Research Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.
Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.
J Diabetes Sci Technol. 2024 Sep;18(5):1027-1034. doi: 10.1177/19322968241267886. Epub 2024 Aug 19.
Extended glucose predictions are novel in diabetes management. Currently, there is no solution widely available. People with diabetes mellitus (DM) are offered features like trend arrows and limited predictions linked to predefined situations. Thus, the impact of extended glucose predictions on the burden of diabetes and person-reported outcomes (PROs) is unclear.
In this online survey, 206 people with type 1 and type 2 diabetes (T1D and T2D), 70.9% and 29.1%, respectively, who participated in the dia·link online panel and were current continuous glucose monitoring (CGM) users, were presented with different scenarios of hypothetical extended glucose predictions. They were asked to imagine how low glucose predictions of 30 minutes and overnight as well as glucose predictions up to 2 hours would influence their diabetes management. Subsequently, they completed the Hypoglycemia Fear Survey II (HFS-II) and the T1 Diabetes Distress Scale (T1-DDS) by rating each item on a 5-point scale (-2: strong deterioration to +2: strong improvement) according to the potential change due to using glucose predictions.
For all glucose prediction periods, 30 minutes, up to 2 hours, and at nighttime, the surveyed participants expected moderate improvements in both fear of hypoglycemia (HFS-II: 0.57 ± 0.49) and overall diabetes distress (T1-DDS = 0.44 ± 0.49). The T1-DDS did not differ for type of therapy or diabetes.
People with T1D and T2D would see glucose predictions as a potential improvement regarding reduced fear of hypoglycemia and diabetes distress. Therefore, glucose predictions represent a value for them in lowering the burden of diabetes and its management.
延长的血糖预测在糖尿病管理中是新颖的。目前，还没有广泛可用的解决方案。糖尿病患者提供了趋势箭头和与预定义情况相关的有限预测等功能。因此，延长血糖预测对糖尿病负担和患者报告的结果（PROs）的影响尚不清楚。
在这项在线调查中，206 名 1 型和 2 型糖尿病（T1D 和 T2D）患者，分别为 70.9%和 29.1%，参加了 dia·link 在线小组，并且是当前连续血糖监测（CGM）的使用者，他们被呈现了不同的假设延长血糖预测情景。他们被要求想象 30 分钟和夜间的低血糖预测以及长达 2 小时的血糖预测将如何影响他们的糖尿病管理。随后，他们根据使用血糖预测可能产生的变化，通过在 5 分制（-2：严重恶化至+2：明显改善）上对每个项目进行评分，完成了低血糖恐惧量表 II（HFS-II）和 1 型糖尿病困扰量表（T1-DDS）。
对于所有血糖预测时间段，30 分钟，长达 2 小时和夜间，被调查的参与者预计低血糖恐惧（HFS-II：0.57 ± 0.49）和整体糖尿病困扰（T1-DDS = 0.44 ± 0.49）都会适度改善。T1-DDS 与治疗类型或糖尿病无关。
T1D 和 T2D 患者将血糖预测视为降低低血糖恐惧和糖尿病困扰的潜在改善方法。因此，血糖预测代表了他们降低糖尿病负担及其管理的价值。
