Diabetes technology

Clinical utility of the twiist Automated Insulin Delivery System: first study with twiist

BMJ Open Diabetes Res CarePublished Prospective single-arm study

Authors' conclusion

Eight-week use of twiist enabled participants to achieve or maintain established glycemic targets and suggests the system's ability to detect occlusions before clinically significant glucose rise regardless of TDD.

Study context

Population
Adults with T1D19 completed
Participants
20 adults
Outcome
%TIR (70-180 mg/dL)
Follow-up
8 weeks
Methodological detailssingle-center
  • Single-center

Main finding

As reported in the abstract

Mean %TIR

70.3±15.5%

Observational data: associations, not effects.

Secondary outcomes

%TIR by correction range

Occlusion events

Occlusion events, total
67
Participants with occlusion events
15
Events detected within 30 min of rising glucose

Effect of Max basal ratio on %TIR

Higher max basal ratio settings were associated with higher %TIR

Change in HbA1c, participants with baseline HbA1c >7%

HbA1c decrease
−0.4%±0.5%

Change in TDD

Slight increase in TDD
1.3±16.2 U

Change in body weight

Decrease in body weight
−0.09±2.9 kg

Safety

Serious adverse events reported
0

Original publication

Clinical utility of the twiist Automated Insulin Delivery System: first study with twiist. BMJ Open Diabetes Res Care. Published 24 July 2026. doi:10.1136/bmjdrc-2026-006307

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

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