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Association of Fructosamine Levels With Glycemic Management in Children With Type 1 Diabetes as Determined by Continuous Glucose Monitoring: Results From the CGM TIME Trial

Our aim in this study was to determine the correlation between serum fructosamine and average blood glucose, as measured by continuous glucose monitoring (CGM) in children with type 1 diabetes. Ninety-seven blood samples were collected from 70 participants in the Timing of Initiation of continuous g...

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Published in:Canadian journal of diabetes 2024-07, Vol.48 (5), p.330-336.e2
Main Authors: Verbeeten, Kate C., Tang, Ken, Courtney, Jennilea M., Bradley, Brenda J., McAssey, Karen, Clarson, Cheril, Kirsch, Susan, Curtis, Jacqueline R., Mahmud, Farid H., Richardson, Christine, Cooper, Tammy, Lawson, Margaret L.
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description Our aim in this study was to determine the correlation between serum fructosamine and average blood glucose, as measured by continuous glucose monitoring (CGM) in children with type 1 diabetes. Ninety-seven blood samples were collected from 70 participants in the Timing of Initiation of continuous glucose Monitoring in Established pediatric diabetes (CGM TIME) Trial. Each eligible participant had 3 weeks of CGM data with at least 60% CGM adherence before blood collection. Ordinary least-squares linear regression incorporating restricted cubic splines was used to determine the association between fructosamine levels and mean blood glucose. An association was found between fructosamine and mean blood glucose, with an F statistic of 9.543 (p
doi_str_mv 10.1016/j.jcjd.2024.04.007
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Ninety-seven blood samples were collected from 70 participants in the Timing of Initiation of continuous glucose Monitoring in Established pediatric diabetes (CGM TIME) Trial. Each eligible participant had 3 weeks of CGM data with at least 60% CGM adherence before blood collection. Ordinary least-squares linear regression incorporating restricted cubic splines was used to determine the association between fructosamine levels and mean blood glucose. An association was found between fructosamine and mean blood glucose, with an F statistic of 9.543 (p&lt;0.001). Data were used to create a formula and conversion chart for calculating mean blood glucose from fructosamine levels for clinical use. There is a complex relationship between average blood glucose, as determined by CGM and fructosamine. Fructosamine levels may be clinically useful for assessing short-term glycemic management when CGM is not available. Déterminer la corrélation entre la fructosamine sérique et la glycémie moyenne mesurée lors de la surveillance continue du glucose (SCG, ou CGM en anglais) chez les enfants atteints de diabète de type 1. Quatre-vingt-dix-sept échantillons de sang ont été prélevés auprès de 70 participants de l'essai CGM TIME. Chaque participant éligible disposait de 3 semaines de données SCG avec une adhésion à la SCG d'au moins 60% avant le prélèvement sanguin. Une régression linéaire par la méthode des moindres carrés ordinaires intégrant des splines cubiques restreintes a été utilisée pour déterminer l'association entre les niveaux de fructosamine et la glycémie moyenne. Une association a été trouvée entre la fructosamine et la glycémie moyenne, avec une statistique F de 9.543 (valeur de p &lt;0.001). Les données ont été utilisées pour créer une formule et un tableau de conversion permettant de calculer la glycémie moyenne à partir des taux de fructosamine pour un usage clinique. Il existe une relation complexe entre la glycémie moyenne déterminée par la SCG et la fructosamine. 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Ninety-seven blood samples were collected from 70 participants in the Timing of Initiation of continuous glucose Monitoring in Established pediatric diabetes (CGM TIME) Trial. Each eligible participant had 3 weeks of CGM data with at least 60% CGM adherence before blood collection. Ordinary least-squares linear regression incorporating restricted cubic splines was used to determine the association between fructosamine levels and mean blood glucose. An association was found between fructosamine and mean blood glucose, with an F statistic of 9.543 (p&lt;0.001). Data were used to create a formula and conversion chart for calculating mean blood glucose from fructosamine levels for clinical use. There is a complex relationship between average blood glucose, as determined by CGM and fructosamine. Fructosamine levels may be clinically useful for assessing short-term glycemic management when CGM is not available. Déterminer la corrélation entre la fructosamine sérique et la glycémie moyenne mesurée lors de la surveillance continue du glucose (SCG, ou CGM en anglais) chez les enfants atteints de diabète de type 1. Quatre-vingt-dix-sept échantillons de sang ont été prélevés auprès de 70 participants de l'essai CGM TIME. Chaque participant éligible disposait de 3 semaines de données SCG avec une adhésion à la SCG d'au moins 60% avant le prélèvement sanguin. Une régression linéaire par la méthode des moindres carrés ordinaires intégrant des splines cubiques restreintes a été utilisée pour déterminer l'association entre les niveaux de fructosamine et la glycémie moyenne. Une association a été trouvée entre la fructosamine et la glycémie moyenne, avec une statistique F de 9.543 (valeur de p &lt;0.001). Les données ont été utilisées pour créer une formule et un tableau de conversion permettant de calculer la glycémie moyenne à partir des taux de fructosamine pour un usage clinique. Il existe une relation complexe entre la glycémie moyenne déterminée par la SCG et la fructosamine. 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Ninety-seven blood samples were collected from 70 participants in the Timing of Initiation of continuous glucose Monitoring in Established pediatric diabetes (CGM TIME) Trial. Each eligible participant had 3 weeks of CGM data with at least 60% CGM adherence before blood collection. Ordinary least-squares linear regression incorporating restricted cubic splines was used to determine the association between fructosamine levels and mean blood glucose. An association was found between fructosamine and mean blood glucose, with an F statistic of 9.543 (p&lt;0.001). Data were used to create a formula and conversion chart for calculating mean blood glucose from fructosamine levels for clinical use. There is a complex relationship between average blood glucose, as determined by CGM and fructosamine. Fructosamine levels may be clinically useful for assessing short-term glycemic management when CGM is not available. Déterminer la corrélation entre la fructosamine sérique et la glycémie moyenne mesurée lors de la surveillance continue du glucose (SCG, ou CGM en anglais) chez les enfants atteints de diabète de type 1. Quatre-vingt-dix-sept échantillons de sang ont été prélevés auprès de 70 participants de l'essai CGM TIME. Chaque participant éligible disposait de 3 semaines de données SCG avec une adhésion à la SCG d'au moins 60% avant le prélèvement sanguin. Une régression linéaire par la méthode des moindres carrés ordinaires intégrant des splines cubiques restreintes a été utilisée pour déterminer l'association entre les niveaux de fructosamine et la glycémie moyenne. Une association a été trouvée entre la fructosamine et la glycémie moyenne, avec une statistique F de 9.543 (valeur de p &lt;0.001). Les données ont été utilisées pour créer une formule et un tableau de conversion permettant de calculer la glycémie moyenne à partir des taux de fructosamine pour un usage clinique. Il existe une relation complexe entre la glycémie moyenne déterminée par la SCG et la fructosamine. Les taux de fructosamine peuvent être utiles cliniquement pour évaluer le contrôle glycémique à court terme lorsque la SCG n'est pas disponible.</abstract><cop>Canada</cop><pub>Elsevier Inc</pub><pmid>38614216</pmid><doi>10.1016/j.jcjd.2024.04.007</doi><orcidid>https://orcid.org/0000-0001-9106-8737</orcidid><orcidid>https://orcid.org/0000-0002-1446-7061</orcidid></addata></record>
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ispartof Canadian journal of diabetes, 2024-07, Vol.48 (5), p.330-336.e2
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subjects Adolescent
Blood Glucose - analysis
Blood Glucose Self-Monitoring - methods
Child
Continuous Glucose Monitoring
contrôle glycémique
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - drug therapy
diabète de type 1
Female
fructosamine
Fructosamine - blood
Glycated Hemoglobin - analysis
Glycemic Control
glycemic management
Humans
Male
pediatrics
pédiatrie
surveillance continue du glucose
type 1 diabetes
title Association of Fructosamine Levels With Glycemic Management in Children With Type 1 Diabetes as Determined by Continuous Glucose Monitoring: Results From the CGM TIME Trial
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