Type 1 diabetes

Glycemic Variability and Time in Range Are Associated with the Risk of Overweight and High LDL-Cholesterol in Children and Youths with Type 1 Diabetes

Horm Res PaediatrPublished Cross-sectional study

Authors' conclusion

CGM metrics of glycemic control and variability were significantly associated with the risk of overweight in females and high LDL-c in both sexes.

Study context

Population
Children and youths with T1D with BMI, blood pressure (BP), lipid profile and continuous glucose monitoring (CGM) data
Participants
895 children
Exposure
CGM metrics vs cardiovascular risk factors
Outcome
Independent associations between cardiovascular risk factors (CVRFs) (BMI >85th percentile, LDL-C >100 mg/dL, BP >90th percentile) and CGM metrics
Methodological detailsbinary multivariable logistic regression, sex-stratified, adjusted for confounding factors
  • Binary multivariable logistic regression
  • Sex-stratified
  • Adjusted for confounding factors

Main finding

As reported in the abstract

Associations of CGM metrics with CVRFs

Time in range (TIR) <70% associated with LDL-C >100 mg/dL, males (OR)

3.2

TIR <70% associated with LDL-C >100 mg/dL, females (OR)

2.1

CV >36% associated with overweight, females (OR)

2.1

Observational data: associations, not effects.

Further findings

Correlations of CGM metrics with BMI percentile and LDL-C

In both sexes, hypoglycaemia metrics and %CV positively correlated with BMI percentile
LDL-C positively correlated with mean glucose and hyperglycaemia metrics
LDL-C negatively correlated with TIR

Original publication

Glycemic Variability and Time in Range Are Associated with the Risk of Overweight and High LDL-Cholesterol in Children and Youths with Type 1 Diabetes. Horm Res Paediatr. Published 15 December 2023. doi:10.1159/000535554

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