Moving the Goalposts: Do Adults With Type 1 Diabetes Want Time in Tight Range?
Authors' conclusion
Results indicate that TITR may be a welcome shift for some who are already using the tighter metric but may add risks and psychosocial and self-management burden even in a group of adults predominantly using automated insulin delivery and achieving current HbA1c goals. Including the perspectives of people with type 1 diabetes in decision-making around CGM metrics will be important for the implementation of new clinical targets to improve patient care.
Study context
- Population
- Adult continuous glucose monitoring (CGM) users with T1D; age 42.7 ± 16.7 years, 55% female, 91% non-Hispanic White, 23 ± 16 years with diabetes, HbA1c 6.5 ± 0.6% (48 ± 6 mmol/mol); 88% used AID
- Participants
- 33 users
- Outcome
- Attitudes toward time in tight range (TITR: 70-140 mg/dL)
Methodological detailscontent analysis, Focus groups audio-recorded, transcribed and analyzed using content analysis
- Content analysis
- Focus groups audio-recorded, transcribed and analyzed using content analysis
Main finding
As reported in the abstract
Attitudes toward TITR
- Some approved of TITR for the potential to improve their long-term health
- Concerns about TITR: increased management burden; risk of anxiety, hypoglycemia, disordered eating; feelings of failure
- Participants advocated flexible, personalized clinical targets and better technologies, insulins and access to make TITR achievable
Original publication
Moving the Goalposts: Do Adults With Type 1 Diabetes Want Time in Tight Range? Endocr Pract. Published 18 April 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →