Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter Study
Objective: To evaluate changes in hemoglobin A1c (HbA1c) levels and z-height over 3 years based on continuous glucose monitoring (CGM) usage among children with new-onset type 1 diabetes (T1DM) from various Latin American centers. Study design: Data on z-height, CGM access, and HbA1c (%) were collec...
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Elsevier
2024-12-01
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| Series: | Journal of Pediatrics: Clinical Practice |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S295054102400036X |
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| author | Valeria Hirschler, MD Claudia Molinari, Msc Claudio D. Gonzalez, MD Maria Eugenia Andres Angela Figueroa Sobrero Victoria Femenia Guadalupe Pietropaolo Maria L. Major Edit Scaiola Sandra Mazzetti Patricia Pasayo Amanda J. Benitez Andrea Escalante Marassi Laura Pardo Julie Pelicand Carlos M. Del Aguila Villar Alejandra Franchello Ernesto Bogado Julieta Pomilio Rosa Flores Elizabeth Garcia Rusca Andrea Soledad Reinoso Analia Morin Eduardo Rossi Veronica Vacarezza Daniela Rodríguez Fuentes Paula Paz Povedano Ana L. Garcia Teresa Martinez Fabiola Blanco Oswaldo Núñez Almache Ana Parada Patricia Bocco M Laura Arzamendia Carla Mannucci Patricia Taberner Laura Braguinsky |
| author_facet | Valeria Hirschler, MD Claudia Molinari, Msc Claudio D. Gonzalez, MD Maria Eugenia Andres Angela Figueroa Sobrero Victoria Femenia Guadalupe Pietropaolo Maria L. Major Edit Scaiola Sandra Mazzetti Patricia Pasayo Amanda J. Benitez Andrea Escalante Marassi Laura Pardo Julie Pelicand Carlos M. Del Aguila Villar Alejandra Franchello Ernesto Bogado Julieta Pomilio Rosa Flores Elizabeth Garcia Rusca Andrea Soledad Reinoso Analia Morin Eduardo Rossi Veronica Vacarezza Daniela Rodríguez Fuentes Paula Paz Povedano Ana L. Garcia Teresa Martinez Fabiola Blanco Oswaldo Núñez Almache Ana Parada Patricia Bocco M Laura Arzamendia Carla Mannucci Patricia Taberner Laura Braguinsky |
| author_sort | Valeria Hirschler, MD |
| collection | DOAJ |
| description | Objective: To evaluate changes in hemoglobin A1c (HbA1c) levels and z-height over 3 years based on continuous glucose monitoring (CGM) usage among children with new-onset type 1 diabetes (T1DM) from various Latin American centers. Study design: Data on z-height, CGM access, and HbA1c (%) were collected for Latin American children aged 6 months to 18 years with T1DM onset from 19 centers in a retrospective analysis of medical records, from 2020 to 2023. A 2-way ANOVA method with repeated measures and multiple regression analyses were performed. Results: We included 433 children (46.0% female) aged 8.7 ± 3.7 years; 199 (45.9%) used CGM. The mean HbA1c was significantly lower in years 1, 2, and 3 than at baseline in children with CGM, but not those without CGM. The z-height decreased significantly with the years in both groups. However, the CGM users showed a significantly greater height in years 2 and 3 than the nonusers. Multiple linear regression analysis showed that CGM users exhibited a significantly lower incremental area under the curve (AUC) for HbA1c during follow-up than nonusers. Furthermore, a lower incremental AUC for HbA1c was associated with a smaller decremental AUC for z-height (R2 = 0.19). Multiple logistic regression analysis revealed that children with CGM were 80% more likely (OR, 0.22; 95% CI, 0.1-0.6) to achieve an HbA1c of <7% in the third year of follow-up. Conclusions: This study reveals a significant association between CGM use and lower HbA1c from the onset of T1DM over a 3-year follow-up in Latin American children. Further prospective studies should be performed to confirm this finding. |
| format | Article |
| id | doaj-art-a4b641e0c1944de49a4d52d661f4053f |
| institution | OA Journals |
| issn | 2950-5410 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatrics: Clinical Practice |
| spelling | doaj-art-a4b641e0c1944de49a4d52d661f4053f2025-08-20T02:38:06ZengElsevierJournal of Pediatrics: Clinical Practice2950-54102024-12-011420013010.1016/j.jpedcp.2024.200130Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter StudyValeria Hirschler, MD0Claudia Molinari, Msc1Claudio D. Gonzalez, MD2Maria Eugenia AndresAngela Figueroa SobreroVictoria FemeniaGuadalupe PietropaoloMaria L. MajorEdit ScaiolaSandra MazzettiPatricia PasayoAmanda J. BenitezAndrea Escalante MarassiLaura PardoJulie PelicandCarlos M. Del Aguila VillarAlejandra FranchelloErnesto BogadoJulieta PomilioRosa FloresElizabeth Garcia RuscaAndrea Soledad ReinosoAnalia MorinEduardo RossiVeronica VacarezzaDaniela Rodríguez FuentesPaula Paz PovedanoAna L. GarciaTeresa MartinezFabiola BlancoOswaldo Núñez AlmacheAna ParadaPatricia BoccoM Laura ArzamendiaCarla MannucciPatricia TabernerLaura BraguinskyArgentine Diabetes Society, Epidemiology Department, Buenos Aires, Argentina; Reprint requests: Valeria Hirschler, MD, Argentine Diabetes Society, Epidemiology Department, Maipu, 812 5 M, Buenos Aires 1006, Argentina.UBA School of Pharmacy and Biochemistry, Mathematics, Buenos Aires, ArgentinaCEMIC, Pharmacology, Buenos Aires, ArgentinaObjective: To evaluate changes in hemoglobin A1c (HbA1c) levels and z-height over 3 years based on continuous glucose monitoring (CGM) usage among children with new-onset type 1 diabetes (T1DM) from various Latin American centers. Study design: Data on z-height, CGM access, and HbA1c (%) were collected for Latin American children aged 6 months to 18 years with T1DM onset from 19 centers in a retrospective analysis of medical records, from 2020 to 2023. A 2-way ANOVA method with repeated measures and multiple regression analyses were performed. Results: We included 433 children (46.0% female) aged 8.7 ± 3.7 years; 199 (45.9%) used CGM. The mean HbA1c was significantly lower in years 1, 2, and 3 than at baseline in children with CGM, but not those without CGM. The z-height decreased significantly with the years in both groups. However, the CGM users showed a significantly greater height in years 2 and 3 than the nonusers. Multiple linear regression analysis showed that CGM users exhibited a significantly lower incremental area under the curve (AUC) for HbA1c during follow-up than nonusers. Furthermore, a lower incremental AUC for HbA1c was associated with a smaller decremental AUC for z-height (R2 = 0.19). Multiple logistic regression analysis revealed that children with CGM were 80% more likely (OR, 0.22; 95% CI, 0.1-0.6) to achieve an HbA1c of <7% in the third year of follow-up. Conclusions: This study reveals a significant association between CGM use and lower HbA1c from the onset of T1DM over a 3-year follow-up in Latin American children. Further prospective studies should be performed to confirm this finding.http://www.sciencedirect.com/science/article/pii/S295054102400036XLatin American childrentype 1 diabetesheightCGM |
| spellingShingle | Valeria Hirschler, MD Claudia Molinari, Msc Claudio D. Gonzalez, MD Maria Eugenia Andres Angela Figueroa Sobrero Victoria Femenia Guadalupe Pietropaolo Maria L. Major Edit Scaiola Sandra Mazzetti Patricia Pasayo Amanda J. Benitez Andrea Escalante Marassi Laura Pardo Julie Pelicand Carlos M. Del Aguila Villar Alejandra Franchello Ernesto Bogado Julieta Pomilio Rosa Flores Elizabeth Garcia Rusca Andrea Soledad Reinoso Analia Morin Eduardo Rossi Veronica Vacarezza Daniela Rodríguez Fuentes Paula Paz Povedano Ana L. Garcia Teresa Martinez Fabiola Blanco Oswaldo Núñez Almache Ana Parada Patricia Bocco M Laura Arzamendia Carla Mannucci Patricia Taberner Laura Braguinsky Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter Study Journal of Pediatrics: Clinical Practice Latin American children type 1 diabetes height CGM |
| title | Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter Study |
| title_full | Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter Study |
| title_fullStr | Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter Study |
| title_full_unstemmed | Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter Study |
| title_short | Impact of Continuous Glucose Monitoring on Hemoglobin A1c and Height Trends in Latin American Children with Type 1 Diabetes Onset over 3 Years: A Multicenter Study |
| title_sort | impact of continuous glucose monitoring on hemoglobin a1c and height trends in latin american children with type 1 diabetes onset over 3 years a multicenter study |
| topic | Latin American children type 1 diabetes height CGM |
| url | http://www.sciencedirect.com/science/article/pii/S295054102400036X |
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