The long‐term impact of glucose monitoring with theFreeStyleLibre on glycaemic control and hypoglycaemia awareness in people with type 1 diabetes: Insights from the Association of British Clinical Diabetologists national audit

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. How to cite this article: Shah N, Deshmukh H, Wilmot EG, et al. 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

Clinical features of type 1 diabetes in older adults and the impact of intermittently scanned continuous glucose monitoring: An Association of British Clinical Diabetologists (ABCD) study

“…Encouragingly, our findings reveal that participants within the young-old, middle-old, and old-old subgroups displayed effective engagement with isCGM, as evidenced by a comparable number of scans conducted per day, and achieved similar time in range. Our findings align with our previous work [6][7][8][9] and corroborate existing literature, 20,21 indicating that the implementation of isCGM is associated with enhanced glycaemic control in individuals with T1D. Nonetheless, our analyses demonstrate that the improvement in glycaemic control within these age categories was modest.…”

“…In recent years, intermittently scanned continuous glucose monitoring (isCGM) has emerged as a valuable tool for glycaemic management in T1D. [6][7][8][9][10][11] isCGM allows for real-time monitoring of glucose levels through a small sensor inserted under the skin, providing glucose readings at regular intervals without the need for frequent fingerstick blood glucose monitoring. isCGM has been shown to improve glycaemic control, reduce hypoglycaemic events, and enhance quality of life in individuals with T1D.…”

“…isCGM has been shown to improve glycaemic control, reduce hypoglycaemic events, and enhance quality of life in individuals with T1D. [6][7][8][9]11 Nevertheless, research on the impact of isCGM in older adults with T1D, especially in distinct age groups within the older adult population, remains scarce.…”

“…isCGM allows for real‐time monitoring of glucose levels through a small sensor inserted under the skin, providing glucose readings at regular intervals without the need for frequent fingerstick blood glucose monitoring. isCGM has been shown to improve glycaemic control, reduce hypoglycaemic events, and enhance quality of life in individuals with T1D 6–9,11 . Nevertheless, research on the impact of isCGM in older adults with T1D, especially in distinct age groups within the older adult population, remains scarce.…”

The impact of diabetes specialist nurses' in‐reach service on people with diabetes on haemodialysis: A pilot study ‘education to protect tomorrow’

“…3 isCGM has been shown to be a reliable tool for glucose monitoring in adults on HD 4 and is also useful to improve glycaemic control. 5 For 2 participants in this study, E2PT participation and isCGM initiation alone were sufficient to improve their glycaemic control. In the other 8 participants: oral diabetes medication adjustments were needed in 4 of them (including stopping/starting Linagliptin and Gliclazide), and insulin was initiated and titrated in the remaining 4.…”