Making Sense: Feasibility of an education program to Empower adults with type 1 diabetes to interpret CGM data

Abstract

Aims: To assess the feasibility and acceptability of a structured education program focused on continuous glucose monitoring (CGM) data interpretation for adults living with type 1 diabetes.

Methods: This was a multi-centre before and after feasibility study conducted in Australia. Adults with type 1 diabetes were enrolled in the Making Sense program. This two-week program, designed in consultation with adults living with diabetes, was delivered in a hybrid format involving group sessions and self-directed online modules. Participants were followed for 6-months post-education completion. The primary outcome was feasibility, pre-determined at 75% completion rate following education module enrolment. Secondary outcomes included participant acceptability, psychosocial measures and glycemic outcomes.

Results: Between June 2023 and October 2023, 67 participants (median age 54, 70 % female, mean HbA1c 7.2 % (55 mmol/mol)) were enrolled. All used CGM continuously. Sixty-six percent used insulin pumps. Eighty-one percent completed the study and 83 % would recommend the program to other adults with diabetes. Participation was associated with improved well-being, diabetes management satisfaction and reduction in diabetes distress (p < 0.05). HbA1c fell 0.5 % (4.5 mmol/mol) for those > 7.5 % (58 mmol/mol) at baseline (p = 0.006).

Conclusions: Our CGM-related education program was feasible and acceptable. Participation may be associated with improvement psychosocial and glycemic outcomes.