Objective measures of self-management are critical for understanding glycemic outcomes in individuals with type 1 diabetes (T1D). The mealtime insulin bolus score (BOLUS), derived from insulin pump data, is a validated indicator of mealtime insulin engagement in pediatric T1D populations, but its validity in emerging adults (EA) is unknown. We examined associations between BOLUS scores and glycemic outcomes (HbA1c and continuous glucose monitoring metrics) in 347 EA with T1D (ages 18-22). Higher BOLUS scores were associated with lower HbA1c (r = -0.24, P < 0.001), greater time in range (r = 0.23, P < 0.001), and lower time above range (r = -0.23, P < 0.001). The mean BOLUS score (1.17) was substantially lower than the previously reported mean pediatric BOLUS score. Findings support the validity of BOLUS as an objective behavioral measure in EA with T1D and highlight reduced mealtime insulin engagement during this developmental period.
Introduction.
Achieving and maintaining stable glycemic levels in children with type 1 diabetes (T1D) who are regularly engaged in physical activity (PA) represents a complex clinical challenge that requires a multidisciplinary team approach.
Aim.
To study the characteristics of blood glucose fluctuations in c...
V. Platonov, E. D. Noskova· Meditsinskiy sovet = Medical...· 0 citations
Purpose
The long-term impact of continuous glucose monitoring (CGM) initiation on glycemic trajectories in children and adolescents with type 1 diabetes (T1D) remains unclear. We assessed 5-year glycated hemoglobin (HbA1c) trajectories according to CGM initiation timing in Korean children and adolescents with T1D.
Me...
Jun-Ha Dong, H. Kim, Jaehyun Kim· Annals of Pediatric Endocrin...· 0 citations
CGM is safe in very young children, with AID systems proving superior to traditional therapy, and real-world evidence supports incorporating AID consideration into future international guidelines from the time of pediatric diagnosis.
M. Marigliano, A. Scaramuzza, C. Arnaldi et al.· Diabetes Technology & Therap...· 0 citations
This study aims to evaluate whether continuous glucose monitoring (CGM)-derived time in range (TIR) attainment is associated with concurrent improvements in glycemic control and lipid profiles among adults with type 2 diabetes mellitus (T2DM). In this retrospective, single-arm pre–post study, 542 adults with T2DM who u...
OBJECTIVES
While technology improves glycemic control, its psychological impact in resource-limited settings is less explored. This study evaluated the impact of continuous glucose monitoring (CGM) on diabetes distress and glycemic outcomes in adults with type 1 diabetes (T1D) within a public healthcare system.
METHO...
Nathalia Costa Monteiro, Laís Prado Smith Lima, J. P. A. Freitas et al.· Canadian Journal of Diabetes· 0 citations
AIMS
Evaluate the efficacy and safety of iLet Bionic Pancreas (BP) in older adults and individuals with impaired awareness of hypoglycemia (IAH).
METHODS
This post hoc analysis used individual participant-level data from the Insulin-Only Bionic Pancreas Pivotal Trial (n = 440; NCT04200313). Eligible participants (n =...
Puguh Oktavian, Citrawati Dyah Kencono Wungu, Indah Mohd Amin et al.· Diabetes Research and Clinic...· 0 citations
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