FreeStyle navigator continuous glucose monitoring system use in children with type 1 diabetes using glargine-based multiple daily dose regimens: results of a pilot trial Diabetes Research in Children Network (DirecNet) Study Group

Diabetes Care. 2008 Mar;31(3):525-7. doi: 10.2337/dc07-1995. Epub 2007 Dec 20.

Abstract

In a previous pilot study of the FreeStyle Navigator™ Continuous Glucose Monitoring System (“Navigator”, Abbott Diabetes Care) in 30 children and adolescents with type 1 diabetes (T1D) using insulin pumps, we found that Navigator use averaged >130 hours per week over 13 weeks and mean HbA1c dropped from 7.1 ± 0.6% to 6.8 ± 0.7% (p=0.02) (1). The current study evaluated whether the Navigator was similarly tolerated over 13 weeks in 27 children aged 4–17 years with T1D using glargine-based multiple daily injection (MDI) insulin regimens. Subjects averaged >100 hours/week of Navigator use. Mean HbA1c fell from 7.9 ± 1.0% at baseline to 7.3 ± 0.9% at 13 weeks (p=0.004). High satisfaction with the Navigator was reported on the Continuous Glucose Monitor Satisfaction Scale. These encouraging pilot study results support the inclusion of MDI users in longer-term randomized clinical trials of continuous glucose monitors (CGM).

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Blood Glucose / metabolism
  • Blood Glucose Self-Monitoring / methods*
  • Child
  • Child, Preschool
  • Clinical Trials as Topic
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Glycated Hemoglobin / metabolism
  • Humans
  • Hypoglycemic Agents / administration & dosage
  • Hypoglycemic Agents / therapeutic use
  • Insulin / administration & dosage
  • Insulin / analogs & derivatives*
  • Insulin / therapeutic use
  • Insulin Glargine
  • Insulin, Long-Acting
  • Pilot Projects
  • Treatment Outcome

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Insulin
  • Insulin, Long-Acting
  • Insulin Glargine