Diabetes technology

At-Home Use of a Pregnancy-Specific Zone-MPC Closed-Loop System for Pregnancies Complicated by Type 1 Diabetes: A Single-Arm, Observational Multicenter Study

Diabetes CarePublished Single-arm observational multicenter study

Main finding · TIR 63-140 mg/dLResult — go to the resultIncrease 14.1 percentage points

Authors' conclusion

The results show that the extended use of CLC-P at home until delivery is feasible. Larger, randomized studies are needed to further evaluate system efficacy and pregnancy outcomes.

Study context

Population
Pregnant women with T1D using insulin pumps, enrolled in the second or early third trimester; HbA1c 5.8 ± 0.6%, mean gestational age 23.7 ± 3.5 weeks at system start
Participants
10 women
Exposure
CLC-P vs run-in on personal pump therapy
Outcome
CGM percentage of time in target range 63-140 mg/dL vs run-in
Methodological detailsat-home use, Meals and activities unrestricted; system run on an unlocked smartphone at home after 2 days of supervised training
  • At-home use
  • Meals and activities unrestricted; system run on an unlocked smartphone at home after 2 days of supervised training

Main finding

TIR 63-140 mg/dL

Increase

14.1 percentage points

P = 0.002

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeValuesP value
Time over 140 mg/dLCLC-P vs Run-in · significant decrease with CLC-PP = 0.033
Time <63 mg/dL and <54 mg/dLCLC-P vs Run-in · significant decrease with CLC-PP = 0.037 for both
Exceeded consensus goal of >70% TIR during CLC-PCLC-P 9 events

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

At-Home Use of a Pregnancy-Specific Zone-MPC Closed-Loop System for Pregnancies Complicated by Type 1 Diabetes: A Single-Arm, Observational Multicenter Study. Diabetes Care. Published 17 May 2023. doi:10.2337/dc23-0173

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.