Type 1 diabetes

Effect of Christmas Holidays on Type 1 Diabetes Mellitus in Users of Glucose Flash Systems

Endocr PractPublished Retrospective cohort study

Authors' conclusion

Christmas holidays are associated with a mild and reversible deterioration in glucose metrics among individuals with T1D using flash continuous glucose monitoring, irrespective of additional influencing factors. These discoveries can be useful to advise individuals with diabetes during the festive season and to recognize potential biases within studies conducted during this timeframe.

Study context

Population
Adults with T1D using flash CGM, 3 hospitals
Participants
812 adults
Exposure
Christmas holidays vs December and February control periods
Outcome
TIR
Methodological detailsmulticentre (3 hospitals), adjusted analyses
  • Multicentre (3 hospitals)
  • Adjusted analyses

Main finding

As reported in the abstract

Christmas holidays vs December: P < 0.001 · Christmas holidays vs February: P < 0.001

Linear regression: holidays reduced TIR by 1.9% (β = −1.92)
P = 0.005

Observational data: associations, not effects.

Further findings

TAR >180 mg/dL — Christmas holidays vs December · higher with Christmas holidays

P < 0.001

OutcomeP value
TAR >180 mg/dLChristmas holidays vs February · higher with Christmas holidaysP < 0.001
TAR >180 mg/dL — Linear regression: holidays increased TAR >180 mg/dL by 1.8% (β = 1.75)
P = .016

TAR >250 mg/dL, CV and average glucose

Differences observed
P < 0.05

TBR and other metrics

No differences found

Original publication

Effect of Christmas Holidays on Type 1 Diabetes Mellitus in Users of Glucose Flash Systems. Endocr Pract. Published 1 February 2024. doi:10.1016/j.eprac.2024.01.011

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