Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Nagl, K; Bozic, I; Berger, G; Tauschmann, M; Blauensteiner, N; Weimann, K; Mader, JK; Rami-Merhar, B.
Time in Range in Children with Type 1 Diabetes before and during a Diabetes Camp-A Ceiling Effect?
Children (Basel). 2022; 9(12): Doi: 10.3390/children9121951 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz: Mader Julia
Co-Autor*innen der Med Uni Graz: Tauschmann Martin
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Abstract:: Background: The aim of this study was to assess and compare the time in range (TIR) of children with type 1 diabetes (T1D) before and during a diabetes summer camp using different therapy modalities. Methods: A retrospective analysis of continuous glucose monitoring (CGM) data collected from 26 children with T1D (mean age: 11.0 ± 1.4 years; 62% female; 62% on insulin pump; Hb1Ac 7.3 ± 0.8% (56.3 ± 8.7 mmol/mol) before and during a 14-day summer camp. CGM methods: 50% intermittently scanned CGM (isCGM) and 50% real-time CGM (rtCGM). No child was using a hybrid closed loop system. Results: Mean TIR during camp was significantly higher than before camp ((67.0 ± 10.7%) vs. 58.2% ± 17.4%, p = 0.004). There was a significant reduction in time above range (TAR) (p = 0.001) and increase in time below range (TBR) (p < 0.001), Children using isCGM showed a more pronounced improvement in TIR during camp compared to rtCGM-users (p = 0.025). The increase in TIR strongly correlated with numbers of scans per day in isCGM-users (r = 0.751, p = 0.003). Compared to isCGM-users, rtCGM-users showed significantly less TBR. The TIR target was met by 30.8% of participants during camp. Conclusion: Glycemic control improved significantly during the camp. However, on average, the therapy goal (TIR > 70%) could not be achieved despite great professional effort.
Find related publications in this database (Keywords): type 1 diabetes; CGM; time in range; time below range; time above range; diabetes camp; children; rtCGM; isCGM