To prospectively determine the burden of hypoglycemia (minutes spent below 70 mg/dl per day, measured by continuous glucose monitor (CGM)) among residents of long term care facilities (LTC) with a diagnosis of type 1 or type 2 diabetes including key clinical subgroups (living in skilled nursing facility (SNF) or nursing home (NH), on different hypoglycemic medications). This aim will be achieved by recruiting 300 residents with diabetes in 4 LTC facilities. All participants will undergo masked CGM for 10 days.
Study Type
OBSERVATIONAL
Enrollment
86
Joslin Diabetes Center
Boston, Massachusetts, United States
Biochemical hypoglycemia
minutes per day sensor glucose \<70 mg/dL
Time frame: Baseline
A1C
Time frame: Baseline
Time-in-range
percent/day over 10 days of glucose value between 90-180 mg/dl or 90-250 mg/dl depending current ADA recommendations)
Time frame: Baseline
Clinically significant hypoglycemia
minutes per day sensor glucose \<54 mg/dl
Time frame: Baseline
Severe hypoglycemia
needing 3rd party assistance
Time frame: Baseline
Falls, hospitalization
Time frame: Baseline
Symptoms of hypoglycemia reported to the staff by the resident in between or at the time of fingerstick glucose monitoring (information derived from nursing notes)
Time frame: Baseline
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