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- Title
The long‐term impact of glucose monitoring with the FreeStyle Libre on glycaemic control and hypoglycaemia awareness in people with type 1 diabetes: Insights from the Association of British Clinical Diabetologists national audit.
- Authors
Shah, Najeeb; Deshmukh, Harshal; Wilmot, Emma G.; Patmore, Jane; Christian, Peter; Barnes, Dennis J.; Walton, Chris; Ryder, Robert E. J.; Sathyapalan, Thozhukat
- Abstract
Aims: To investigate the change in glycated haemoglobin (HbA1c), hypoglycaemia awareness and diabetes‐related distress in people with type 1 diabetes (T1D) using FreeStyle Libre (FSL) over a 2‐year follow‐up period. Methods: FSL user data from U.K wide hospitals collected during routine clinical care were analysed. People living with T1D were categorised into four groups based on the duration of follow‐up. Group I (< 1 year, n = 6940), group II (1 to 1.5 years, n = 662), group III (1.5 to 2 years, n = 385), and group IV (> 2 years, n = 642). The t‐test was used to compare the baseline and follow‐up HbA1c, GOLD score (a measure of hypoglycaemia awareness) and diabetes‐related distress scale (DDS score) (quality of life measure). Results: The study consisted of 16,834 people, with follow‐up data available for 8,629 participants. The change in HbA1c, GOLD and DDS score from baseline within the follow‐up sub‐groups (group I vs group II vs group III vs group IV) was HbA1c (−6 vs −6 vs −4 vs −4 mmol/mol; p < 0.001) (−0.55 vs −0.55 vs −0.37 vs −0.37 %), GOLD score (−0.31 vs −0.45 vs −0.26 vs −0.42; p < 0.0001 group I, II, IV and p 0.07 group III), and DDS score(−0.59 vs −0.58 vs −0.63 vs −0.50; p < 0.001), respectively. Conclusions: In people with T1D, FSL use resulted in a sustained improvement in HbA1c, hypoglycaemia awareness and diabetes‐related distress for over two years.
- Subjects
UNITED Kingdom; BLOOD sugar monitors; OCCUPATIONAL achievement; AUDITING; GLYCOSYLATED hemoglobin; HOME care services; GLYCEMIC control; LEADERSHIP; BLOOD sugar; TYPE 1 diabetes; COMPARATIVE studies; ATTENTION; JOB satisfaction; HEALTH behavior; HYPOGLYCEMIA; QUALITY of life; DESCRIPTIVE statistics; LONG-term health care; BEHAVIOR modification; LONGITUDINAL method
- Publication
Diabetic Medicine, 2023, Vol 40, Issue 6, p1
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/dme.15070