Diabetes technology

Control-IQ Technology Positively Impacts Patient Reported Outcome Measures and Glycemic Control in Youth with Type 1 Diabetes in a Real-World Setting

Pediatr DiabetesPublished Prospective cohort study

Authors' conclusion

Initiation of Control-IQ technology in a real-world setting significantly reduced the impact of diabetes on daily life while simultaneously improving glycemic control.

Study context

Population
Youth aged 6–18 years with T1D using a Tandem t:slim X2 pump, and their parents; median (IQR) age 13.8 (11.1, 15.7) years, T1D duration 6.3 (3.1, 8.4) years
Participants
59 participants
Exposure
End of study vs baseline after initiating Control-IQ
  • Control-IQn = 59
Outcome
Quality of life (validated patient-reported outcome measures (PROMs)) and glycemic control
Follow-up
16 weeks
Methodological detailssingle-centre, real-world
  • Single-centre
  • Real-world

Main finding

As reported in the abstract

Change in PROM scores, baseline to end of study
INSPIRE scores lower for parents
p = 0.04
Diabetes Impact and Device Satisfaction (DIDS) Diabetes Impact, youth: mean difference
−1.08 (−1.51, −0.64) (p < 0.001) (95% CI)
DIDS Diabetes Impact, parents: mean difference
−1.41 (−1.96, −0.87) (p < 0.001) (95% CI)
DIDS Device Satisfaction, youth: mean difference
+0.43 (0.11, 0.74) (p = 0.01) (95% CI)
DIDS Device Satisfaction, parents: mean difference
+0.58 (0.31, 0.85) (p < 0.001) (95% CI)
Hypoglycemia Fear Survey, youth: mean difference
−4.41 (−7.65, −1.17) (p = 0.01) (95% CI)
Hypoglycemia Fear Survey, parents: mean difference
−7.64 (−11.66, −3.62) (p < 0.001) (95% CI)
WHO-5 Well-Being Index, youth: mean difference
+5.10 (−1.40, 11.6) (p = 0.12) (95% CI)
WHO-5 Well-Being Index, parents: mean difference
+9.60 (3.40, 15.8) (p = 0.003) (95% CI)

Observational data: associations, not effects.

Further findings

Mean TIR at baseline
52.6%
Mean TIR at 4 weeks
62.6% (p < 0.001)
Increase sustained to 16 weeks

Original publication

Control-IQ Technology Positively Impacts Patient Reported Outcome Measures and Glycemic Control in Youth with Type 1 Diabetes in a Real-World Setting. Pediatr Diabetes. Published 12 April 2023. doi:10.1155/2023/5106107

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