Diabetes technology

Additive Benefits of Control-IQ+ Automated Insulin Delivery (AID) to GLP-1 Receptor Agonist Use in Adults With Type 2 Diabetes

Diabetes CarePublished Secondary analysis of a randomised trial

Primary result · HbA1c in GLP-1 RA usersResult — go to the resultMean improvement −0.5 % 95% CI −0.8 to −0.3

Authors' conclusion

The benefits of AID appear to be substantial for a broad spectrum of insulin-treated patients with type 2 diabetes, including those already receiving contemporary and guideline-directed therapy, such as a GLP-1 RA medication. These additive benefits of AID in GLP-1 RA users included significant reductions in HbA1c levels with simultaneous reduction in insulin use, along with no statistical increase in weight despite very significant improvements in glycemic control.

Study context

Population
Adults with insulin-treated T2D using a GLP-1 RA at baseline, continued during the trialof 319 in trial
Participants
143 adults
Comparison
Control-IQ+ AID vs continuation of prestudy insulin delivery plus CGM, in GLP-1 RA users
Methodological detailssubgroup analysis by GLP-1 RA use
  • Subgroup analysis by GLP-1 RA use

Primary result

HbA1c in GLP-1 RA users

Mean improvement

−0.5 %

95% CI −0.8 to −0.3

P < 0.001

As reported in the abstract

Mean HbA1c decrease with AID from baseline of 8.0 ± 1.2%
0.8%

Further findings

OutcomeDifference (kg) (95% CI)P value
Weight in GLP-1 RA users · 13 weeks0.9 (−0.2 to 2.1)P = 0.10
OutcomeMean weight gain (kg) (95% CI)P value
Weight in GLP-1 RA nonusersHigher with AID1.9 (0.5–3.2)P = 0.007

TIR 70-180 mg/dL and other CGM hyperglycemia metrics in GLP-1 RA users

Comparable statistically significant improvements with AID when added to GLP-1 RA

Original publication

Additive Benefits of Control-IQ+ AID to GLP-1 Receptor Agonist Use in Adults With Type 2 Diabetes. Diabetes Care. Published 20 November 2025. doi:10.2337/dc25-1753

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