Type 1 diabetes

Effects of the COVID-19 booster vaccine on glycemia and insulin resistance in people with type 1 diabetes: A prospective pilot study

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

These results suggest that adults with type 1 diabetes may experience transient mild glycemic elevations after receiving a COVID-19 booster vaccination. Studies examining the effects of other vaccines are warranted.

Study context

Population
Adults with T1D receiving a COVID-19 booster vaccine (38% Moderna, 62% Pfizer-BioNTech)enrolled
Participants
21 adults
Exposure
Post-vaccination vs pre-vaccination baseline
Outcome
Changes in glycemic control and insulin usage around a COVID-19 booster vaccine
Methodological detailspilot, blinded CGM, Blinded Dexcom G6 Pro CGM worn for 10 days
  • Pilot
  • Blinded CGM
  • Blinded Dexcom G6 Pro CGM worn for 10 days

Main finding

As reported in the abstract

Mean glucose

Day 2 vs Baseline: P = 0.04 · Day 3 vs Baseline: P = 0.02

Observational data: associations, not effects.

Further findings

OutcomeP value
Insulin resistance · Day 2Day 2 vs Baseline · increasedP = 0.03

Outcome metrics by booster vaccine manufacturer

No differences in outcome metrics between booster vaccine manufacturers

Original publication

Effects of the COVID-19 booster vaccine on glycemia and insulin resistance in people with type 1 diabetes: A prospective pilot study. Diabetes Res Clin Pract. Published 9 September 2023. doi:10.1016/j.diabres.2023.110898

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