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June 7, 2026Diabetes

1942-P: Hyperglycemia Metrics from Continuous Glucose Monitoring Are Independently Associated with Platelet Morphology in Adults with Type 1 Diabetes

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Why the study?

Platelet morphology indices correlate with HbA1c in type 2 diabetes, but evidence linking continuous glucose monitoring-derived metrics to platelet morphology in type 1 diabetes remains limited.

Population

301 adults with T1D without established cardiovascular disease

Comparison

CGM-derived metrics over 7-, 14-, and 30-day windows

Design

Cross-sectional study

Key result

CGM-derived hyperglycemia metrics were independently associated with platelet large cell ratio in adults with type 1 diabetes (standardized β 1.37-1.59; p=0.002-0.015).

Authors

MKMICHAL KULECKIDNDariusz NaskrętAKAdrian Kubicki

Discussion

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Overview

May link hyperglycemia to platelet morphology in T1D; leaves open CV risk implications pending prospective studies.

Key Points

  • This study investigates the relationship between continuous glucose monitoring metrics and platelet morphology in adults with type 1 diabetes.
  • Cross-sectional study involving 301 adults with type 1 diabetes without established cardiovascular disease.
  • Measured platelet indices using Sysmex XN-1000 analyzer from fasting blood samples and assessed glucose profiles via CGM.
  • Applied Spearman correlation and multivariable linear regression models, adjusting for possible confounders.
  • Positive correlations were found between platelet indices and mean glucose, time above range, glycemic risk index; all p < 0.001.
  • Hyperglycemia-related metrics were independently associated with platelet large cell ratio (standardized β 1.37-1.59, p = 0.002-0.015).
  • Mean amplitude of glucose excursion lost significance in multivariable models after accounting for time above range.

Study Design

Type

Cross-Sectional (n=301)

Structured PICO

P
Population
301 adults with type 1 diabetes without established cardiovascular disease, evaluated for associations between CGM-derived glucose metrics and platelet morphology.
E
Exposure
Continuous glucose monitoring (CGM) to assess glucose profiles over 7-, 14-, and 30-day windows
O
Outcome
Platelet morphology indices (platelet large cell ratio, mean platelet volume, and platelet distribution width) measured from fasting blood samplessurrogate

Main Result

Effect estimate: standardized β 1.37-1.59

p-value: p=0.002-0.015

In adults with type 1 diabetes, cumulative hyperglycemic exposure measured by CGM is independently associated with altered platelet morphology, suggesting a potential link to cardiovascular risk.

Cite This Study

KULECKI et al. (2026) conducted a cross-sectional in Type 1 Diabetes (n=301). Hyperglycemia metrics from continuous glucose monitoring was evaluated on Association between CGM-derived metrics and platelet morphology (P-LCR) (standardized β 1.37-1.59, p=0.002-0.015). CGM-derived hyperglycemia metrics were independently associated with platelet large cell ratio in adults with type 1 diabetes (standardized β 1.37-1.59; p=0.002-0.015).

synapsesocial.com/papers/6a250ce97def13d035e1d252https://doi.org/10.2337/db26-1942-p
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