Diabetes technology

Continuous Glucose Monitoring and Automated Insulin Delivery in Infants with Type 1 Diabetes: Real-World Evidence to Support Future International Guidelines

Diabetes Technol TherPublished Retrospective cohort study

Authors' conclusion

Use of CGM is safe in very young children, with AID systems proving superior to traditional therapy.

Study context

Population
Children diagnosed with antibody-positive T1D before age 2
Participants
76 children
Exposure
Automated insulin delivery (AID) vs multiple daily injections (MDI)/SAP
  • AIDn = 47
  • MDI/SAPn = 29reference
Outcome
TIR
Follow-up
12 months
Methodological detailsmulticentre (13 centers), real-world
  • Multicentre (13 centers)
  • Real-world

Main finding

As reported in the abstract

P = 0.041

Observational data: associations, not effects.

Further findings

Time in tight range (TITR) · 12 months

P = 0.038

HbA1c · 12 months

In multivariable regression, AID was the sole independent predictor of lower HbA1c
P = 0.035

Continuous glucose monitoring (CGM) wear time

CGM median wear time
97.0% (93.3; 98.1)

Safety

OutcomeAIDMDI/SAP
Severe hypoglycemia (SH) · 12 months0 events7.1%

Original publication

Continuous Glucose Monitoring and Automated Insulin Delivery in Infants with Type 1 Diabetes: Real-World Evidence to Support Future International Guidelines. Diabetes Technol Ther. Published 18 August 2026. doi:10.1177/15209156261479814

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