Retrospective Cohort Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Nov 15, 2021; 12(11): 1908-1916
Published online Nov 15, 2021. doi: 10.4239/wjd.v12.i11.1908
Factors influencing the effectiveness of using flash glucose monitoring on glycemic control for type 1 diabetes in Saudi Arabia
Hala Ibrahim Alhodaib, Sama Alsulihem
Hala Ibrahim Alhodaib, Community Health Sciences Department, King Saud University, Riyadh 11564, Saudi Arabia
Sama Alsulihem, College of Medicine, King Saud University, Riyadh 11564, Saudi Arabia
Author contributions: Alsulihem S collected the patients’ clinical data; Alhodaib H wrote the manuscript; all authors conceived and designed the study and analyzed the data.
Institutional review board statement: The Institutional Review Board of King Saud University provided approval for this study, No. 19/0812/IRB.
Informed consent statement: No individual informed consent forms have been signed by participants as this study was a retrospective study, so it was not applicable.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
Data sharing statement: The datasets extracted and/or analyzed during the current study are available from the corresponding author on reasonable request.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Hala Ibrahim Alhodaib, PhD, Assistant Professor, Community Health Sciences Department, King Saud University, Prince Turki Bin Abdulaziz Alawwal Street, Riyadh 11564, Saudi Arabia.
Received: May 31, 2021
Peer-review started: May 31, 2021
First decision: July 3, 2021
Revised: July 14, 2021
Accepted: September 15, 2021
Article in press: September 15, 2021
Published online: November 15, 2021
Core Tip

Core Tip: The factors influencing success of flash glucose monitoring are poorly understood in people with type 1 diabetes (T1D). Therefore, we retrospectively investigated the main predictor factors and their relationship with glycemic control/glycated hemoglobin (HbA1c) levels in 195 patients with T1D. Flash glucose monitoring resulted in a clinically significant reduction in HbA1c, and the uncontrolled group (baseline HbA1c > 9) had the highest reduction in HbA1c. Age and level of engagement were negatively associated with HbA1c. Patients in the age group (18-45 years) with a high level of engagement were more likely to experience a higher- reduction in HbA1c.