Type 1 diabetes

Glycaemia and cardiac arrhythmias in people with type 1 diabetes: A prospective observational study

Diabetes Obes MetabPublished Prospective observational study

Authors' conclusion

Acute hypoglycaemia and hyperglycaemia during daytime may increase the risk of arrhythmias in individuals with type 1 diabetes. However, no such associations were found during night-time, indicating diurnal differences in arrhythmia susceptibility.

Study context

Population
Adults with T1D
Participants
30 adults
Exposure
Hypoglycaemia, hyperglycaemia and glycaemic variability vs euglycaemia
Outcome
Daytime and night-time incident rate ratios (IRRs) of arrhythmias
Follow-up
12 months
Methodological detailsexploratory, 12-month
  • Exploratory
  • 12-month

Main finding

As reported in the abstract

Arrhythmia risk
Each group vs euglycaemiaEstimate (95% CI)
Hypoglycaemiadaytime; trend
IRR per 5 minutes in hypoglycaemia 1.08(0.99–1.18)
Hyperglycaemiadaytime
IRR, occurrence of hyperglycaemia 2.03(1.21–3.40)
Hyperglycaemiadaytime
IRR per 5 minutes in hyperglycaemia 1.07(1.02–1.13)

Observational data: associations, not effects.

Further findings

Glycaemic variability (SD and CV) and arrhythmia risk

Increased glycaemic variability not associated with increased arrhythmia risk during daytime; reduced risk during night-time

Original publication

Glycaemia and cardiac arrhythmias in people with type 1 diabetes: A prospective observational study. Diabetes Obes Metab. Published 18 May 2023. doi:10.1111/dom.15108

Composed by AI from the published abstract and checked against it. How Briefs are made →

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