Obesity

Continuous Glucose Monitoring-Derived Glycemic Profiles in Adolescents With Obesity Without Diabetes

J Diabetes Sci TechnolPublished Cross-sectional study

Authors' conclusion

Among youth with obesity without diabetes, CGM revealed modest BMI-related glycemic variability and no sex differences, providing normative CGM data for this population.

Study context

Population
Youth aged 12 to 18 years with obesity (BMI > 95th percentile for age and sex) without diabetes or obesity-related complications
Participants
54 participants
Outcome
CGM metrics
Follow-up
Pre-intervention
Methodological detailsbaseline data of a 24-week behavioral weight loss intervention, unmasked continuous glucose monitoring (CGM) up to five days, free-living
  • Baseline data of a 24-week behavioral weight loss intervention
  • Unmasked CGM up to five days, free-living

Main finding

As reported in the abstract

Mean glucose, median (IQR)

114.8 mg/dL

107.0–128.3

Estimated hemoglobin A1c (HbA1c), median (IQR)

5.6%

5.4–6.1

Glucose management indicator (GMI), median (IQR)

6.1

5.9–6.4

TAR 140 mg/dL

10.1%

4.1–24.4

Observational data: associations, not effects.

Further findings

Sex differences in mean glucose, estimated hemoglobin A1c (eHbA1c), GMI

No significant sex differences

FPG vs mean CGM glucose

Positive correlation, Spearman's ρ
0.36, P = .01

Baseline HbA1c vs mean CGM glucose

Each +1% HbA1c corresponds to higher mean CGM glucose
+19 mg/dL, P = .01

%BMIp95 vs CV (quantile regression)

Significant association, adjusted for sex, age and PROMIS score
P = 0.01

Original publication

Continuous Glucose Monitoring-Derived Glycemic Profiles in Adolescents With Obesity Without Diabetes. J Diabetes Sci Technol. Published 3 April 2026. doi:10.1177/19322968261427488

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