Type 1 diabetes

Insulin Resistance and CGM-Derived Parameters in People With Type 1 Diabetes: Are They Associated?

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

In people with T1D, an association between IR, measured by eGDR, and worse CGM profiles was observed.

Study context

Population
People with T1D; mean age 46 ± 17 years, 55% male; Insulin resistance (IR) by estimated glucose disposal rate (eGDR) or hyperinsulinemic-euglycemic clamp (HEC); glucometrics over 28 days
Participants
287 people
Exposure
Lowest vs highest eGDR tertile
Outcome
TAR
Follow-up
28 days
Methodological detailsretrospective analysis of 2 databases
  • Retrospective analysis of 2 databases

Main finding

As reported in the abstract

P = 0.043

Observational data: associations, not effects.

Further findings

Higher eGDR and glucometric tertiles (logistic regression)

Higher time in range (TIR)-tertile
OR 1.251, P < .001
Lower time above range (TAR)-tertile
OR 1.281, P < .001
Higher time below range (TBR)-tertile
OR 0.893, P = .039
  • Adjusted for age, sex, diabetes duration, smoking status, and alcohol intake

Glucometrics vs HEC-determined M-value

No significant association between glucometrics and M-value (n = 48)

Original publication

Insulin Resistance and CGM-Derived Parameters in People With Type 1 Diabetes: Are They Associated? J Clin Endocrinol Metab. Published 10 January 2024. doi:10.1210/clinem/dgae015

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