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Glycaemic outcomes in people living with diabetes under 65 and over 65 years old using an intermittently scanned continuous glucose monitoring system.
Wong, Carol; De Bray, Anne; Ul Hassan, Naeem; Almohandes, Ahmed; Thant, Kyi Zin; Gill, Sofia; Gill, Dayna; Forsdick, Hayley; Sinclair, Alan J; Karamat, Muhammad Ali; Bellary, Srikanth.
Afiliación
  • Wong C; Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • De Bray A; Centre for Endocrinology, Diabetes and Metabolism, University of Birmingham, Birmingham, UK.
  • Ul Hassan N; Oxford Centre for Diabetes, University of Oxford, Oxford, UK.
  • Almohandes A; Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Thant KZ; Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Gill S; Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Gill D; Birmingham Medical School, University of Birmingham, Birmingham, UK.
  • Forsdick H; Birmingham Medical School, University of Birmingham, Birmingham, UK.
  • Sinclair AJ; Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Karamat MA; King's College London, London, UK.
  • Bellary S; Department of Diabetes and Endocrinology, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Ther Adv Endocrinol Metab ; 15: 20420188241269133, 2024.
Article en En | MEDLINE | ID: mdl-39170849
ABSTRACT

Objective:

Intermittently scanned continuous glucose monitoring (isCGM) has revolutionised the care of people with diabetes but its uptake and benefits in older adults are not well known. We examined the impact of isCGM (Freestyle Libre, FSL) on glycaemic outcomes in younger (⩽65 years) and older adults (>65 years) with diabetes. Design and

methods:

In total, 2260 adult patients registered on the Libreview account at University Hospitals Birmingham NHS Foundation Trust, UK, were included. Inclusion criteria all patients with type 1 and type 2 diabetes aged >18 years, use of isCGM >6 months, scanning at least 6 times/day. Demographics, diabetes history and glycaemic outcomes (time in range (TIR), time above range and time below range (TBR), estimated HbA1c, HbA1c at start and at end of study) were collected by accessing electronic patient records and Libreview. Outcomes were compared between age groups ⩽65 or >65 years old.

Results:

Most patients were of Caucasian ethnicity (⩽65 years 68%, >65 years 73%) and had type 1 diabetes. Mean duration of diabetes was 19.5 years (range 0-65 years) and 34.5 years (range 0-79 years) for ⩽65 and >65 years, respectively. Only a quarter of those ⩽65 years achieved (219/943; 23.2%) their age specific TIR target compared to 69% (78/113) of those >65 years cohort, while 70.1% (663/946) of ⩽65 years and 40.7% (46/113) of >65 years achieved their age-specific TBR target. When the less strict ⩽65 years TBR target was applied, 75% (85/113) of >65 years cohort achieved this.

Conclusion:

FSL use was associated with improved glycaemic outcomes across all age groups. Individualised targets may be needed to improve TBR in those aged >65 years.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ther Adv Endocrinol Metab Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ther Adv Endocrinol Metab Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos