Severe Hypoglycemia and Impaired Awareness of Hypoglycemia Persist in People With Type 1 Diabetes Despite Use of Diabetes Technology: Results From a Cross-sectional Survey
Authors' conclusion
Despite use of advanced diabetes technologies, a high proportion of people with type 1 diabetes do not achieve glycemic targets and continue to experience SHEs and IAH, suggesting an ongoing need for improved treatment strategies.
Study context
- Population
- Adults aged ≥18 years with T1D from the T1D Exchange Registry/online community, U.S.; mean ± SD age 43.0 ± 15.6 years, T1D duration 26.3 ± 15.3 years
- Participants
- 2,074 adults
- Outcome
- Proportions of participants reporting achieving glycemic targets (self-reported HbA1c) and having SHEs and/or IAH
Methodological detailsretrospective, observational, online survey
- Retrospective
- Observational
- Online survey
Main finding
As reported in the abstract
Glycemic targets, SHEs and IAH
Achieved glycemic targets (HbA1c <7%)
57.7%
At least one SHE within prior 12 months
∼20%
Impaired awareness of hypoglycemia (IAH)
30.7%
95% CI 28.7, 32.7
Observational data: associations, not effects.
Further findings
Technology use
- Using continuous glucose monitoring (CGM)
- 91.7%
- Incorporating automated insulin delivery (AID)
- 50.8%
Original publication
Severe Hypoglycemia and Impaired Awareness of Hypoglycemia Persist in People With Type 1 Diabetes Despite Use of Diabetes Technology: Results From a Cross-sectional Survey. Diabetes Care. Published 31 January 2024. doi:10.
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