Diabetes technology

The Advanced Hybrid Closed Loop Improves Glycemia Risk Index, Continuous Glucose Monitoring Index, and Time in Range in Children with Type 1 Diabetes: Real-World Data from a Single Center Study

Diabetes Technol TherPublished Retrospective cohort study

Authors' conclusion

AHCL provides not only an improvement in TIR but also a significant improvement in both GRI and COGI at 6 months.

Study context

Population
Children with T1D who started advanced hybrid closed loop (AHCL), with baseline and 6-month continuous glucose monitoring (CGM) data; mean age 10.95 ± 3.41 years, diabetes duration 3.85 ± 2.67 years
Participants
45 children
Exposure
AHCL at 6 months vs baseline
Outcome
Change in Glycemia Risk Index (GRI) score
Follow-up
6 months
Methodological detailssingle-centre, real-world data, before-after comparison, Paired t-test used for analyses
  • Single-centre
  • Real-world data
  • Before-after comparison
  • Paired t-test used for analyses

Main finding

As reported in the abstract

GRI score

Baseline

35.66

mean · ± 17.46

6 months

22.83

mean · ± 9.08

P < 0.001

Observational data: associations, not effects.

Further findings

GRI zone A · 6 months

TIR · 6 months · increased significantly

P < 0.001

Outcome6 monthsBaselineP value
COGI · 6 monthsImproved82.90 ± 7.7272.59 ± 12.44P < 0.001

Original publication

The Advanced Hybrid Closed Loop Improves Glycemia Risk Index, Continuous Glucose Monitoring Index, and Time in Range in Children with Type 1 Diabetes: Real-World Data from a Single Center Study. Diabetes Technol Ther. Published 1 September 2023. doi:10.1089/dia.2023.0112

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