Nocturnal Hypoglycemia: Characterization with Continuous Glucose Monitoring in a Real-World Setting
Authors' conclusion
These results showed that nocturnal hypoglycemia is characterized by longer duration and slower recovery than daytime hypoglycemia, with significant effects on next-day glycemic control, which emphasizes the need for improved prevention strategies.
Study context
- Population
- People with T1D or T2D using MDI; Continuous glucose monitoring (CGM) data during first month of use, January 2010–September 2023
- Participants
- 3,696 vs 441
- Exposure
- Nocturnal vs diurnal hypoglycemia in T1D and T2D
- T1Dn = 3,696
- T2Dn = 441
- Outcome
- Frequency and duration of nocturnal vs diurnal hypoglycemic events (CGM readings <70 mg/dL or <54 mg/dL for ≥15 min)
- Follow-up
- First month of CGM use
Methodological detailsreal-world
- Real-world
Main finding
As reported in the abstract
T1D nocturnal vs diurnal events per week, median [IQR]
0.54 [0.0, 1.5] vs 2.25 [0.64, 5.25]
T2D nocturnal vs diurnal events per week, median [IQR]
0 [0.0, 0.52] vs 0.30 [0.0, 1.21]
Observational data: associations, not effects.
Further findings
Next-day glycemia after nocturnal hypoglycemia
- Significant changes in multiple glycemic parameters on days after nocturnal hypoglycemic events vs days after nights without hypoglycemia; suggests heightened risk of morning hypoglycemia
Original publication
Nocturnal Hypoglycemia: Characterization with Continuous Glucose Monitoring in a Real-World Setting. Diabetes Technol Ther. Published 21 August 2025. doi:10. 1177/ 15209156251369884
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