{"doi":"10.1111/dme.15423","title":"‘We're taught green is good’: Perspectives on time in range and time in tight range from youth with type 1 diabetes, and parents of youth with type 1 diabetes","abstract":"AIMS: Continuous glucose monitoring (CGM) systems are standard of care for youth with type 1 diabetes with the goal of spending >70% time in range (TIR; 70-180 mg/dL, 3.9-10 mmol/L). We aimed to understand paediatric CGM user experiences with TIR metrics considering recent discussion of shifting to time in tight range (TITR; >50% time between 70 and 140 mg/dL, 3.9 and 7.8 mmol/L). METHODS: Semi-structured interviews and focus groups with adolescents with type 1 diabetes and parents of youth with type 1 diabetes focused on experiences with TIR goals and reactions to TITR. Groups and interviews were audio-recorded, transcribed and analysed using content analysis. RESULTS: Thirty participants (N = 19 parents: age 43.6 ± 5.3 years, 79% female, 47% non-Hispanic White, 20 ± 5 months since child's diagnosis; N = 11 adolescents: age 15.3 ± 2 years, 55% female, 55% non-Hispanic White, 16 ± 3 months since diagnosis) attended. Participants had varying levels of understanding of TIR. Some developed personally preferred glucose ranges. Parents often aimed to surpass 70% TIR. Many described feelings of stress and disappointment when they did not meet a TIR goal. Concerns about TITR included increased stress and burden; risk of hypoglycaemia; and family conflict. Some participants said TITR would not change their daily lives; others said it would improve their diabetes management. Families requested care team support and a clear scientific rationale for TITR. CONCLUSIONS: The wealth of CGM data creates frequent opportunities for assessing diabetes management and carries implications for management burden. Input from people with type 1 diabetes and their families will be critical in considering a shift in glycaemic goals and targets.","journal":"Diabetic Medicine","year":2024,"id":453126,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9582,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":903750,"name":"Erica Pang","orcid":"0000-0001-8387-224X","position":1,"is_corresponding":false},{"id":1025548,"name":"Rachel Tam","orcid":"0009-0009-8556-1109","position":2,"is_corresponding":false},{"id":903751,"name":"Franziska K. Bishop","orcid":"0009-0001-3089-9454","position":3,"is_corresponding":false},{"id":645921,"name":"Priya Prahalad","orcid":"0000-0002-3894-4344","position":4,"is_corresponding":false},{"id":645923,"name":"Dessi P. Zaharieva","orcid":"0000-0002-9374-8469","position":5,"is_corresponding":false},{"id":294877,"name":"Ananta Addala","orcid":"0000-0002-0508-4309","position":6,"is_corresponding":false},{"id":823511,"name":"Jessie J. Wong","orcid":"0000-0003-2093-4647","position":7,"is_corresponding":false},{"id":515289,"name":"Diana Naranjo","orcid":"0000-0001-8039-0616","position":8,"is_corresponding":false},{"id":515288,"name":"Korey K. Hood","orcid":"0000-0001-5730-7749","position":9,"is_corresponding":false},{"id":42063,"name":"David M. Maahs","orcid":"0000-0002-4602-7909","position":10,"is_corresponding":false},{"id":704985,"name":"Molly L. Tanenbaum","orcid":"0000-0003-4222-4224","position":0,"is_corresponding":true}],"reference_count":28,"raw_metadata":null,"created_at":"2026-07-19T02:02:58.784290Z","pmid":"39118381","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}