Diabetes technology

A Meta-Analysis of Randomized Trial Outcomes for the t:slim X2 Insulin Pump with Control-IQ Technology in Youth and Adults from Age 2 to 72

Diabetes Technol TherPublished Pooled analysis (meta-analysis) of randomised controlled trials

Pooled result · TIR 70-180 mg/dLResult — go to the resultAdjusted treatment group difference 11.5% 95% CI +9.7% to +13.2%

Authors' conclusion

This pooled analysis of Control-IQ RCTs demonstrates the beneficial effect of Control-IQ in T1D across a broad spectrum of participant characteristics, including racial-ethnic minority, lower SES, lack of prestudy insulin pump experience, and high HbA1c levels. The greatest benefit was observed in participants with the worst baseline glycemic control in whom the auto-bolus feature of the Control-IQ algorithm appears to have substantial impact.

Study context

Population
Participants with T1D aged 2 to 72 years
Participants
369 participants3 randomized controlled trials (RCTs)
Comparison
Control-IQ hybrid closed loop vs Control
  • Control-IQn = 256
  • Controln = 113reference
Outcome
TIR 70-180 mg/dL across subgroups by baseline characteristics (race/ethnicity, socioeconomic status (SES), prestudy insulin delivery modality, baseline glycemic control)
Methodological detailsindividual participant data pooled from 3 RCTs, subgroup analysis
  • Individual participant data pooled from 3 RCTs
  • Subgroup analysis

Pooled result

TIR 70-180 mg/dL · follow-up

Adjusted treatment group difference

11.5%

95% CI +9.7% to +13.2%

P < 0.001

By group

Control-IQvs Control
adjusted treatment group difference 11.5% (95% CI +9.7% to +13.2%); P < 0.001

As reported in the abstract

Further pooled results

OutcomeControl-IQControl
TIR 70-180 mg/dL at baseline57% ± 17%56% ± 15%

Mean glucose, hyperglycemia and hypoglycemic metrics, HbA1c

Significant reductions in mean glucose, hyperglycemia metrics, hypoglycemic metrics and HbA1c

Original publication

A Meta-Analysis of Randomized Trial Outcomes for the t:slim X2 Insulin Pump with Control-IQ Technology in Youth and Adults from Age 2 to 72. Diabetes Technol Ther. Published 12 April 2023. doi:10.1089/dia.2022.0558

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