Impact of Simplification Strategies on Postmeal Glucose Excursions in Older Adults with Type 1 Diabetes and Hypoglycemia
Authors' conclusion
Simplification strategies in older adults with T1D resulted in fewer episodes of postmeal hypoglycemia without worsening episodes of postmeal hyperglycemia.
Study context
- Population
- Older adults with T1D (71 ± 5 years) and hypoglycaemia
- Participants
- 88 adults
- Comparison
- Mealtime simplification strategies vs control
- Interventionn = 47
- Controln = 41reference
- Primary endpoint
- Weekly postmeal hypoglycemia and hyperglycemia episodes
- Follow-up
- Baseline to 6 months
Primary result
As reported in the abstract
Mean change in episodes of postmeal hypoglycemia
- Intervention vs Control: P = 0.02
- Intervention vs Control: P = 0.05
- Intervention vs Control: P = 0.04
Further findings
| Outcome | Intervention | Control | P value |
|---|---|---|---|
| Mean change in episodes of postmeal hyperglycemia · baseline to 6 monthsAfter breakfast | −2.05 | −1 | P = 0.04 |
| Mean change in episodes of postmeal hyperglycemia · baseline to 6 monthsAfter lunch | −1.23 | −0.87 | P = 0.09 |
| Mean change in episodes of postmeal hyperglycemia · baseline to 6 monthsAfter dinner | −1.45 | −1.66 | P = 0.33 |
Baseline postmeal hypo- and hyperglycemia episodes
- Similar number of episodes in intervention and control
Original publication
Impact of Simplification Strategies on Postmeal Glucose Excursions in Older Adults with Type 1 Diabetes and Hypoglycemia. Diabetes Technol Ther. Published 25 September 2025. doi:10.
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