Type 1 diabetes

Impaired Awareness and Symptomatology of Hypoglycemia in Adults With Type 1 Diabetes Using Continuous Glucose Monitoring

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

IAH continues to be associated with a significant reduction in detection of hypoglycemia symptoms, both when awake and asleep, in adults using CGM. Current diabetes technologies do not fully protect adults with T1D from hypoglycemia.

Study context

Population
Adults with T1D using continuous glucose monitoring (CGM), registrants of the T1D Exchange (US national T1D registry); 53% female, mean diabetes duration 26 years
Participants
1,480 survey completers
Exposure
Impaired awareness of hypoglycemia (IAH) vs intact hypoglycemia awareness
Outcome
Hypoglycemia frequency, symptomatology and awareness (HypoA-Q)
Methodological detailssurvey, national registry, Survey conducted in 2023
  • Survey
  • National registry
  • Survey conducted in 2023

Main finding

As reported in the abstract

Individuals with IAH not regularly experiencing symptoms during episodes with glucose <54 mg/dL

More than 70%

Observational data: associations, not effects.

Original publication

Impaired Awareness and Symptomatology of Hypoglycemia in Adults With Type 1 Diabetes Using Continuous Glucose Monitoring. J Clin Endocrinol Metab. Published 5 December 2024. doi:10.1210/clinem/dgae846

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