Renplace testing for diabetes

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Source: American Diabetes Association If your doctor thinks you have type 1 diabetes, your blood may also tested for autoantibodies substances that indicate your body is attacking itself that are often present in type 1 diabetes but not in type 2 diabetes. You may have your urine tested for ketones produced when your body burns fat for energy , which also indicate type 1 diabetes instead of type 2 diabetes.

Tests for Gestational Diabetes Gestational diabetes is diagnosed using blood tests. If your risk is higher for getting gestational diabetes due to having more risk factors , your doctor may test you earlier. Glucose Tolerance Test This measures your blood sugar before and after you drink a liquid that contains glucose. All other participants completed the day blinded phase and 8 weeks of unblinded CGM use.

Successful completion of the blinded phase required study CGM wear on a minimum of 11 of 14 days and an average of three blood glucose measurements per day by the study BGM. Randomized Trial After randomization, participants in both groups were instructed to calibrate the study CGM per Dexcom specifications and to use it daily.

The CGM-only group was instructed to dose insulin and make management decisions on the basis of the CGM sensor glucose concentration, except in the following circumstances that required BGM testing: 1 for 12 h after insertion of a new sensor, 2 on a sick day e. For insulin pumps that were unable to be uploaded to the Tidepool platform, the data were obtained by using Diasend Chicago, IL software. Glucose and pump data were reviewed to determine whether changes were indicated in diabetes management.

The following questionnaires were completed at baseline and 26 weeks: the Diabetes Technology Questionnaire, which consists of 30 questions about diabetes self-treatment practices and the impact of living with diabetes on the individual 20 , and the Hypoglycemia Fear Survey, which consists of 23 questions about the effect of or worry about hypoglycemia on the individual with diabetes To be included in the primary and secondary analyses of CGM metrics, the participant had to have at least h of CGM data during the 26 weeks of the trial.

Statistical Methods Sample size was determined for a noninferiority limit of 7. Analyses followed the intention-to-treat principle. Confounding was assessed by repeating the analysis with the inclusion of potential confounding variables as covariates. For the remaining CGM outcomes, treatment group comparisons were made by using ANCOVA models based on van der Waerden score rankings if the metric was skewed and adjusted for the corresponding baseline value and clinical site as a random effect.

For the Hypoglycemia Fear Survey, the overall total score, the total score for the low—blood glucose questions 1—10 , and the total score for the worrying questions 11—23 were each compared between treatment groups by using an ANCOVA model adjusted for the baseline value and site as a random effect.

Analyses were conducted with SAS 9. All P values are two-sided. Participant characteristics according to treatment group are listed in Table 1.