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
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
| Group | Value | % |
|---|---|---|
| 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
| Outcome | Group I | Group II | Group III | Group 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
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