Diabetes complications

Association of Smartphone-Based Activity Tracking and Nocturnal Hypoglycemia in People With Type 1 Diabetes

J Diabetes Sci TechnolPublished Pilot observational study

Authors' conclusion

Daily PA measured by a smartphone-based step tracker was associated with the risk of NH in people with type 1 diabetes.

Study context

Population
Adults with T1D for ≥5 years on MDI or CSII, not using CGM, HbA1c 6 to 10%; 65.4% females, median age 27 years (IQR 26–32), median HbA1c 7.6% (7.1–8.1)
Participants
26 adults
Outcome
NH (sensor glucose <70, <54 mg/dl for ≥15 minutes) in relation to daily step count
Methodological detailsblinded flash glucose sensors, mixed effects logistic regression
  • Blinded flash glucose sensors
  • Mixed effects logistic regression

Main finding

As reported in the abstract

Effect of daily step count on NH <70 mg/dl

OR for nocturnal hypoglycemia (NH) <70 mg/dl per daily step count (DSC)

1.11

95% CI 1.01–1.23P = .04

Observational data: associations, not effects.

Further findings

Daily step count

Median DSC (IQR 1820-4807)
2867

Original publication

Association of Smartphone-Based Activity Tracking and Nocturnal Hypoglycemia in People With Type 1 Diabetes. J Diabetes Sci Technol. Published 12 July 2023. doi:10.1177/19322968231186401

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