Young adult and adolescent women with type 1 diabetes Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of T1D is clear. Diagnosis of T1D will be based on the need for insulin treatment from the onset of the disease and clinical diagnosis of T1D. The characteristics of the menstrual cycle will not be an inclusion or exclusion criterion 2. Younger than 35 years of age. 3. Users of 780G 4. At least 2 years post-menarche 5. Willing to track menstrual cycles with an electronic app
Exclusion criteria
Exclusion criteria: 1. Amenorrhea (>90 days) during the last semester 2. Use of hormonal contraception 3. Subjects whose diagnosis of the type of diabetes is unclear will be excluded 4. The presence of the honeymoon period (10 IU/ml in the past year) 11. Hypogonadism, or other hormonal deficiencies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Continuous glucose monitoring will determine the ambulatory glucose profile (Guardian 3 or Guardian 4, Medtronic, Inc.), which measures interstitial glucose levels every five minutes. This data is downloaded to an online database (Carelink). The ambulatory glucose profile will be determined in the early follicular and late luteal phases for at least three menstrual cycles—the definition of the early follicular and late luteal phase. •The initiation of the bleeding will be considered day 1. Early follicular phase: days 1 to 4 of the cycle or 2-4 if initiation of bleeding is not precise. Late luteal phase: days -3 to -1 of the cycle The following variables will be obtained from the continuous glucose monitoring system and determined for the different menstrual cycles: 1.Time in range (proportion of time that the patient has interstitial glucose in the 70-180 mg/dl range) 2.Mean glucose levels: mean glucose level of the period. 3.Coefficient of glucose variability, 4.Time below range (<70 mg/dl) | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of extra insulin that the insulin infusion pump algorithm gives to achieve normal glucose levels will be determined in the follicular and luteal phases. This will be defined as the number of daily units of insulin and the proportion of the total basal insulin administration. | — |
Countries
Chile