Type 1 diabetes

The Virtual Diabetes Control and Complications Trial (DCCT): Adding Continuous Glucose Monitoring to a Landmark Clinical Trial for Prediction of Microvascular Complications

Diabetes Technol TherPublished Secondary analysis of the DCCT randomised trial

Authors' conclusion

Fourteen-day CGM metrics predicted microvascular diabetes complications similarly to glycated hemoglobin.

Study context

Population
DCCT participants with T1D
Comparison
Time-in-range (TIR) from virtual continuous glucose monitoring (CGM) vs HbA1c for prediction of microvascular complications
Methodological detailsmultistep machine-learning procedure, virtual CGM traces
  • Multistep machine-learning procedure
  • Virtual CGM traces

Primary result

As reported in the abstract

Association of TIR (70-180 mg/dL) from virtual CGM with microvascular complications · 14 days prior to each HbA1c measurement
TIR associated with risk of development or progression of retinopathy, nephropathy and neuropathy
all P-values <0.0001

Further findings

OutcomeIntensiveConventional
TIR by DCCT group · 14 days prior to each HbA1c measurementTIR generally>60%<40%

TIR by DCCT group · 14 days prior to each HbA1c measurement

Virtual CGM TIR reproduced observed glycemic control differences between groups

Original publication

The Virtual DCCT: Adding Continuous Glucose Monitoring to a Landmark Clinical Trial for Prediction of Microvascular Complications. Diabetes Technol Ther. Published 8 January 2025. doi:10.1089/dia.2024.0404

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

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