T1DM – CGM — RACP Paediatrics MCQ

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ModerateEndocrineT1DM – CGMRACP Paediatrics

A 14-year-old with T1DM on MDI has an HbA1c of 80 mmol/mol (target <53 mmol/mol) despite education and dose optimisation. He has frequent hypoglycaemia unawareness. What technology should be prioritised?

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Correct answer: A — Continuous glucose monitoring (CGM)

Continuous glucose monitoring (CGM) is recommended for all children with T1DM, particularly those with hypoglycaemia unawareness, suboptimal HbA1c, or significant glycaemic variability. Real-time CGM with alerts significantly reduces hypoglycaemia and improves time-in-range. CGM is subsidised through the NDSS in Australia.

Reference: RCH Melbourne – 2023 – T1DM CPG; ISPAD – 2022 – T1DM Guidelines; NDSS Australia