Diabetes technology

Preserved cardiac vagal tone is associated with nocturnal glycaemic stability

DiabetologiaPublished Cross-sectional study

Authors' conclusion

Preserved CVT, indicating normal central parasympathetic tone, is associated with a stable and dynamically regulated glucose profile with reduced adverse glucose mobilisation during sleep.

Study context

Population
Individuals without diabetes and with T2D, aged 45–75 years; nocturnal ECG-derived cardiac vagal tone (CVT) (ProCVT SmartSheet) and Dexcom G6 continuous glucose monitoring (CGM)N=50 analysed
Exposure
Normal CVT vs poor CVT
Outcome
Association between CVT and CGM outcomes during sleep
Methodological details72 h home monitoring, blinded CGM
  • 72 h home monitoring
  • Blinded CGM

Main finding

As reported in the abstract

Higher nocturnal CVT predicted lower glucose CV

β=−0.8

p=0.030

Higher nocturnal CVT predicted greater time in tight range

β=5.2

p=0.001

Observational data: associations, not effects.

Further findings

Higher CVT and CGM outcomes, individuals without diabetes

Reduced risk of hyperglycaemia
−10.2%, p=0.015
Reduced TAR
−11.8%, p=0.015
Reduced time in moderate hyperglycaemia
−11.8%, p=0.015
Increased glucose mobility
β=0.014, p=0.029

Poor CVT at 15 min segment level and glucose in subsequent period, all individuals

Increase in glucose with poor CVT
1.9%, p=0.049

Original publication

Preserved cardiac vagal tone is associated with nocturnal glycaemic stability. Diabetologia. Published 9 September 2026. doi:10.1007/s00125-026-06844-w

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