Pratik Choudhary, United Kingdom
University of Leicester Diabetes Research CentrePresenter of 8 Presentations
The Intersection of Flash Glucose Monitoring Technology and Real World Care in Persons with Diabetes: What Can New Trials Teach Us? And What are the Implications for Adopting CGM in the Covid Era and Beyond?
Questions and Answers
Real World Evidence Supporting Superior Glycemic Control with Flash Glucose Monitoring Across the Spectrum of Diabetes Care: Improvements in Time-in-Range and Other Diabetes-Related Health Metrics
Evolving needs in the connected era
GLYCEMIC MEASURES FOR 8,914 ADULT FREESTYLE LIBRE® USERS DURING ROUTINE CARE SEGMENTED BY AGE GROUP AND OBSERVED CHANGES DURING THE COVID PANDEMIC
Abstract
Background and Aims
We report for the first time normative glucose metrics for %TIR 3.9-10 mmol/L, %TBR <3.9 mmol/L and %TAR >10 mmol/L for adult FreeStyle Libre users in the UK within 4 defined age-groups and the impact of the COVID-19 pandemic on these over time.
Methods
Data was extracted from 8,914 LibreView® de-identified user accounts from adult users aged 18+ with ≥5 days of sensor readings in each month from January to June 2020. Age-group categories were based on self-reported age on LibreView accounts (18-25, 26-49, 50-64, 65+ yrs).
Results
Adult FreeStyle Libre users in this UK study report mean TIR above 51% and median TBR 4.2% or below. In January, prior to the pandemic, the 65+ age group had the highest %TIR (57.9%) while the 18-25 age group had the lowest (51.2%). Consensus targets >70% TIR and <4% TBR were achieved by 11.7% of users aged 65+ compared to 6.0% of those 18-25. Within each age group, TIR change was significant during the analysed months (p<0.001) by repeated measures ANOVA. Comparing January to June 2020, all age groups increased TIR, with those aged 65+ increasing the most (3.1%; p<0.001). The proportion of adults achieving both >70% TIR and <4% TBR targets increased to 15.9% for those 65+ years (p<0.001) and 9.1% for 18-25 (p<0.05).
Conclusions
During lockdown in the UK, the proportion of adults achieving TIR consensus targets increased among FreeStyle Libre users. The glucose metrics suggest an opportunity for even further improvement with continued CGM use.
Q&A session
Transplantation – managing partial pancreas function or managing the failing pancreas
The Complexities of Insulin Management
Moderator of 1 Session
Evolving Observational and Real World Data Around Sensor-Based CGM Across the Diabetes Treatment Spectrum - Industry Symposium Supported by Abbott Diabetes Care
Session description - Using international authorities on diabetes management and technology as faculty, this activity will focus on emerging digital, real time-, and sensor patch-based technologies for continuous monitoring of glucose levels, to improve drug interventions for persons with diabetes, minimize risks of hypoglycemia, maximize time in target range for blood glucose, and to optimize treatment interventions and drug titration and selection. The faculty will discuss the Intersection of flash glucose monitoring technology and real world application, and the Implications for adopting CGM in the Covid era and beyond.