Introduction of continuous glucose monitoring (CGM) is a key factor in decreasing HbA1c in war refugee children with type 1 diabetes
Authors' conclusion
The steepest decrease in HbA1c was observed in CwD with newly initiated CGM underlining its vital role in improving the glucose control of CwD regardless of their background.
Study context
- Population
- Ukrainian war refugee children with diabetes (CwD) during first year of stay in Czechia; 62 male, 62 female; all offered CGM at first visit
- Participants
- 124 children
- Exposure
- CGM newly received in Czechia vs CGM already from Ukraine
- Outcome
- Changes in therapy and diabetes control (HbA1c)
- Follow-up
- Baseline and every 3 months for 12 months
Main finding
As reported in the abstract
Change in HbA1c over 12 months (GEE), whole cohort of CwD · per visit (3-month intervals) over 12 months
HbA1c decreased significantly throughout the study, pace per visit
- 2.2 mmol/mol (−0.2 %pt.) per visit (P = 0.01, CI[−3.2;−1.1])
Observational data: associations, not effects.
Further findings
| Outcome | Difference in pace of decrease (mmol/mol (0.27 %pt.) per visit) (CI) | P value |
|---|---|---|
| Pace of HbA1c decrease: CGM received in Czechia vs CGM already from Ukraine · per visitDecrease significantly higher with CGM in Czechia | 2.9 (−4.4 to −1.3) | P < 0.001 |
Baseline HbA1c · median baseline
- Median baseline HbA1c
- 58 mmol/mol (IQR [48; 73]mmol/mol) (7.5 %, IQR[6.5;8.8]%)
Original publication
Introduction of continuous glucose monitoring (CGM) is a key factor in decreasing HbA1c in war refugee children with type 1 diabetes. Diabetes Res Clin Pract. Published 1 February 2024. doi:10.
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