Type 1 diabetes

The Glycemia Risk Index Predicts Performance of Diabetes Self-Management Habits in Youth With Type 1 Diabetes Mellitus

J Diabetes Sci TechnolPublished Retrospective cohort study

Authors' conclusion

In youth using CGMs, GRI may serve as an easily obtainable metric to help identify youth with above target glycemia, and engagement/disengagement in the T1D self-management habits may inform clinicians with suitable interventions for improving glycemic outcomes.

Study context

Population
Youth with T1D using continuous glucose monitor (CGM), Midwest pediatric diabetes clinic network; aged 2.5 to 18.0 years (mean 13.8, SD 3.5), 50.8% male, 84.6% non-Hispanic White, 64.8% commercial insurance
Participants
1,182 participants6,029 clinic visits
Outcome
Relationship between GRI (7 days of CGM data) and total number of T1D self-management habits (assessed ±7 days from GRI score)
Methodological detailsmixed-effects Poisson regression
  • Mixed-effects Poisson regression

Main finding

As reported in the abstract

GRI and total number of self-management habits
  • Glycemia Risk Index (GRI) scores decreased as total number of habits performed increased
  • Adjusted for hemoglobin A1c (HbA1c), age, race, ethnicity, insurance type; participant ID as random effect

Observational data: associations, not effects.

Original publication

The Glycemia Risk Index Predicts Performance of Diabetes Self-Management Habits in Youth With Type 1 Diabetes Mellitus. J Diabetes Sci Technol. Published 6 May 2024. doi:10.1177/19322968241247215

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