Modifiable self-management practices impact nocturnal and morning glycaemia in type 1 diabetes.
Prim Care Diabetes
; 18(4): 435-440, 2024 08.
Article
em En
| MEDLINE
| ID: mdl-38852028
ABSTRACT
AIMS:
To identify risk factors for nocturnal/morning hypo- and hyperglycaemia in type 1 diabetes.METHODS:
Data on self-management practices were obtained from 3-day records. We studied the associations between self-management practices on the first recording day and the self-reported blood glucose (BG) concentrations on the subsequent night/morning.RESULTS:
Of the 1025 participants (39â¯% men, median age 45 years), 4.4â¯% reported nocturnal hypoglycaemia (<3.9â¯mmol/l), 9.8â¯% morning hypoglycaemia, 51.5â¯% morning euglycaemia, and 34.3â¯% morning hyperglycaemia (≥8.9â¯mmol/l). Within hypoglycaemic range, insulin pump use was associated with higher nocturnal BG concentration (B=0.486 [95â¯% Confidence Interval=0.121-0.852], p=0.009). HbA1c was positively (0.046 [0.028-0.065], p<0.001), while antecedent fibre intake (-0.327 [-0.543 - -0.111], p=0.003) and physical activity (PA) (-0.042 [-0.075 - -0.010], p=0.010) were inversely associated with morning BG concentration. The odds of morning hypoglycaemia were increased by previous day hypoglycaemia (OR=2.058, p=0.002) and alcohol intake (1.031, p=0.001). Previous day PA (0.977, p=0.031) and fibre intake (0.848, p=0.017) were inversely, while HbA1c (1.027, p<0.001) was positively associated with the risk of morning hyperglycaemia.CONCLUSIONS:
Alcohol avoidance may prevent nocturnal hypoglycaemia, while PA and fibre intake may reduce hyperglycaemia risk. Avoidance of daytime hypoglycaemia and keeping HbA1c in control may help maintain normoglycaemia also at night-time.Palavras-chave
Texto completo:
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Bases de dados:
MEDLINE
Assunto principal:
Glicemia
/
Hemoglobinas Glicadas
/
Biomarcadores
/
Ritmo Circadiano
/
Diabetes Mellitus Tipo 1
/
Controle Glicêmico
/
Hiperglicemia
/
Hipoglicemia
/
Hipoglicemiantes
Idioma:
En
Revista:
Prim Care Diabetes
Assunto da revista:
ENDOCRINOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Finlândia