Tarcin, GurkanAtas, NurguelYasar, MevraSahin, Kadriye CansuTrabzon, GuelDundar, IsmailCicek, Dilek2026-04-042026-04-0420251308-57271308-5735https://doi.org/10.4274/jcrpe.galenos.2024.2024-9-9https://search.trdizin.gov.tr/tr/yayin/detay/1316646https://hdl.handle.net/11616/108403Objective: To evaluate the impact of continuous glucose monitoring (CGM) assistance on glycemic control in children with type 1 diabetes (T1D) in earthquake-affected regions, comparing those who benefited from CGM with those who did not. Additionally, the study assessed changes in CGM metrics over nine months of CGM use. Methods: A multicenter, cross-sectional study was conducted across 11 centers in Turkiye. Children with T1D were divided into two groups: those who received CGM support (CGM+) and those who continued with finger-stick glucose monitoring (CGM-). Hemoglobin A1c (HbA1c) levels were measured at four intervals: pre-earthquake, 3-6 months, 6-9 months, and 9-12 months post-earthquake. In the second phase, CGM metrics were analyzed over 90-day intervals in the CGM+ group with at least 85% sensor usage. Results: A total of 532 children were included. Median HbA1c levels decreased from 9.1% pre-earthquake to 8.8% 3-6 months post-earthquake (p=0.027). In the CGM+ group, HbA1c levels significantly decreased from 8.8% to 8.3% (p<0.001), while no significant change was observed in the CGM- group. Of the 412 subjects with access to CGM reports, 105 (25.4%) had less than 85% sensor usage and were excluded. In the remaining 307 patients, there was a significant increase in active sensor time and daily glucose measurements, along with a reduction in hypoglycemia frequency over the 90-day intervals (p<0.001 for all three). Conclusion: CGM assistance improved glycemic control in children with T1D, even under the challenging conditions following a devastating earthquake. These findings highlight the need for broader access to CGM devices to enhance diabetes management.eninfo:eu-repo/semantics/openAccessContinuous glucose monitoringdiabetesearthquakeglucose sensorArticle1721611673971101710.4274/jcrpe.galenos.2024.2024-9-92-s2.0-105007116952Q21316646WOS:001499813000001Q30000-0001-8666-44540000-0002-2861-35680000-0002-8144-44090000-0003-1468-6405