Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGM
BackgroundFrequent scanning of intermittently scanned continuous glucose monitoring (isCGM) devices is associated with improvements in glycemic indices. Limited data is available for its correlation with fear of hypoglycemia (FOH), an established factor affecting quality of life and glycemic control...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Endocrinology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2022.996933/full |
| _version_ | 1797997244591374336 |
|---|---|
| author | Jerzy Hohendorff Jerzy Hohendorff Przemyslaw Witek Przemyslaw Witek Michal Kania Michal Kania Maria Sudol Katarzyna Hajduk Adam Stepien Katarzyna Cyganek Katarzyna Cyganek Beata Kiec-Wilk Beata Kiec-Wilk Beata Kiec-Wilk Tomasz Klupa Tomasz Klupa Maciej T. Malecki Maciej T. Malecki |
| author_facet | Jerzy Hohendorff Jerzy Hohendorff Przemyslaw Witek Przemyslaw Witek Michal Kania Michal Kania Maria Sudol Katarzyna Hajduk Adam Stepien Katarzyna Cyganek Katarzyna Cyganek Beata Kiec-Wilk Beata Kiec-Wilk Beata Kiec-Wilk Tomasz Klupa Tomasz Klupa Maciej T. Malecki Maciej T. Malecki |
| author_sort | Jerzy Hohendorff |
| collection | DOAJ |
| description | BackgroundFrequent scanning of intermittently scanned continuous glucose monitoring (isCGM) devices is associated with improvements in glycemic indices. Limited data is available for its correlation with fear of hypoglycemia (FOH), an established factor affecting quality of life and glycemic control in type 1 diabetes (T1DM).AimThe aim of the study was to analyze the association of sensor scanning frequency with FOH and glycemic indices in T1DM patients using isCGM.Subjects and methodsT1DM patients using isCGM were eligible. Clinical data and Ambulatory Glucose Profile (AGP) reports were obtained from medical records. At outpatient visits, AGP of last 14 days prior to visit were analyzed and FOH was assessed using Hypoglycemia Fear Survey II (HFS II).ResultsWe included 77 consecutive T1DM patients (58 females, 19 males). Mean age was 34.1 ± 10.2 years and mean T1DM duration was 14.7 ± 12.0 years. Baseline mean glycemic indices were as follows: mean glucose - 155.8 ± 29.8 mg/dL; GMI - 53.3 ± 7.5 mmol/mol; TIR - 66.4 ± 17.8%; TBR70 - 4.5 ± 4.1%; TBR54 - 0.6 ± 1.2%; TAR180 - 29.2 ± 17.9%; TAR250 - 9.6 ± 10.4%; %CV - 36.7 ± 8.3. Average scanning frequency was 13.8 ± 7.8 scans/day. Mean HFS II scores were 16.1 ± 7.2 and 18.7 ± 12.2 in behavior and worry subscale, respectively. Correlation was confirmed between scanning frequency and mean glucose, GMI, TIR, TBR70, TAR180, TAR250, %CV and HFS II total, and HFS II - B (p<0.05 for all statistics).ConclusionsFor the first time, we report that higher scanning frequency is associated not only with better glycemic indices but also with less FOH in T1DM adult patients using isCGM. |
| first_indexed | 2024-04-11T10:29:55Z |
| format | Article |
| id | doaj.art-1479098455c74b54b5a68af3e4325be4 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-04-11T10:29:55Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-1479098455c74b54b5a68af3e4325be42022-12-22T04:29:28ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-10-011310.3389/fendo.2022.996933996933Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGMJerzy Hohendorff0Jerzy Hohendorff1Przemyslaw Witek2Przemyslaw Witek3Michal Kania4Michal Kania5Maria Sudol6Katarzyna Hajduk7Adam Stepien8Katarzyna Cyganek9Katarzyna Cyganek10Beata Kiec-Wilk11Beata Kiec-Wilk12Beata Kiec-Wilk13Tomasz Klupa14Tomasz Klupa15Maciej T. Malecki16Maciej T. Malecki17Department of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandUnit of Rare Metabolic Diseases, Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Metabolic Diseases and Diabetology, University Hospital in Krakow, Krakow, PolandBackgroundFrequent scanning of intermittently scanned continuous glucose monitoring (isCGM) devices is associated with improvements in glycemic indices. Limited data is available for its correlation with fear of hypoglycemia (FOH), an established factor affecting quality of life and glycemic control in type 1 diabetes (T1DM).AimThe aim of the study was to analyze the association of sensor scanning frequency with FOH and glycemic indices in T1DM patients using isCGM.Subjects and methodsT1DM patients using isCGM were eligible. Clinical data and Ambulatory Glucose Profile (AGP) reports were obtained from medical records. At outpatient visits, AGP of last 14 days prior to visit were analyzed and FOH was assessed using Hypoglycemia Fear Survey II (HFS II).ResultsWe included 77 consecutive T1DM patients (58 females, 19 males). Mean age was 34.1 ± 10.2 years and mean T1DM duration was 14.7 ± 12.0 years. Baseline mean glycemic indices were as follows: mean glucose - 155.8 ± 29.8 mg/dL; GMI - 53.3 ± 7.5 mmol/mol; TIR - 66.4 ± 17.8%; TBR70 - 4.5 ± 4.1%; TBR54 - 0.6 ± 1.2%; TAR180 - 29.2 ± 17.9%; TAR250 - 9.6 ± 10.4%; %CV - 36.7 ± 8.3. Average scanning frequency was 13.8 ± 7.8 scans/day. Mean HFS II scores were 16.1 ± 7.2 and 18.7 ± 12.2 in behavior and worry subscale, respectively. Correlation was confirmed between scanning frequency and mean glucose, GMI, TIR, TBR70, TAR180, TAR250, %CV and HFS II total, and HFS II - B (p<0.05 for all statistics).ConclusionsFor the first time, we report that higher scanning frequency is associated not only with better glycemic indices but also with less FOH in T1DM adult patients using isCGM.https://www.frontiersin.org/articles/10.3389/fendo.2022.996933/fullcontinous glucose monitoringintermittently scanned CGMambulatory glucose profile (AGP)fear of hypoglycemiatype 1 diabetestime in range |
| spellingShingle | Jerzy Hohendorff Jerzy Hohendorff Przemyslaw Witek Przemyslaw Witek Michal Kania Michal Kania Maria Sudol Katarzyna Hajduk Adam Stepien Katarzyna Cyganek Katarzyna Cyganek Beata Kiec-Wilk Beata Kiec-Wilk Beata Kiec-Wilk Tomasz Klupa Tomasz Klupa Maciej T. Malecki Maciej T. Malecki Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGM Frontiers in Endocrinology continous glucose monitoring intermittently scanned CGM ambulatory glucose profile (AGP) fear of hypoglycemia type 1 diabetes time in range |
| title | Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGM |
| title_full | Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGM |
| title_fullStr | Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGM |
| title_full_unstemmed | Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGM |
| title_short | Higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using isCGM |
| title_sort | higher scanning frequency is correlated with less fear of hypoglycemia in type 1 diabetes patients using iscgm |
| topic | continous glucose monitoring intermittently scanned CGM ambulatory glucose profile (AGP) fear of hypoglycemia type 1 diabetes time in range |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2022.996933/full |
| work_keys_str_mv | AT jerzyhohendorff higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT jerzyhohendorff higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT przemyslawwitek higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT przemyslawwitek higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT michalkania higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT michalkania higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT mariasudol higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT katarzynahajduk higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT adamstepien higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT katarzynacyganek higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT katarzynacyganek higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT beatakiecwilk higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT beatakiecwilk higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT beatakiecwilk higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT tomaszklupa higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT tomaszklupa higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT maciejtmalecki higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm AT maciejtmalecki higherscanningfrequencyiscorrelatedwithlessfearofhypoglycemiaintype1diabetespatientsusingiscgm |