1. Identification of individuals with diabetes who are eligible for continuous glucose monitoring forecasting.
- Author
-
Cichosz, Simon Lebech, Hejlesen, Ole, and Jensen, Morten Hasselstrøm
- Abstract
Predicting glucose levels in individuals with diabetes offers potential improvements in glucose control. However, not all patients exhibit predictable glucose dynamics, which may lead to ineffective treatment strategies. We sought to investigate the efficacy of a 7-day blinded screening test in identifying diabetes patients suitable for glucose forecasting. Participants with type 1 diabetes (T1D) were stratified into high and low initial error groups based on screening results (eligible and non-eligible). Long-term glucose predictions (30/60 min lead time) were evaluated among 334 individuals who underwent continuous glucose monitoring (CGM) over a total of 64,460,560 min. A strong correlation was observed between screening accuracy and long-term mean absolute relative difference (MARD) (0.661–0.736; p < 0.001), suggesting significant predictability between screening and long-term errors. Group analysis revealed a notable reduction in predictions falling within zone D of the Clark Error Grid by a factor of three and in zone C by a factor of two. The identification of eligible patients for glucose prediction through screening represents a practical and effective strategy. Implementation of this approach could lead to a decrease in adverse glucose predictions. • Some patients may have glucose dynamics not suitable for glucose forecasting. • Screening is a novel approach to identify eligible and non-eligible patients. • The correlation between screening and long-term performance was high. • Results show the approach could lead to fewer adverse glucose forecasting. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF