Type 1 diabetes

Characteristics of Nocturnal Hypoglycaemic Events and Their Impact on Glycaemia

J Diabetes Sci TechnolPublished Observational study

Authors' conclusion

The results showed that nocturnal hypoglycaemic events are a common occurrence in persons with type 1 diabetes using MDI with significant differences between the characteristics of nocturnal and diurnal events.

Study context

Population
People with T1D using multiple daily injections (MDI) therapy
Participants
185 people
Exposure
Nocturnal vs diurnal periods
Outcome
Incidence of hypoglycaemic events <70 mg/dl
Methodological detailsContinuous glucose monitoring (CGM) data under everyday conditions, up to 13 weeks
  • CGM data under everyday conditions
  • Up to 13 weeks

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Duration of hypoglycaemic events <70 mg/dl

Time below range (TBR), TB54 and incidence of events <54 mg/dl

Not significantly different between night and day

Duration of hypoglycaemic events <70 mg/dl

Nocturnal events significantly longer and enveloped by less rapidly changing glucose levels

Glycaemia on days following nights with hypoglycaemic events

Decrease in time above range (TAR), mean CGM glucose and morning glucose; increase in TB54, TBR and coefficient of variation (CV)

Original publication

Characteristics of Nocturnal Hypoglycaemic Events and Their Impact on Glycaemia. J Diabetes Sci Technol. Published 19 August 2024. doi:10.1177/19322968241267765

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