Monitorización continua de glucosa en la percepción de la hipoglucemia en personas con diabetes mellitus

Introduction:Recurrent hypoglycemia increases the risk of developing asymptomatic hypoglycemia, which affects up to 40% of people with diabetes and leads to severe hypoglycemic episodes. Objective: This study aimed to evaluate the effect of instant glucose monitoring on the perception of hypoglycemi...

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Detalles Bibliográficos
Autores: Ruiz-Trillo, Carmen Amelia, Cortés-Lerena, Ana, Garrido-Bueno, Miguel, Gamero-Dorado, Carmen, Pérez-Morales, Ana, López-Gallardo, Gema
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad de Murcia
Repositorio:DIGITUM. Depósito Digital Institucional de la Universidad de Murcia
OAI Identifier:oai:digitum.um.es:10201/203462
Acceso en línea:http://hdl.handle.net/10201/203462
Access Level:acceso abierto
Palabra clave:Hypoglycemia
Nurses
Continuous glucose monitoring
Diabetes mellitus tipo 1
Hipoglucemia
Enfermeras
Monitoreo continuo de glucosa
Type 1 diabetes mellitus
No relacionado con ningún objetivo de desarrollo sostenible
Descripción
Sumario:Introduction:Recurrent hypoglycemia increases the risk of developing asymptomatic hypoglycemia, which affects up to 40% of people with diabetes and leads to severe hypoglycemic episodes. Objective: This study aimed to evaluate the effect of instant glucose monitoring on the perception of hypoglycemia in patients with type 1 diabetes mellitus.Method:A 24-week quasi-experimental study was conducted at the Virgen del Rocío University Hospital involving 68 patients with type 1 diabetes with severe or asymptomatic hypoglycemia. The primary outcome was the change in Clark test score from baseline to 24 weeks after implementation of a flash glucose monitoring device (Free Style 2®, Abbott). Secondary outcomes included changes in glycemic data and factors influencing improved perception.Results: The Clark test score decreased significantly, with a reduction in total hypoglycemic time. No significant changes were observed in time below or in range. Longer duration of diabetes was associated with a higher likelihood of persistent asymptomatic hypoglycemia.Conclusions:Rapid glucose monitoring improved the perception of hypoglycemia and reduced hypoglycemic time and glycemic variability in patients with type 1 diabetes, although its impact on HbA1c and time in range was minimal