P-482: Continuous glucose monitoring at diabetes camp: effects on adolescent confidence, glycemia, and parent perceptions
M Crawford, T Eren, C Hicks, N Gopisetty, M Campos, N Gibson-North, E Hixson, H SinghAbstract
Introduction
Diabetes camps provide adolescents with a supervised setting to practice independent diabetes self-management. Dexcom CGM powers the ViewsEMR monitoring platform, enabling real-time, population-level glucose monitoring.
Objectives
To evaluate the impact of Dexcom CGM integrated with ViewsEMR on diabetes management behaviors and perceptions among adolescent campers and their parents at a U.S. weekend diabetes camp.
Methods
Surveys were administered pre- and post-camp, and Dexcom CGM metrics were collected. Semi-structured interviews and focus groups explored experiences with CGM and ViewsEMR. Patient reported outcomes and glycemic metrics were analyzed for the full cohort and age-based subgroups.
Results
Sample included 21 campers with type 1 diabetes (62% female, mean ± SD age 14 ± 2 years, diabetes duration 5 ± 4 years, all used Dexcom CGM, 86% used insulin pump) and 16 parents. All parents reported increased confidence in their child’s diabetes-related safety with CGM use and 81% felt Dexcom-ViewsEMR supported camp care. Among campers, all reported CGM was helpful at camp, 71% felt diabetes was easier to manage, and 81% felt consistently supported. Campers < 14 years reported lower confidence in independent diabetes management pre-camp than older campers (p<0.05). Overall, confidence in diabetes management increased from 71% pre-to 95% post-camp (p<0.05). Mean glucose during camp (166 ± 29 mg/dL) was significantly lower than the 10 days before and after (both p<0.05). Qualitative analysis identified four themes: reduced family anxiety, enhanced safety via Share/Follow, support for adolescent independence, and an empowering camp experience enabled by ViewsEMR.
Conclusions
Dexcom CGM integrated with ViewsEMR supported improved glycemic outcomes, greater adolescent self-management confidence, and enhanced parental confidence in safety during diabetes camp. These findings highlight the potential of real-time CGM monitoring platforms to promote independence and support transition to adult diabetes care.