Selected publications
PUBLICATIONS FROM THE BETTER REGISTRY
Here are some research studies conducted using the data collected through the BETTER registry, and their articles have been published. Others are ongoing.
Socioeconomic status and complications of type 1 diabetes
Key points: Despite the presence of public insurance, a lower socioeconomic status is associated with an increased risk of complications.
Reported vs. laboratory-measured glycosylated hemoglobin (HbA1c)
Key points: Individuals living with type 1 diabetes can reliably report their latest HbA1c result.
Definition of severe hypoglycemia
Key points: A simplified definition of severe hypoglycemia (low blood sugar that cannot be treated independently) works just as well as the medical definition.
The burden of hypoglyceamia
Key points: Hypoglycemia remains a prevalent burden despite the relatively widespread adoption of technologies (insulin pumps, continuous glucose monitors).
Prevention of nocturnal hypoglycemia
Key points: Depending on the technologies used (insulin pump, continuous glucose monitors), the strategies employed to prevent nocturnal hypoglycemia vary.
Prevention of hypoglycemia related to physical activity
Key points: Individuals who identify as men more frequently use snacks to prevent hypoglycemia related to physical activity compared to those who identify as women.
Risk factors and cardiovascular protection
Key points: There are certain limitations in treatment adherence for cardiovascular prevention, and achieving the goals is still suboptimal
Frequency and consequences of hypoglycemia by gender
Key points: Individuals who identify as female report a higher frequency of hypoglycemic episodes and their associated consequences, along with an increased psychological burden following these events.
Characteristics Associated with A1c ≤ 7% for Users of Automated Insulin Pumps
Key Points: Training support remains essential to promote optimal glucose management for users of hybrid closed-loop systems (or artificial pancreas).
Low-carb diets
Key points: Low-carbohydrate intakes are associated with higher probabilities of reaching HbA1c target. No associations with hypoglycemia frequency, nor cardiovascular risk factors were observed.
PUBLICATIONS FROM THE SUPPORT PLATFORM
Here are some research conducted to develop and evaluate our Support platform that has been published.
Development of the Support platform
Key points: Support is the first evidence-based self-guided web application for adults living with type 1 diabetes.
Adaptation of the Support platform for youth
Key points: Studying the needs of youth in relation to the transition to adult care for adapting our Support training platform.
Evaluation of the Support platform
Key points: Support helps reduce the number of hypoglycemic events and associated fear while increasing confidence in glycemic management.
PUBLICATIONS FROM OUR CLINICAL RESEARCH
The following clinical studies have been published as part of the project.
Treatment of hypoglycemia for automated insulin pumps
Key points: The 15g/15min recommendation for hypoglycemia treatment was neither excessive nor optimal for individuals using automated insulin pumps.
Comparison of nasal vs. injectable glucagon
Key points: Nasal glucagon is faster, easier, and better administered than injectable glucagon. It should be preferred in pediatric settings, especially in schools.
Comparison of nasal vs. injectable glucagon
Key points: For some impending episodes of non-severe hypoglycemia, people may benefit from taking carbohydrates at a higher blood glucose level.