Type 1 diabetes

The long‐term impact of glucose monitoring with theFreeStyleLibre on glycaemic control and hypoglycaemia awareness in people with type 1 diabetes: Insights from the Association of British Clinical Diabetologists national audit

Diabet MedPublished Retrospective cohort study

Authors' conclusion

In people with T1D, FSL use resulted in a sustained improvement in HbA1c, hypoglycaemia awareness and diabetes-related distress for over two years.

Study context

Population
People with T1D using FreeStyle Libre (FSL), UK-wide hospitals, Association of British Clinical Diabetologists national audit8,629 with follow-up
Participants
16,834 people
Exposure
Change from baseline in HbA1c, GOLD and DDS score by duration of FSL follow-up
  • Group In = 6,940
  • Group IIn = 662
  • Group IIIn = 385
  • Group IVn = 642
Outcome
Change in HbA1c, hypoglycaemia awareness (GOLD score) and diabetes-related distress (DDS score) from baseline
Follow-up
2-year follow-up period
Methodological detailsnational audit, routine clinical care data, UK-wide hospitals
  • National audit
  • Routine clinical care data
  • UK-wide hospitals

Main finding

As reported in the abstract

Change in HbA1c from baseline
GroupValue%
Group I−6 mmol/mol−0.55
Group II−6 mmol/mol−0.55
Group III−4 mmol/mol−0.37
Group IV−4 mmol/mol−0.37

Value

Group I−6 mmol/mol
Group II−6 mmol/mol
Group III−4 mmol/mol
Group IV−4 mmol/mol

%

Group I−0.55
Group II−0.55
Group III−0.37
Group IV−0.37
Change from baseline (t-test)
P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeGroup IGroup IIGroup IIIGroup IV
Change in GOLD score from baseline−0.31−0.45−0.26−0.42
Change in DDS score from baseline−0.59−0.58−0.63−0.50
Change in GOLD score from baseline — Change from baseline, groups I, II, IV
p < 0.0001
Change in GOLD score from baseline — Change from baseline, group III
p 0.07
Change in DDS score from baseline — Change from baseline
p < 0.001

Original publication

The long‐term impact of glucose monitoring with theFreeStyleLibre on glycaemic control and hypoglycaemia awareness in people with type 1 diabetes: Insights from the Association of British Clinical Diabetologists national audit. Diabet Med. Published 30 March 2023. doi:10.1111/dme.15070

Composed by AI from the published abstract and checked against it. How Briefs are made →

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