Improved Effectiveness of Immediate Continuous Glucose Monitoring in Hypoglycemia-Prone People with Type 1 Diabetes Compared with Hypoglycemia-Focused Psychoeducation Following a Previous Structured Education: A Randomized Controlled Trial
Primary result · Patients reporting SHEResult — go to the resultDecrease −39%Authors' conclusion
Immediate start of CGM is more effective than a hypoglycemia-focused reeducation program in reducing SHE risk and attaining glycemic targets in individuals with problematic hypoglycemia and IAH despite previous education in insulin dose adjustment.
Study context
- Population
- T1D patients with problematic hypoglycemia despite previous structured education in insulin adjustment; mean age 53, 56% females
- Participants
- 52 patients
- Comparison
- Stepped-care vs immediate continuous glucose monitoring (CGM)
- Primary endpoint
- Number of participants with self-reported severe hypoglycemic event (SHE)
Primary result
Patients reporting SHE · 6 months
Decrease
−39%
P < 0.05
As reported in the abstract
Secondary outcomes
IAH restored · 6 months
| Outcome | Stepped-care | CGM | Difference (percentage-points) | P value |
|---|---|---|---|---|
| HbA1c · 6 monthsDecreased more with CGM | −0.47 | P < 0.05 | ||
| TBR (<54 mg/dL) · 6 months | −2.4 | P < 0.05 | ||
| Started CGM/isCGM in stepped-care | 93% | — not stated in the abstract |
— not stated in the abstract
Patients reporting severe hypoglycemic event (SHE) · 12 months
- Still higher in the stepped-care group
Patient-reported outcomes (PROs)
- No differences were found in PROs
Original publication
Improved Effectiveness of Immediate Continuous Glucose Monitoring in Hypoglycemia-Prone People with Type 1 Diabetes Compared with Hypoglycemia-Focused Psychoeducation Following a Previous Structured Education: A Randomized Controlled Trial. Diabetes Technol Ther. Published 23 November 2022. doi:10.
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