There were high expectations of CGM prior to commencement and high satisfaction ratings on follow\u2010up. CGM improved fear of hypoglycaemia, and total daily insulin dose increased after commencement of CGM. There was a trend towards lower HbA<jats:sub>1c<\/jats:sub> that was not statistically significant and no statistically significant reduction in ketosis or hypoglycaemia. Comments were mostly positive, with some concern raised regarding technical issues and a lack of subsidy after 21\u2009years of age. Staff time requirements were substantial, with an estimated average of 7.7\u2009h per patient per year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients and families have high expectations of CGM, and satisfaction levels are high in the short term. Total insulin delivery increased after CGM commencement. Time requirements by staff are substantial but are worthwhile if families' overall satisfaction levels are high.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14340","type":"journal-article","created":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T08:44:09Z","timestamp":1545209049000},"page":"1056-1062","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Sydney Diabetes centre's experience of the Australian Government's roll out of subsidised continuous glucose monitoring for children with type 1 diabetes mellitus"],"prefix":"10.1111","volume":"55","author":[{"given":"Jessica L","family":"Sandy","sequence":"first","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine, School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ohn","family":"Nyunt","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine, School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Northern Clinical School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen J","family":"Woodhead","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine, School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley S","family":"Youde","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim A","family":"Ramjan","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Child and Adolescent Health, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"School of Medicine Western Sydney University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle M","family":"Jack","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Northern Clinical School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ailsa","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicky","family":"Townsend","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzi","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally\u2010Anne","family":"Duke","sequence":"additional","affiliation":[{"name":"Northern Clinical School University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Diabetes and Endocrinology Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eve","family":"Slavich","sequence":"additional","affiliation":[{"name":"Stats Central, Mark Wainwright Analytical Centre University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shihab","family":"Hameed","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes and Endocrinology, Clinical Services Building Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine, School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Northern Clinical School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.4.790"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.5.933"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.309"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.3.734"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.5.1231"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/193229681300700227"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2012.0298"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2011.0162"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-2898"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-2035"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.12140"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2017.08.005"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-009-1365-0"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-012-2708-9"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296816663747"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-0750"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12825"},{"key":"e_1_2_8_19_1","first-page":"65","article-title":"A simple sequential rejective multiple test procedure","volume":"6","author":"Holm S","year":"1979","journal-title":"Scand. J. Stat."}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.14340","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14340","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.14340","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T18:45:08Z","timestamp":1694285108000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.14340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,19]]},"references-count":18,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1111\/jpc.14340"],"URL":"https:\/\/doi.org\/10.1111\/jpc.14340","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,19]]},"assertion":[{"value":"2018-09-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}