The influence of time in range on daily mood in adults with type 1 diabetes.

Abstract:

AIMS:To investigate the impact of time in range (TIR) on mood in adults with type 1 diabetes (T1D). METHODS:We followed a cohort of 219 T1D adults, all currently employing a real-time continuous glucose monitoring system (RT-CGM), to investigate how daily changes in CGM metrics were associated with nightly reports of positive and negative mood over a two-week period. RESULTS:Greater daily %TIR (70-180 mg/dL) and less time in "severe" hyperglycemia (% time above range (TAR) > 300 mg/dL) were both significantly associated with higher ratings on all positive mood elements and lower ratings on most negative mood elements (all ps < 0.05). When entered together as predictors, %TIR but not %TAR >300 emerged as an independent predictor of many of the positive and negative mood variables. Neither daily changes in time spent in hypoglycemia (< 70 mg/dL) nor glycemic variability (represented by the coefficient of variation) were significantly related to reported mood. CONCLUSIONS:This study provides the first evidence that time in range (%TIR) is associated with, and likely enhances, daily mood. Consistent with previous studies, we also found that more time spent in "severe" hyperglycemia is linked to more negative mood.

authors

Polonsky WH,Fortmann AL

doi

10.1016/j.jdiacomp.2020.107746

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

107746

issue

12

eissn

1056-8727

issn

1873-460X

pii

S1056-8727(20)30527-4

journal_volume

34

pub_type

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