Risk Factor Analysis for Type 2 Diabetes Patients About Hypoglycemia Using Continuous Glucose Monitoring: Results from a Prospective Observational Study

To determine the relationship between hypoglycemia and glucose variability in outpatients with type 2 diabetes mellitus (T2DM). The study participants were 999 outpatients with T2DM who used the FreeStyle Libre Pro for continuous glucose monitoring (FLP-CGM). Hypoglycemia was defined as glucose leve...

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Veröffentlicht in:Diabetes technology & therapeutics 2022-06, Vol.24 (6), p.435-445
Hauptverfasser: Uemura, Fumi, Okada, Yosuke, Mita, Tomoya, Torimoto, Keiichi, Wakasugi, Satomi, Katakami, Naoto, Yoshii, Hidenori, Matsushita, Koji, Nishida, Keiko, Inokuchi, Nobuo, Tanaka, Yoshiya, Gosho, Masahiko, Shimomura, Iichiro, Watada, Hirotaka
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Sprache:eng
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Zusammenfassung:To determine the relationship between hypoglycemia and glucose variability in outpatients with type 2 diabetes mellitus (T2DM). The study participants were 999 outpatients with T2DM who used the FreeStyle Libre Pro for continuous glucose monitoring (FLP-CGM). Hypoglycemia was defined as glucose level of 1% group, the predicted cutoff values were 7.19 mM average glucose (AG), and 30.30% for %CV. When AG 30.30% were considered as hypoglycemic risk factors, the frequency and duration of hypoglycemia increased as the risk factor values increased. In multivariate analysis, sulfonylurea (SU) use, insulin use, and low blood glucose index correlated significantly with increased length of TBR and %CV, even after adjustment for concomitant diabetes medications. In T2DM, maintaining TBR 7.2 mM and %CV
ISSN:1520-9156
1557-8593
DOI:10.1089/dia.2021.0465