Effect of switch from flash glucose monitoring to flash glucose monitoring with real-time alarms on hypoglycaemia in people with type 1 diabetes mellitus

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Primary Care Diabetes Pub Date : 2024-04-26 DOI:10.1016/j.pcd.2024.04.003

A. Gutiérrez-Pastor , JA Quesada , MM Soler-Martínez , C. Carratalá Munuera , FJ Pomares-Gómez

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Abstract

We aimed to evaluate the utility of the FreeStyle Libre 2 device for reducing time below range level 1 and level 2 compared with the Freestyle Libre device (without alarms) in people with type 1 diabetes mellitus. We conducted longitudinal observational follow-up study of a cohort of 100 people with type 1 diabetes mellitus who had switched from FreeStyle Libre to FreeStyle Libre 2 as part of routine clinical practice. Three months after switching to FreeStyle Libre 2, compared with results with FreeStyle Libre, there were a significant improvements in time below range level 1 (p = 0.02) and level 2 (p <0.001), time in range (p <0.001), time above range level 1 (p = 0.002), glucose management indicator (p= 0.04) and mean glucose (p= 0.04) during follow-up. Furthermore there was a significant direct association between age and change in TIR with a coefficient of 0.23, and a significant inverse association between age and change in TAR-1 with a coefficient of 0.11. Switching to a flash glucose monitoring system with alarms improves time below range, time in range and coefficient of variation in people with type 1 diabetes mellitus.

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将闪存葡萄糖监测转换为带实时警报的闪存葡萄糖监测对 1 型糖尿病患者低血糖症的影响。

我们的目的是评估 FreeStyle Libre 2 设备与 Freestyle Libre 设备（无报警器）相比，在减少 1 型糖尿病患者低于量程 1 级和 2 级的时间方面的效用。我们对 100 名 1 型糖尿病患者进行了纵向观察随访研究，这些患者在常规临床实践中从 FreeStyle Libre 转用了 FreeStyle Libre 2。改用 FreeStyle Libre 2 三个月后，与使用 FreeStyle Libre 时的结果相比，低于范围 1 级（p = 0.02）和范围 2 级（p = 0.01）的时间有了显著改善。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.