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- Title
Associations between continuous glucose monitoring (CGM) metrics and psycholinguistic measures: a correlational study.
- Authors
Marchini, Francesco; Caputo, Andrea; Convertino, Alessio; Giuliani, Chiara; Bitterman, Olimpia; Pitocco, Dario; Fornengo, Riccardo; Lovati, Elisabetta; Forte, Elisa; Sciacca, Laura; Napoli, Angela
- Abstract
Aim: Recently, the relationship between diabetes and mental health has been widely studied. With the advent of continuous glucose monitoring (CGM), some researchers have been interested in exploring the association between glucose-related metrics and psychological aspects. These studies have primarily relied on self-report questionnaires which present some limitations. Therefore, the present multicenter study aims at testing potential associations between CGM metrics and affective processes derived from narratives about using a CGM sensor. Methods: An exploratory correlational design was used. Fifty-eight adults with type 1 diabetes using CGM were enrolled and invited to complete an online survey, where they replied to an open-ended question regarding their personal experience with the CGM sensor. Texts derived from the answers were analyzed through Linguistic Inquiry and Word Count, a widely used text analysis tool that can automatically identify and quantify linguistic patterns related to various psychological dimensions. Psycholinguistic measures were correlated with CGM metrics. Results: Higher levels of sadness/depression correlated with lower %TIR (r = − 339; p <.01) and higher %TAR (r =.342; p <.01). Conclusions: The study highlights the relationship between CGM metrics and psychological variables derived from patients' narratives. In particular, it is possible to hypothesize a positive role of %TIR in reducing depressive feelings in individuals with diabetes, as well as a negative role of depressive feelings in achieving desirable CGM outcomes. Additionally, there is a potential role of glycemic variability, particularly hyperglycemia, in the expression of depressive and sad feelings, which has been less studied compared to the effects of hypoglycemia.
- Subjects
CONTINUOUS glucose monitoring; BLOOD sugar monitors; TYPE 1 diabetes; PSILOCYBIN; LINGUISTICS; WORD frequency; HYPERGLYCEMIA; INSULIN
- Publication
Acta Diabetologica, 2024, Vol 61, Issue 7, p841
- ISSN
0940-5429
- Publication type
Article
- DOI
10.1007/s00592-024-02244-x