Diabetes technology

Automated Insulin Delivery Associated with Superior Glycemic Outcomes in Type 1 Diabetes: A Swedish National Registry Analysis

Diabetes Technol TherPublished Retrospective registry-based cohort study

An erratum to this article was published (Diabetes Technol Ther, Aug 2026 ↗)

Authors' conclusion

In a nationwide RWD analysis, AID use was consistently associated with clinically and statistically significant HbA1c reductions in adults with T1D, with the greatest effect for Tandem Control-IQ technology.

Study context

Population
Adults (≥18 years) with T1D in the Swedish National Diabetes Register, 2014–2024
Exposure
Insulin delivery/glucose monitoring combinations vs MDI with CGM (MDI-CGM)
Outcome
HbA1c (averaged per person-year, aggregated by clinic), adjusted
Methodological detailsnationwide, mixed-model regression with random effects for clinics, weighted by clinic sample size
  • Nationwide
  • Mixed-model regression with random effects for clinics, weighted by clinic sample size

Main finding

As reported in the abstract

Adjusted HbA1c
Automated insulin delivery (AID)
β −4.0 mmol/mol (95% CI −4.3 to −3.7); P < 0.001
Tandem Control-IQ
β −4.8 mmol/mol (95% CI −5.2 to −4.5); P < 0.001
Medtronic 780G
β −3.1 (95% CI −3.5 to −2.7); P < 0.001
Medtronic 670G
β −2.9 (95% CI −3.5 to −2.4); P < 0.001
CSII with CGM (CSII-CGM)
β −1.7 mmol/mol (95% CI −1.9 to −1.4); P < 0.001

Observational data: associations, not effects.

Original publication

Automated Insulin Delivery Associated with Superior Glycemic Outcomes in Type 1 Diabetes: A Swedish National Registry Analysis. Diabetes Technol Ther. Published 23 January 2026. doi:10.1177/15209156251414976

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

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