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The effect on HbA1c in patients with type 2diabetes who start with FreeStyle Libre– a retrospective study of medical records in Region Örebro County, 2019
Örebro University, School of Medical Sciences.
2020 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

IntroductionFreeStyle Libre (FSL) has mostly been used by patients with type 1 diabetes. In 2019, newrecommendations were announced regarding prescriptions to patients with type 2 diabetes(T2D) who have insulin treatment (basal/bolus), HbA1c > 70 mmol/mol and/or repeatedhypoglycemic events despite great effort to adjust insulin doses.AimTo evaluate if HbA1c improves with FSL compared with self-monitoring of blood glucose. Thesecondary aim was to investigate if patients with recurrent hypoglycemic events experiencedless hypoglycemic events.MethodsThis study was designed as a retrospective systematic review of medical records of patientswith T2D in Region Örebro County (RÖC) who have received an FSL 1st of January to 13th ofSeptember 2019. A control group (n = 142) was created from the National Diabetes Register tothe indication group HbA1c > 70 mmol/mol. A paired sample t-test was used to assess theprimary endpoint.ResultsHbA1c decreased significantly from 73 mmol/mol to 65 mmol/mol (p <0.001) in the wholestudy population (n = 58). Indication group HbA1c > 70 mmol/mol (n = 38) had the greatestchange, 80 mmol/mol to 68 mmol/mol (p <0.001). The mean HbA1c in the control group was82 mol/mol. There were 15 patients in the indication group with hypoglycemic events (n = 20)who experienced less hypoglycemic events.ConclusionFSL has a positive effect on the metabolic control in patients with T2D who have HbA1c > 70mmol/mol when starting with FSL in RÖC.

Place, publisher, year, edition, pages
2020.
Keywords [en]
Type 2 diabetes, FreeStyle Libre, HbA1c, hypoglycemia.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-81558OAI: oai:DiVA.org:oru-81558DiVA, id: diva2:1428517
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Available from: 2020-05-05 Created: 2020-05-05 Last updated: 2020-05-05Bibliographically approved

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CiteExportLink to record
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