Type 1 diabetes

Persistent burden and management gaps of hypoglycemia in pediatric type 1 diabetes: insights from the Epi-GLUREDIA Study

Diabetes MetabPublished Prospective descriptive multicenter study

Authors' conclusion

Despite advances in diabetes technology, hypoglycemia remains highly prevalent, impactful, and often poorly anticipated in pediatric type 1 diabetes.

Study context

Population
Children and adolescents with T1D attending routine pediatric diabetes visits at six centers in Belgium and Luxembourg
Participants
232 children
Outcome
Hypoglycemia burden
Methodological detailsquestionnaire-based
  • Questionnaire-based

Main finding

As reported in the abstract

Hypoglycemia at least weekly, with moderate-to-high symptom severity
55.9%
Cognitive and daily-life symptoms (impaired focus, fatigue, hunger, tremor), interfering with activities
>60%
Hypoglycemia identified as the dominant disease burden
39.7%
Severe hypoglycemia (SH) reported
45.7%
SH without clear cause
29.1%

Observational data: associations, not effects.

Further findings

SH management

Recommended management, including glucagon use, inconsistently applied, even in recurrent SH

Adaptations after SH

Insulin dose reductions
27.4%
Increased sugar intake
21.1%
Avoidance of physical activities
22.1%

Questionnaire discrimination vs Clarke score

AUC
0.84

Original publication

Persistent burden and management gaps of hypoglycemia in pediatric type 1 diabetes: insights from the Epi-GLUREDIA Study. Diabetes Metab. Published 10 June 2026. doi:10.1016/j.diabet.2026.101774

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