There were 20 secondary outcomes, including additional HbA 1c outcomes, CGM glucose metrics, and patient-reported outcomes with adjustment for multiple comparisons to control for the false discovery rate. Main Outcomes and Measures The primary outcome was change in HbA 1c from baseline to 26 weeks. Interventions Participants were randomized 1:1 to undergo CGM (CGM group n = 74) or usual care using a blood glucose meter for glucose monitoring (blood glucose monitoring group n = 79). Objective To determine the effect of CGM on glycemic control in adolescents and young adults with type 1 diabetes.ĭesign, Setting, and Participants Randomized clinical trial conducted between January 2018 and May 2019 at 14 endocrinology practices in the US including 153 individuals aged 14 to 24 years with type 1 diabetes and screening hemoglobin A 1c (HbA 1c) of 7.5% to 10.9%. Although continuous glucose monitoring (CGM) has been shown to improve glycemic control in adults, its benefit in adolescents and young adults has not been demonstrated. Importance Adolescents and young adults with type 1 diabetes exhibit the worst glycemic control among individuals with type 1 diabetes across the lifespan. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.You can do it, but the key to success is changing ingrained habits with hard work over a lifetime. It suggests that remission from the disease is possible. This was one of the largest scientific examinations of long duration support for lifestyle changes in Type 2 Diabetes. "It's a lot harder to take care of than you might think and they deserve support because what they're doing is hard," Dr. Natalie though is the exception among people with diabetes. "By eating and exercising better, I don't have to go on to insulin or increase the medication anymore," Robbins said. She still needs drugs to control her sugar, but the dose is stable. She attended just one session with a dietician when she was diagnosed, and she's lost 40 pounds over 13 years. Robin Goland, NY Presbyterian-Columbia Hospital. We all have habits, health habits and we fall back on what might not be the best habits," said Dr. "Behavior change for all of us is hard, this is a marathon, not a sprint. It found that intense counseling over months and months on diet and exercise helped put patients into partial or complete remission better than short term support. Having a health professional like Audrey's explain the need for exercise and diet is critical to reversing the disease.Īs a matter of fact, the more of this support the better says the recent study. "I really didn't know what it meant until someone sat down and described what it meant, really helped you understand what it is," Lee said. It was a shock two years ago when she was told she had Type 2 Diabetes. She gets to see that her blood sugar is under control. This is a pain in the finger for most people with diabetes.ġ3-year-old Audrey Lee is used to it. Recent research in the Journal of the American Medical Association report says constant direction and support is the way to make it happen. That's easy to say, but it's extremely hard to do. Remission in people with Type 2 Diabetes, that's linked to being overweight, have thrown away their medications because their illness is under control with diet and exercise. But what if a patient could toss all those pills and insulin needles?Ī recent report says you can put diabetes into remission.
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