Type 1 diabetes

The Use of Extreme Value Statistics to Characterize Blood Glucose Curves and Patient Level Risk Assessment of Patients With Type I Diabetes

J Diabetes Sci TechnolPublished Methodological study

An erratum to this article was published (J Diabetes Sci Technol, Jul 2023 ↗)

Authors' conclusion

Through these estimates it is possible to assess each patient's individual clinical risk of hyperglycemia even beyond the observed blood glucose levels and detection limits. Additionally, it allows the assessment of the impact of clinical characteristics and treatments on blood glucose control in a novel, mathematically well-founded and potentially clinically more useful way than the already existing indicators.

Study context

Population
Patients with T1D
Participants
226 patients170.8 patient-years
Comparison
Extreme value statistics metrics vs traditional glycemic variability metrics
Outcome
Patient-level risk of hyperglycemia: 1-year return level, probability of exceeding and expected time spent above 600 and 400 mg/dL per year
Follow-up
Per year
Methodological detailsextreme value statistics, non-stationary models
  • Extreme value statistics
  • Non-stationary models

Main finding

As reported in the abstract

High-risk patients identified with novel metrics
High-risk patients (estimated time above 600 mg/dL per year >2 hours)
9

Further findings

Effect of BMI on extremes

Higher BMI associated with more extreme glucose levels

Original publication

The Use of Extreme Value Statistics to Characterize Blood Glucose Curves and Patient Level Risk Assessment of Patients With Type I Diabetes. J Diabetes Sci Technol. Published 24 November 2021. doi:10.1177/19322968211059547

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.