Introduction and Objective: Hypoglycemia causes an adrenergic response (AR) associated with epinephrine rise. We evaluated if change in heart rate (ΔHR), used as surrogate for AR, can distinguish between symptomatic and asymptomatic sensor-detected hypoglycemia (SDH), and factors affecting this, in type 2 diabetes. We focused on awake, symptomatic SDH<54mg/dL from people with intact awareness (Gold≤3), […]
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1935-P: Multimodal CGM Forecasting: Fine-Tuned Foundation Models and Dietary Context Improve Postprandial Prediction
Introduction and Objective: Accurate forecasting of continuous glucose monitoring (CGM) trajectories can support proactive diabetes management. We evaluated time-series foundation models (FMs) for CGM forecasting in two populations: type 1 diabetes and a combined non-diabetes/type 2 diabetes group. We assessed whether adding multimodal dietary context improves predictive performance.Methods: Using 8 CGM datasets, we compared FMs […]
Read More1383-P: Lipotoxic Kidney Injury by Fructose Is Mediated through High Risk XOR Variants
Introduction and Objective: The overconsumption of fructose-rich western diets can cause metabolic dysfunction-associated kidney disease (MDAKD). We recently reported that high-risk Xor variants increase Xor and predispose to kidney disease in susceptible DBA/2J and B6Xorem1 vs. resistant C57BL/6J (B6) mice, with diabetes. However, the role of Xor risk variants in fructose-induced MDAKD has not been […]
Read More1811-P: Therapeutic Transition to Weekly Basal Insulin Icodec plus Tirzepatide in Type 2 Diabetes: An Early Real-World Experience
Introduction and Objective: Novel once-weekly therapies targeting complementary pathways, such as basal insulin and GLP-1 RA, may simplify management and improve outcomes in type 2 diabetes (T2D). This study aimed to evaluate the short-term effects of icodec plus tirzepatide in a real-world setting.Methods: This retrospective observational study included 21 adults with long-standing T2D initiating icodec […]
Read More2693-P: Islet Beta-Cell Deletion of the Tumor Necrosis Factor Receptor 1 (p55) Improves Whole Body Glucose Homeostasis
Introduction and Objective: Tumor necrosis factor (TNF)-alpha signaling is associated with obesity and insulin resistance, although its role in beta-cell function has not been addressed. The TNFRSF1A gene encodes the tumor necrosis factor receptor 1 (TNFR1;p55), which is bound by the cytokine TNF-alpha. Signaling through this pathway activates the NF-κB pathway and overactive inflammatory pathway […]
Read More2997-LB: Interaction of HbA1c and BMI on Cardiovascular Risk in a Large Middle Eastern T1D Cohort
Introduction and Objective: Patients with type 1 Diabetes (T1D) increasingly exhibit metabolic syndrome features, a phenotype termed “Double Diabetes.” We investigated the interaction of HbA1c and BMI with cardiovascular (CV) risk factors in a large cohort.Methods: This is a cross-sectional analysis of 1,266 persons living with T1D. CV risk was quantified by a composite score […]
Read More2330-P: Incidence of Diabetes in Youth Aged 0–17 Years in a Large, Integrated Health Care Delivery System in California, 2018–2024
Introduction and Objective: Incidence of diabetes in youth is expected to increase in the US and surveillance efforts have faced challenges. Using comprehensive electronic health record data from Kaiser Permanente Southern California (KPSC), we estimated diabetes incidence in youth 0-17 years from 2018-2024.Methods: Denominators included membership counts of youth <18 years on December 31 of […]
Read More1695-P: Effect of CagriSema on Eating Control and Behavior: REDEFINE 1
Introduction and Objective: We assessed the effect of CagriSema on eating control and behavior in adults with overweight/obesity.Methods: In REDEFINE 1 (NCT05567796), 3417 adults (67.6% female; mean: age, 47.0 years; body weight, 106.9 kg; BMI, 37.9 kg/m2) were randomized 21:3:3:7 to once-weekly CagriSema 2.4 mg/2.4 mg (n=2108), semaglutide 2.4 mg (n=302), cagrilintide 2.4 mg (n=302), […]
Read More1896-P: Real-World Data from Italian Tubeless AID Users: The Value of GRI
Introduction and Objective: The aim of this study was to analyze the effectiveness of a tubeless AID system on glucose metrics in patients with type 1 diabetes (T1D).Methods: We collected glucose data (TIR, TBR, TAR, CV GMI and GRI) from 94 T1D patients (age 37±13 years; M/F = 35/59; diabetes duration 19±13 years; HbA1c 7±1%; […]
Read More1593-P: Strategies and Support for Sleep among Young Adults with Type 1 Diabetes (T1D)
Introduction and Objective: Sleep impacts diabetes health and mental and physical well-being, and young adulthood can bring new sleep situations (e.g., late nights, living with roommates). Sleep may also be impacted by T1D symptoms and treatment. While previous research links daytime social support to positive diabetes outcomes, less is known about nighttime support and strategies […]
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