Continuous glucose monitoring on the perception of hypoglycemia in people with diabetes mellitus

Authors

DOI: https://doi.org/10.6018/eglobal.653021
Keywords: Type 1 Diabetes Mellitus, Hypoglycemia, Nurses, Continuous Glucose Monitoring

Abstract

Introduction: Recurrent hypoglycemia increases the risk of developing asymptomatic hypoglycemia, which affects up to 40% of people with diabetes and leads to severe hypoglycemic episodes.

Objective: This study aimed to evaluate the effect of instant glucose monitoring on the perception of hypoglycemia in patients with type 1 diabetes mellitus.

Method: A 24-week quasi-experimental study was conducted at the Virgen del Rocío University Hospital involving 68 patients with type 1 diabetes with severe or asymptomatic hypoglycemia. The primary outcome was the change in Clark test score from baseline to 24 weeks after implementation of a flash glucose monitoring device (Free Style 2®, Abbott). Secondary outcomes included changes in glycemic data and factors influencing improved perception.

Results: The Clark test score decreased significantly, with a reduction in total hypoglycemic time. No significant changes were observed in time below or in range. Longer duration of diabetes was associated with a higher likelihood of persistent asymptomatic hypoglycemia.

Conclusions: Rapid glucose monitoring improved the perception of hypoglycemia and reduced hypoglycemic time and glycemic variability in patients with type 1 diabetes, although its impact on HbA1c and time in range was minimal.

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Published
06-11-2025
How to Cite
[1]
Ruiz-Trillo, C.A. et al. 2025. Continuous glucose monitoring on the perception of hypoglycemia in people with diabetes mellitus. Global Nursing. 24, 3 (Nov. 2025). DOI:https://doi.org/10.6018/eglobal.653021.
Issue
Vol. 24 No. 3 (2025): #77 September-December
Section
ORIGINAL RESEARCH

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