Hypoglycemia Awareness Trajectories in Young People with Type 1 Diabetes Using Flash Glucose Monitoring
Authors' conclusion
HAS changed in a significant proportion of pediatric people with T1D over time. Participants with a trajectory toward IAH were younger. Frequent HAS assessments may help to improve hypoglycemia risk management, especially in young children with T1D.
Study context
- Population
- Children and adolescents with T1D aged 6–20 years using flash glucose monitoring
- Participants
- 255 children
- Exposure
- Hypoglycemia awareness status trajectories
- T1n = 82
- T2n = 40
- T3n = 28
- T4n = 59
- Outcome
- Hypoglycemia awareness status (Gold score) trajectories
- Follow-up
- Three time points over 2 years
Methodological details2-year follow-up, trajectory analysis, logistic regression
- 2-year follow-up
- Trajectory analysis
- Logistic regression
Main finding
As reported in the abstract
Hypoglycemia awareness status (HAS) trajectories · 2-year follow-up
- No identifiable trajectory
- 16 (7%)
Observational data: associations, not effects.
Further findings
Characteristics by trajectory
- T3 participants were younger
- Following a specific trajectory defined the risk of developing future severe hypoglycemia
Original publication
Hypoglycemia Awareness Trajectories in Young People with Type 1 Diabetes Using Flash Glucose Monitoring. Pediatr Diabetes. Published 23 October 2023. doi:10.
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