Associations between continuous glucose monitoring (CGM) metrics and psycholinguistic measures: a correlational study.

Journal: Acta diabetologica

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Affiliated Institutions:  Centro Italiano Psicologia Analitica (CIPA), Rome, Italy. dott.marchinipsi@gmail.com. Department of Clinical, Dynamic and Health Psychology, Sapienza University of Rome, Rome, Italy. Uosd Immunopatologia e allergologia pediatrica, Policlinico Tor Vergata, Rome, Italy. Sapienza University of Rome, Rome, Italy. ASL Roma, Diabetes Unit, San Paulo Hospital, Civitavecchia, Italy. Diabetes Care Unit Fondazione Policlinico, Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. A.S.L. TO, Chivasso (TO), Piedmont, Italy. Fondazione IRCCS Policlinico San Matteo, Endocrinology, Pavia, Italy. Diabetology Unit, ASL Latina, Latina, Italy. Department of Clinical and Experimental Medicine, Endocrinology Section, University of Catania, Catania, Italy. Israelititco Hospital, International Medical University "Unicamillus" Cdc "Santa Famiglia", Rome, Italy.

Abstract summary 

Recently, the relationship between diabetes and mental health has been widely studied. With the advent of continuous glucose monitoring (CGM), some researchers have been interested in exploring the association between glucose-related metrics and psychological aspects. These studies have primarily relied on self-report questionnaires which present some limitations. Therefore, the present multicenter study aims at testing potential associations between CGM metrics and affective processes derived from narratives about using a CGM sensor.An exploratory correlational design was used. Fifty-eight adults with type 1 diabetes using CGM were enrolled and invited to complete an online survey, where they replied to an open-ended question regarding their personal experience with the CGM sensor. Texts derived from the answers were analyzed through Linguistic Inquiry and Word Count, a widely used text analysis tool that can automatically identify and quantify linguistic patterns related to various psychological dimensions. Psycholinguistic measures were correlated with CGM metrics.Higher levels of sadness/depression correlated with lower %TIR (r = - 339; p < .01) and higher %TAR (r = .342; p < .01).The study highlights the relationship between CGM metrics and psychological variables derived from patients' narratives. In particular, it is possible to hypothesize a positive role of %TIR in reducing depressive feelings in individuals with diabetes, as well as a negative role of depressive feelings in achieving desirable CGM outcomes. Additionally, there is a potential role of glycemic variability, particularly hyperglycemia, in the expression of depressive and sad feelings, which has been less studied compared to the effects of hypoglycemia.

Authors & Co-authors:  Marchini Caputo Convertino Giuliani Bitterman Pitocco Fornengo Lovati Forte Sciacca Napoli

Study Outcome 

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Citations :  T Battelino 2020 Target clinici per l’interpretazione dei dati relativi Al monitoraggio glicemico in continuo. Raccomandazioni dal consenso internazionale sul tempo in range Diabetes Care https://doi.org/10.2337/dci19-0028-it
Authors :  11
Identifiers
Doi : 10.1007/s00592-024-02244-x
SSN : 1432-5233
Study Population
Male,Female
Mesh Terms
Other Terms
CGM;Depression;Diabetes;Emotions;Mood;Psychological
Study Design
Study Approach
Country of Study
Publication Country
Germany