Diabetes complications

Continuous Glucose Monitoring Metrics as a Predictor of Acute Complications in Youth with Type 1 Diabetes

Diabetes Technol TherPublished Prospective cohort study

Authors' conclusion

CGM data could serve as additional predictors for acute complications, particularly severe hypoglycemia.

Study context

Population
Youth with T1D aged 8–17 enrolled in a 24-month study
Participants
120 participants
Exposure
CGM-derived metrics and incidence of acute complications
Outcome
Incidence rates of severe hypoglycemia and DKA/severe hyperglycemia
Follow-up
285 person-years of follow-up

Main finding

As reported in the abstract

Severe hypoglycemia

Rate ratio

2.09

P = 0.003

TIR <45% vs TIR ≥45%

Rate ratio

2.03

P = 0.006

CV ≥41% vs CV <41%

Severe hypoglycemia events
75

Observational data: associations, not effects.

Further findings

Diabetic ketoacidosis (DKA)/severe hyperglycemia events
15
No CGM metrics significantly associated with DKA/severe hyperglycemia

Original publication

Continuous Glucose Monitoring Metrics as a Predictor of Acute Complications in Youth with Type 1 Diabetes. Diabetes Technol Ther. Published 23 June 2025. doi:10.1089/dia.2025.0233

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