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August 23, 2022Diabetes CareOpen Access

Cardiovascular autonomic neuropathy in type 1 diabetes was associated with a 4.9% higher coefficient of variation in glucose levels (95% CI 1.0-8.7; P=0.014) compared to matched controls.

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Why the study?

Is cardiovascular autonomic neuropathy associated with increased glucose variability in people with type 1 diabetes?

Population

48 participants with Type 1 Diabetes

Comparison

Cardiovascular autonomic neuropathy diagnosis vs Matched control subjects without cardiovascular…

Design

Case-control, blinded continuous glucose monitoring

Follow-up

10 days

Key result

Cardiovascular autonomic neuropathy in type 1 diabetes was associated with a 4.9% higher coefficient of variation in glucose levels (95% CI 1.0-8.7; P=0.014) compared to matched controls.

Authors

SNSara H. NaamanHMHatice Isik MizrakNLNanna Lind

Discussion

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Overview

CAN diagnosis may associate with higher GV in T1D; leaves open causality and clinical relevance pending prospective data.

Study Design

Type

Case-Control (n=48)

Structured PICO

Is cardiovascular autonomic neuropathy associated with increased glucose variability in people with type 1 diabetes?

P
Population
48 participants with type 1 diabetes, including 24 with cardiovascular autonomic neuropathy and 24 matched controls, evaluated with 10-day continuous glucose monitoring.
E
Exposure
Cardiovascular autonomic neuropathy (CAN) diagnosis
C
Comparator
Matched control subjects without cardiovascular autonomic neuropathy
O
Outcome
Glucose variability indices (coefficient of variation, SD of glucose, mean amplitude of glycemic excursions) measured by 10-day blinded continuous glucose monitoringsurrogate

Main Result

Mean Difference: 4.9 (95% CI 1–8.7)

p-value: p=0.014

Cardiovascular autonomic neuropathy is associated with significantly higher glucose variability in patients with type 1 diabetes.

Cite This Study

Naaman et al. (2022) conducted a case-control in Type 1 diabetes (n=48). Cardiovascular autonomic neuropathy (CAN) vs. Matched control subjects without CAN was evaluated on Coefficient of variation (CV) of glucose (MD 4.9%, 95% CI 1.0-8.7, p=0.014). Cardiovascular autonomic neuropathy in type 1 diabetes was associated with a 4.9% higher coefficient of variation in glucose levels (95% CI 1.0-8.7; P=0.014) compared to matched controls.

synapsesocial.com/papers/6aaf2cb22a4ca8a7c91fb975https://doi.org/10.2337/dc22-0117
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