Type 1 diabetes

Longitudinal study of arterial stiffness in pediatric patients with Type 1 Diabetes Mellitus (T1DM). Correlations with glycemic metrics derived from Continuous Glucose Monitoring (CGM) devices

Diabetes Res Clin PractPublished Prospective longitudinal cohort study

Authors' conclusion

New glycemic metrics seem to serve as more sensitive and early predictors of CVD in young patients with T1DM. Further studies are needed to replicate and confirm these preliminary results.

Study context

Population
Youths with T1D; mean age 10.72 ± 3.35 yearscompleted 3 visits
Participants
87 participants
Exposure
Time in range (TIR) improvers vs TIR non-improvers; HbA1c improvers vs HbA1c non-improvers
Outcome
Arterial stiffness (PWV, AIx@75) as early cardiovascular disease (CVD) indicators and associations with CGM-derived metrics
Methodological details3 visits at six-to-twelve-month intervals
  • 3 visits at six-to-twelve-month intervals

Main finding

As reported in the abstract

Δ PWV Z-score for age and Δ systolic BP index
  • TIR improvers showed significant improvement in Δ Pulse Wave Velocity (PWV) Z-score for age and in Δ systolic BP index
  • No significant difference between HbA1c improvers and non-improvers

Observational data: associations, not effects.

Original publication

Longitudinal study of arterial stiffness in pediatric patients with Type 1 Diabetes Mellitus (T1DM). Correlations with glycemic metrics derived from Continuous Glucose Monitoring (CGM) devices. Diabetes Res Clin Pract. Published 29 January 2026. doi:10.1016/j.diabres.2026.113132

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