Artime Esther, Hillman Natalia, Tinahones Francisco J, Pérez Antonio, Giménez Margarita, Duque Natalia, Rubio-De Santos Miriam, Díaz-Cerezo Silvia, Redondo-Antón Jennifer, Spaepen Erik, Pérez Francisco, Conget Ignacio
Medicine, Eli Lilly and Company, Madrid, ESP.
Diabetes and Endocrinology, La Paz University Hospital, Madrid, ESP.
Cureus. 2025 Feb 17;17(2):e79134. doi: 10.7759/cureus.79134. eCollection 2025 Feb.
Background This study aimed to measure the association between time in range (TIR) and other continuous glucose monitoring (CGM)-derived glucometrics, quality of life (QoL), healthcare resource use (HCRU), and costs in persons with type 1 diabetes mellitus (T1DM) in routine clinical practice in Spain. Methods This observational, cross-sectional, multicentre study evaluated persons with T1DM who received insulin via multiple daily injections. The study collected data on the participants (demographic and clinical), the use of the CGM devices, patient-reported outcomes (PROs) for general and diabetes-related QoL, treatment satisfaction, work productivity and activity impairment, HCRU, and costs. Data were analysed descriptively. The Spearman correlation coefficient was used to measure the association between glucometrics and PROs, HCRU and costs. Results Participants (N=114) had a mean age (standard deviation) of 44.53 (14.39) years, were 50.88% men, and 53.51% had glycated haemoglobin ≤7%. A higher TIR was significantly associated with better diabetes-related QoL but not with general QoL. HCRU and PRO scores for treatment satisfaction and work productivity and activity impairment showed no correlation with TIR. Higher TIR correlated with a lower number of emergency room visits. Conclusion Good glycaemic control (high TIR) is favourably associated with some aspects of diabetes-related QoL.
背景 本研究旨在衡量西班牙常规临床实践中1型糖尿病(T1DM)患者的血糖达标时间(TIR)与其他连续血糖监测(CGM)衍生的血糖指标、生活质量(QoL)、医疗资源利用(HCRU)及费用之间的关联。
方法 这项观察性、横断面、多中心研究对通过多次皮下注射胰岛素治疗的T1DM患者进行了评估。研究收集了参与者的相关数据(人口统计学和临床数据)、CGM设备的使用情况、患者报告的总体和糖尿病相关生活质量结局(PROs)、治疗满意度、工作效率和活动障碍、HCRU及费用。对数据进行描述性分析。采用Spearman相关系数来衡量血糖指标与PROs、HCRU及费用之间的关联。
结果 参与者(N = 114)的平均年龄(标准差)为44.53(14.39)岁,男性占50.88%,53.51%的患者糖化血红蛋白≤7%。较高的TIR与更好的糖尿病相关生活质量显著相关,但与总体生活质量无关。HCRU以及治疗满意度、工作效率和活动障碍的PRO评分与TIR无相关性。较高的TIR与较低的急诊就诊次数相关。
结论 良好的血糖控制(高TIR)与糖尿病相关生活质量的某些方面呈正相关。