Diabetes technology

Closed-Loop Insulin Therapy for People With Type 2 Diabetes Treated With an Insulin Pump: A 12-Week Multicenter, Open-Label Randomized, Controlled, Crossover Trial

Diabetes CarePublished Randomised controlled trial

Primary result · TIR (70-180 mg/dL)Result — go to the resultMean difference 15.0 percentage points

Authors' conclusion

Closed-loop therapy improved glycemic control more than did CSII + CGM in people with type 2 diabetes.

Study context

Population
People with T2D previously treated with CSII; mean age 63 (SD 9) years, 35% women, mean HbA1c 7.9% (SD 0.9)crossover
Participants
17 people
Comparison
Hybrid closed-loop vs CSII + continuous glucose monitoring (CGM)
Primary endpoint
Percentage TIR (70-180 mg/dL)
Methodological detailscrossover, two-period, open-label, multicenter, Conducted August 2022 to July 2023
  • Crossover
  • Two-period
  • Open-label
  • Multicenter
  • Conducted August 2022 to July 2023

Primary result

TIR (70-180 mg/dL)

Mean difference

15.0 percentage points

P < 0.001

By group

As reported in the abstract

Secondary outcomes

Other CGM metrics and insulin dose

Decrease in TAR, GMI and glucose variability, and increase in daily insulin dose

Sleep (actimetry)

Improvement in sleep fragmentation during closed-loop treatment

Original publication

Closed-Loop Insulin Therapy for People With Type 2 Diabetes Treated With an Insulin Pump: A 12-Week Multicenter, Open-Label Randomized, Controlled, Crossover Trial. Diabetes Care. Published 6 August 2024. doi:10.2337/dc24-0623

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