A Nurse‐Led Educational Intervention for Patients With Type 1 Diabetes Using Continuous Glucose Monitoring
BACKGROUND: The primary barrier to maximizing the benefits of intermittently scanned continuous glucose monitoring (isCGM) is low scan frequency. Higher daily scan frequency correlates with better glycemic control. AIM: To evaluate the effect of a nurse-led educational intervention on scan frequency and behavioral change in adults with type 1 diabetes (T1D) showing low scanning frequency. METHODS: In this 12-week quasi-experimental study, adults with T1D using isCGM and low scan frequency participated in a single, individualized, direct education session led by a diabetes nurse educator. The intervention focused on increasing daily scan frequency and supporting patient engagement in self-management. RESULTS: Thirty-four patients using isCGM participated. Mean daily scan frequency increased from 3.1 to 6.1 scans/day following the intervention. This rise was associated with an 8.0% improvement in TIR. A positive correlation was observed between scan frequency and TIR, with each additional daily scan associated with a 0.51% increase in TIR. LINKING EVIDENCE TO ACTION: A single, targeted educational session can significantly improve isCGM adherence and glycemic control in adults with T1D and low adherence, supporting its value as a practical strategy in routine clinical care. TRIAL REGISTRATION: The protocol was publicly registered at ClinicalTrials.gov (NCT05570162).
Authors
- Verónica Izquierdo (ORCID: https://orcid.org/0000-0001-7257-6904)
- Marcos Pazos-Couselo (ORCID: https://orcid.org/0000-0003-2841-4232)
- Mercedes Muñoz Martínez
- Jesús Moreno-Fernández (ORCID: https://orcid.org/0000-0002-9703-1094)
- J. Muñoz-Rodríguez
- Antia Fernandez-Pombo
- Francisco Javier Gómez Romero
Institutions
- Universidade de Santiago de Compostela (ES)
- Complejo Hospitalario Universitario de Santiago (ES)
- Hospital General Universitario de Ciudad Real (ES)
- Instituto de Investigación Sanitaria de Santiago (ES)
- University of California, Davis (US)
Publication Details
- Journal
- Worldviews on Evidence-Based Nursing
- Published
- 2026-04-01
- DOI
- https://doi.org/10.1111/wvn.70139
- Primary Topic
- Diabetes Management and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00