Type 1 diabetes

Limitations in Achieving Glycemic Targets From Continuous Glucose Monitoring (CGM) Data and Persistence of Severe Hypoglycemia in Adults With Type 1 Diabetes Regardless of Insulin Delivery Method

Diabetes CarePublished Cross-sectional study

Authors' conclusion

Despite use of diabetes technologies, many individuals are unable to achieve glycemic targets and experience severe hypoglycemia, highlighting the need for novel treatments.

Study context

Population
Adults with T1D from the T1D Exchange Registry/online communities; mean ± SD age 41.9 ± 15.7 years
Participants
926 adults
Exposure
Glycemic outcomes by insulin delivery method
Outcome
Glycemic outcomes in AID users
Methodological detailsonline survey, retrospective CGM data for up to 1 year
  • Online survey
  • Retrospective CGM data for up to 1 year

Main finding

As reported in the abstract

Automated insulin delivery (AID) use

50.8%

AID users not achieving TIR targets

27.9%

AID users reporting severe hypoglycemic events

15.5%

AID users with CGM-detected level 2 hypoglycemic events

16.0%

Observational data: associations, not effects.

Original publication

Limitations in Achieving Glycemic Targets From CGM Data and Persistence of Severe Hypoglycemia in Adults With Type 1 Diabetes Regardless of Insulin Delivery Method. Diabetes Care. Published 19 December 2024. doi:10.2337/dc24-1474

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