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Review
. 2021 May 15;21(7):22.
doi: 10.1007/s11892-021-01389-1.

Advances, Challenges, and Cost Associated with Continuous Glucose Monitor Use in Adolescents and Young Adults with Type 1 Diabetes

Karishma A Datye  1 , Daniel R Tilden  2   3 , Angelee M Parmar  2 , Eveline R Goethals  2 , Sarah S Jaser  2
Affiliations
Review

Advances, Challenges, and Cost Associated with Continuous Glucose Monitor Use in Adolescents and Young Adults with Type 1 Diabetes

Karishma A Datye et al. Curr Diab Rep. .

Abstract

Purpose of review: Continuous glucose monitors (CGM) are transforming diabetes management, yet adolescents and young adults (AYA) with type 1 diabetes (T1D) do not experience the same benefits seen with CGM use in adults. The purpose of this review is to explore advances, challenges, and the financial impact of CGM use in AYA with T1D.

Recent findings: CGM studies in young adults highlight challenges and suggest unique barriers to CGM use in this population. Recent studies also demonstrate differences in CGM use related to race and ethnicity, raising questions about potential bias and emphasizing the importance of patient-provider communication. Cost of these devices remains a significant barrier, especially in countries without nationalized reimbursement of CGM. More research is needed to understand and address the differences in CGM utilization and to increase the accessibility of CGM therapy given the significant potential benefits of CGM in this high-risk group.

Keywords: Adolescents; Barriers; Continuous glucose monitors; Cost; Technology; Type 1 diabetes.

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Conflict of interest statement

Declarations

Conflict of Interest Daniel R Tilden, Angelee M Parmar, and Eveline R Goethals declare that they have no conflict of interest. Karishma A Datye and Sarah S Jaser receive research funding through the NIDDK.

Figures

Fig. 1
Fig. 1
Evolution of continuous glucose monitors and hybrid closed-loop technology
See this image and copyright information in PMC

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