Factors associated with Glycemia Risk Index in a cohort of patients with type 1 Diabetes Mellitus and Latent Autoimmune Diabetes In Adults (LADA).

Continuous glucose monitoring Glycemia risk index Latent autoimmune diabetes in adults Time in range

Journal

Endocrine
ISSN: 1559-0100
Titre abrégé: Endocrine
Pays: United States
ID NLM: 9434444

Informations de publication

Date de publication:
06 Jun 2024
Historique:
received: 02 02 2024
accepted: 28 05 2024
medline: 7 6 2024
pubmed: 7 6 2024
entrez: 6 6 2024
Statut: aheadofprint

Résumé

To analyze the degree of control based on classical glucometric parameters and Glycemia Risk Index (GRI) in real-life conditions in a cohort of patients with type 1 Diabetes Mellitus (DM) and Latent Autoimmune Diabetes in Adults (LADA) and to assess the factors that are associated with GRI. Cross-sectional study. 447 adult patients with type 1 DM and LADA users of Intermittent Continuous Glucose Monitoring (iCGM) with an adherence ≥ 70% were included. GRI was calculated with its Hypoglycemia (CHypo) and Hyperglycemia (CHyper) Components. Multivariate linear regression analysis was performed to evaluate the factors associated with GRI. Mean age 44.6 years (SD 13.7); 57.7% men; 83.9% type 1 DM; 16.1% LADA; time of evolution 20.6 years (SD 12.3). In patients with type 1 DM vs. LADA, differences were observed in relation to age [-11.1 years (SD 1.7)], age of onset [-21.9 years (DE 1.5)], time of evolution [11.7 years (DE 1.5)], treatment modality (p < 0.001), Time in Range (TIR) [-6.3% (SD 2.2)], Time Below Range (TBR) [1.9% (SD 0.6)], TBR level 1 (TBR1) [1.4% (SD 0.5)], Time Above Range (TAR) level 2 (TAR2) [4.7% (SD 1.3)], Coefficient of Variation (CV) [4.6% (SD 0.9)], GRI [11.3% (SD 2.8)], CHypo [1.3% (SD 0.5)] and CHyper [4.8% (SD 1.7)]. The variables that were independently associated with GRI were TIR (β = -1.34; CI 95% -1.43 to -1.25; p < 0.001), Glucose Management Indicator (GMI) (β = -5.82; CI 95% -7.59 to -4.05; p < 0.001), CV (β = 0.67; CI 95% 0.57 to 0.77; p < 0.001) and adherence to sensor usage (β = -0.16; CI 95% -1.27 to -0.06; p < 0.002). LADA present better control according to some glucometric parameters and a low GRI. However, the type of DM is not a factor that is independently associated with GRI.

Identifiants

pubmed: 38844609
doi: 10.1007/s12020-024-03901-5
pii: 10.1007/s12020-024-03901-5
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Sandra Herranz-Antolín (S)

Endocrinology and Nutrition Department, University Hospital of Guadalajara, Guadalajara, Spain. herranzantolin@yahoo.es.
Instituto de Investigación Sanitaria de Castilla la Mancha (IDISCAM), Guadalajara, Spain. herranzantolin@yahoo.es.

Clara Cotón-Batres (C)

Nephrology Department, University Hospital of Guadalajara, Guadalajara, Spain.

María Covadonga López-Virgos (MC)

Internal Medicine Department, University Hospital of Guadalajara, Guadalajara, Spain.

Verónica Esteban-Monge (V)

Internal Medicine Department, University Hospital of Guadalajara, Guadalajara, Spain.

Visitación Álvarez-de Frutos (V)

Endocrinology and Nutrition Department, University Hospital of Guadalajara, Guadalajara, Spain.
Department of Medicine and Medical Specialties, University of Alcalá, Madrid, Spain.

Miguel Torralba (M)

Instituto de Investigación Sanitaria de Castilla la Mancha (IDISCAM), Guadalajara, Spain.
Internal Medicine Department, University Hospital of Guadalajara, Guadalajara, Spain.
Department of Medicine and Medical Specialties, University of Alcalá, Madrid, Spain.

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