Diabetes technology

Changes in 90-Day Time in Range Among Youth With Type 1 Diabetes Initiating Different Automated Insulin Delivery Systems

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

There are no clinically significant differences in 90-day TIR among youth with T1D initiating the 2 most commonly used AID systems. Patient preference and shared decision making should continue to guide the selection of AID systems.

Study context

Population
Youth <21 years with T1D starting OP5 or Control IQ (CIQ), January 2020–December 2023, with ≥70% continuous glucose monitoring (CGM) active time
Participants
428 participants
Exposure
OP5 vs CIQ
  • OP5n = 214
  • CIQn = 214reference
Outcome
Change in TIR, adjusted for covariates
Follow-up
90 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Change in TIR

OP5

11.8

CI 10.4–13.3 · percentage points

CIQ

9.8

CI 8.3–11.2 · percentage points

P = 0.08

90-day time in range (TIR) increased in both groups
P < 0.001

Observational data: associations, not effects.

Further findings

Baseline TIR · similar

P = 0.70

Transitioned from MDI · baseline · more likely with OP5

P < 0.001

T1D duration · baseline · shorter with OP5

P < 0.001

90-day TIR by baseline TIR category

No between-group differences in 90-day TIR according to categorical baseline TIR

Original publication

Changes in 90-Day Time in Range Among Youth With Type 1 Diabetes Initiating Different Automated Insulin Delivery Systems. J Clin Endocrinol Metab. Published 15 January 2025. doi:10.1210/clinem/dgaf006

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