Diabetes technology

Automated Insulin Delivery Systems in Children and Adolescents With Type 1 Diabetes: A Systematic Review and Meta-analysis of Outpatient Randomized Controlled Trials

Diabetes CarePublished Systematic review and meta-analysis of randomised trials

Pooled result · TIR (3.9-10 mmol/L)Result — go to the resultMD 11.38 % 95% CI 9.01–13.76

Authors' conclusion

AID systems are more effective than conventional insulin therapy for children and adolescents with T1D in outpatient settings. The favorable effect is consistent both in the short term and long term.

Study context

Population
Outpatient children and adolescents with T1D
Participants
1,345 children25 trials
Comparison
Automated insulin delivery (AID) systems vs conventional insulin therapy
Outcome
Percent time in range (TIR) (3.9-10 mmol/L)
Methodological detailsoutpatient RCTs
  • Outpatient RCTs

Pooled result

TIR (3.9-10 mmol/L)

MD

11.38 %

95% CI 9.01–13.76

P < 0.001

AIDvs Conventional insulin therapy
MD 11.38 % (95% CI 9.01–13.76); P < 0.001

As reported in the abstract

Further pooled results

OutcomeMD (%) (CI)P value
TIR, AID used over 3 months10.46 (8.71–12.20)
TIR, AID used over 6 months10.87 (7.11–14.63)
TBR (<3.9 mmol/L)Low certainty−0.59 (−1.02 to −0.15)P = 0.008
TAR (>10 mmol/L)High certainty−12.19 (−14.65 to −9.73)P < 0.001

Original publication

Automated Insulin Delivery Systems in Children and Adolescents With Type 1 Diabetes: A Systematic Review and Meta-analysis of Outpatient Randomized Controlled Trials. Diabetes Care. Published 27 November 2023. doi:10.2337/dc23-0504

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