Effectiveness of a flash glucose monitoring systems implementation program through a group and telematic educational intervention in adults with type 1 diabetes

Intensive monitoring of blood glucose in patients with type 1 diabetes mellitus (DM1) is one of the fundamental therapeutic aspects for achieving an optimal degree of metabolic control and reducing chronic complications associated with this disease.1, 2 In recent times, the application of advanced technologies to the field of health in general, and diabetes in particular, has allowed the development of new tools for self-monitoring of blood glucose, such as intermittent or flash glucose monitoring (FGM) systems.3

Numerous investigations have shown how the use of this technological resource in patients with DM1 is related to a significant improvement in metabolic control parameters. In this sense, in the IMPACT study (main clinical trial carried out on FGM systems), it was observed how the use of these devices was related to a decrease in time in hypoglycaemia, compared to capillary blood glucose self-monitoring.4 Meanwhile, recent meta-analyses have reported data suggesting that using these systems could contribute to achieving a reduction in HbA1c.5, 6

The good results associated with their use, cost-effectiveness and increasing accessibility have initiated a paradigm shift in the clinical care of people with diabetes. They are often publicly financed for patients with DM.7, 8

In this sense, structured diabetes education plays a fundamental role in initiating the use of advanced technologies applied to this field. In the case of FGM, a structured educational program could provide patients with greater training in the management of these systems, as well as an improvement in the management of the volume of blood glucose information, thus optimising the results obtained.8

Medical societies and leading health organisations have developed specific guidelines and recommendations for implementing FGM systems, which indicate the need and convenience of programming specific educational interventions for training in these devices.9

In addition, a telematic group format could be especially useful, simplifying logistical and material aspects and solving problems in face-to-face physical attendance at health centres.10 The epidemiological situation experienced due to the COVID-19 pandemic during 2020 and 2021 highlighted the need to have non-face-to-face healthcare strategies, especially at times when it is necessary to limit citizen mobility.11

To date, our group has not found publications assessing the clinical effectiveness of a therapeutic education programme in diabetes implemented in a telematic and group format for this technology.

For this reason, we propose this study to verify the effectiveness of glycaemic control parameters⠀ and quality of life variables obtained with a programme for implementing and quality of life variables obtained with a programme for the implementation of FGM systems that includes a telematic educational group intervention in adults with DM1, carried out during the COVID-19 pandemic in Spain.

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