The majority of youth with type 1 diabetes are above hemoglobin A1c (HbA1c) targets. Continuous glucose monitoring (CGM) has been shown to improve clinical outcomes, and use early in the course of diabetes has the potential to improve glycemic outcomes and improve quality of life. In our clinic, youth with new-onset type 1 diabetes were offered the opportunity to start on CGM (Dexcom G6) soon after diabetes diagnosis. Ongoing CGM coverage was subsequently applied for through the patient’s insurance. Following CGM initiation, youth had a 1-week follow-up with a nurse practitioner. Per clinic standard of care, youth were seen again at 1 month post-diagnosis and every 3 months thereafter. We prospectively collected data on HbA1c, continued CGM use, days of CGM wear, method of viewing CGM data, time in range (TIR), and time in hypoglycemia. Institutional review board approval was obtained for the prospective data collection. From July 2018 to April 2019, we approached 44 youth with newly diagnosed type 1 diabetes to initiate CGM. Forty-one youth (at onset: mean age 9.7 ± 4.1 years, 56% male, 90% with private insurance, 41% non-Hispanic white, HbA1c 12.2 ± 1.8% [110 mmol/mol]) were started on CGM at a mean of 9.0 ± 8.8 days post–diabetes diagnosis (Table 1). Three adolescent youth declined CGM, stating they did …

中文翻译：

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1型糖尿病诊断后不久便开始CGM，导致持续使用CGM和佩戴时间。

大多数患有1型糖尿病的年轻人都超过了血红蛋白A1c（HbA1c）指标。连续血糖监测（CGM）已被证明可以改善临床结局，在糖尿病早期阶段使用它有可能改善血糖结局并改善生活质量。在我们的诊所中，为患有新发1型糖尿病的年轻人提供了在诊断出糖尿病后立即开始CGM（Dexcom G6）的机会。随后，通过患者的保险申请了持续的CGM保险。CGM启动后，青年与一名执业护士进行了为期1周的随访。根据诊所的护理标准，在诊断后1个月和此后每3个月再次见到年轻人。我们前瞻性地收集了有关HbA1c，CGM的持续使用，CGM磨损的天数，查看CGM数据的方法，测距时间（TIR）和低血糖时间的数据。已获得机构审查委员会的批准，以收集预期数据。从2018年7月到2019年4月，我们与44位新诊断为1型糖尿病的青年进行了CGM接触。在CGM下开始接受CGM治疗的41名青年（发病年龄：平均年龄9.7±4.1岁，男性56％，有私人保险的90％，非西班牙裔白人的41％，HbA1c 12.2±1.8％[110 mmol / mol]）。糖尿病诊断后平均9.0±8.8天（表1）。三名青春期青年拒绝了CGM，并表示他们确实… 糖尿病诊断后8天（表1）。三名青春期青年拒绝了CGM，并表示他们确实… 糖尿病诊断后8天（表1）。三名青春期青年拒绝了CGM，并表示他们确实…