{"doi":"10.2337/dc24-1474","title":"Limitations in Achieving Glycemic Targets From CGM Data and Persistence of Severe Hypoglycemia in Adults With Type 1 Diabetes Regardless of Insulin Delivery Method","abstract":"OBJECTIVE: We captured continuous glucose monitoring (CGM) metrics from a large online survey of adults with type 1 diabetes to determine how glycemic outcomes varied by insulin delivery form. RESEARCH DESIGN AND METHODS: Adults with type 1 diabetes from the T1D Exchange Registry/online communities completed the survey and contributed retrospective CGM data for up to 1 year. Self-reported glycemic outcomes and CGM measures were described overall and by insulin delivery method. RESULTS: The 926 participants completed the survey and provided CGM data. Mean ± SD age was 41.9 ± 15.7 years, and 50.8% reported using automated insulin delivery (AID). While AID users spent more time in range, 27.9% did not achieve time in range targets, 15.5% reported severe hypoglycemic events (SHEs), and 16.0% had CGM-detected level 2 hypoglycemic events. CONCLUSIONS: Despite use of diabetes technologies, many individuals are unable to achieve glycemic targets and experience severe hypoglycemia, highlighting the need for novel treatments.","journal":"Diabetes Care","year":2024,"id":424877,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":21,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8386,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":449253,"name":"Jennifer L. Sherr","orcid":"0000-0001-9301-3043","position":1,"is_corresponding":false},{"id":1221961,"name":"Jingwen Liu","orcid":"0000-0002-5513-8803","position":2,"is_corresponding":false},{"id":335539,"name":"Wendy A. Wolf","orcid":null,"position":3,"is_corresponding":false},{"id":1221962,"name":"Jeoffrey Bispham","orcid":"0000-0002-8522-8762","position":4,"is_corresponding":false},{"id":1221963,"name":"KATHERINE S.M. CHAPMAN","orcid":"0000-0002-6167-9198","position":5,"is_corresponding":false},{"id":1222511,"name":"Daniel A. Finan","orcid":null,"position":6,"is_corresponding":false},{"id":1098452,"name":"Lina Titievsky","orcid":"0000-0002-1801-1168","position":7,"is_corresponding":false},{"id":922010,"name":"Tina Liu","orcid":"0000-0001-5795-353X","position":8,"is_corresponding":false},{"id":279913,"name":"Kaitlin Hagan","orcid":null,"position":9,"is_corresponding":false},{"id":336606,"name":"Jason L. Gaglia","orcid":"0000-0003-2904-312X","position":10,"is_corresponding":false},{"id":1222512,"name":"Keval Chandarana","orcid":null,"position":11,"is_corresponding":false},{"id":237704,"name":"Jeremy Pettus","orcid":"0000-0002-5999-0091","position":12,"is_corresponding":false},{"id":243049,"name":"Richard M. Bergenstal","orcid":"0000-0002-9050-5584","position":13,"is_corresponding":false},{"id":280970,"name":"Lori M. Laffel","orcid":"0000-0002-9675-3001","position":0,"is_corresponding":true}],"reference_count":12,"raw_metadata":null,"created_at":"2026-07-19T01:58:21.523756Z","pmid":"39699995","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}