Continuous Glucose Monitoring (CGM) Readings During Patient-Reported Symptomatic Hypoglycemia: Assessment of the Advanced Technologies and Treatments for Diabetes Consensus Definition of CGM-Recorded Hypoglycemia

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Aim: Continuous glucose monitoring (CGM) is widely used in clinical practice and research to detect hypoglycemia. A consensus definition of CGM-recorded hypoglycemia is made by a group of international experts under the auspice of the Advanced Technologies and Treatments for Diabetes (ATTD). The purpose of this study is to compare the definition with patient-reported hypoglycemia. Methods: In a prospective, observational study of 186 patients with type 1 diabetes using blinded Medtronic iPro 2 CGM for 6 days, every patient-reported symptomatic hypoglycemic event and interstitial glucose (IG) values at the registration time were classified according to the ATTD definition of CGM-recorded hypoglycemia. For comparison between CGM and self-monitored blood glucose (SMBG) values, the International Hypoglycemia Study Group (IHSG) classification of hypoglycemia and chi-square test were used. Results: A total of 321 events of symptomatic hypoglycemia were reported by 68% of the patients, corresponding to 2.0 ± 2.3 events (mean ± standard deviation) per patient-week. A total of 206 (64%) events met the CGM consensus definition. In the remaining 115 (36%) not-confirmed events, 5 events had an IG <3.9 mmol/L, which lasted <15 min. The overall mean IG value was 3.6 ± 1.1 mmol/L (median 3.1, range 2.2-10.4). In symptomatic hypoglycemic events with both CGM and SMBG data, SMBG confirmed significantly more symptomatic hypoglycemic events than CGM (P < 0.001). Conclusion: CGM-recorded hypoglycemia according to the consensus definition is present at two thirds of all patient-reported events when recorded by the Medtronic iPro 2 system. The recommended minimum duration of a hypoglycemic event of 15 min is supported by the study. SMBG measurements detect significantly more symptomatic hypoglycemic events than Medtronic iPro 2 CGM.

OriginalsprogEngelsk
TidsskriftDiabetes Technology and Therapeutics
Vol/bind24
Udgave nummer2
Sider (fra-til)130-135
Antal sider6
ISSN1520-9156
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
This work was supported, in part, by unrestricted research grants from Nordsjællands Hospital, The Jascha Foundation, The Danish Medical Research Grant, and the Toyota Foundation, Denmark. The funders were not involved in the study design, data collection, data analyses, preparation of the article, or publication decisions.

Funding Information:
This work was supported, in part, by unrestricted research grants from Nordsj?llands Hospital, The Jascha Foundation, The Danish Medical Research Grant, and the Toyota Foundation, Denmark. The funders were not involved in the study design, data collection, data analyses, preparation of the article, or publication decisions.

Publisher Copyright:
Copyright © 2022 Mary Ann Liebert, Inc.

ID: 313875593