Recovery of hypoglycemic confidence using intermittently scanned continuous glucose monitoring among adults with type 1 diabetes with level 3 hypoglycemia: A prospective, single-center, single-arm study
Authors' conclusion
Using isCGM improved hypoglycemic confidence among adults with type 1 diabetes. Data analysis indicated that people with type 1 diabetes could live more freely and better manage hypoglycemia using isCGM.
Study context
- Population
- Adults with T1D, one facility
- Participants
- 121 adults
- Exposure
- 12 months after initiating intermittent scanning continuous glucose monitoring (isCGM) vs baseline
- isCGMn = 121
- Outcome
- Hypoglycemic confidence change attributed to using isCGM (Hypoglycemic Confidence Scale)
- Follow-up
- Baseline to 12 months
Methodological detailssingle-center, longitudinal
- Single-center
- Longitudinal
Main finding
As reported in the abstract
HCS score
Hypoglycemic Confidence Scale (HCS) score, baseline: median (25%, 75%)
2.89
2.56, 3.22
HCS score, after isCGM: median (25%, 75%)
3.00
2.20, 3.33
Observational data: associations, not effects.
Further findings
Hypoglycemic confidence domains in participants with level 3 hypoglycemia at baseline
- Improved confidence during sleep
- P < 0.05
- Improved confidence in social situations
- P < 0.05
- Improved confidence in avoiding serious hypoglycemia-related problems
- P < 0.05
Continuing daily activities despite hypoglycemia risk
- Participants could continue daily activities by using isCGM
- P < 0.05
Effective use of trend arrows · 12 months
- Utilized trend arrows effectively
- 69%
Original publication
Recovery of hypoglycemic confidence using intermittently scanned continuous glucose monitoring among adults with type 1 diabetes with level 3 hypoglycemia: A prospective, single-center, single-arm study. Diabetes Res Clin Pract. Published 14 September 2023. doi:10. 1016/ j. diabres. 2023. 110890
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