Early Initiation of Automated Insulin Delivery at Type 1 Diabetes Diagnosis in Children and Adolescents Is Associated with Improved Outcomes
Authors' conclusion
Early AID initiation is associated with improved glycemic control and reduced DKA risk, underscoring the importance of timely and equitable access to AID systems.
Study context
- Population
- Children and adolescents diagnosed with T1D 2020–2022, 27 U.S. centers27 U.S
- Participants
- 9,856 children
- Exposure
- Automated insulin delivery (AID) initiation timing after T1D diagnosis: <6, 6-12, 13-24 months vs no AID use
- Outcome
- HbA1c
- Follow-up
- 24 months
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Safety
DKA · over 24 months
- DKA rates threefold higher in non-AID users
- threefold
Original publication
Early Initiation of Automated Insulin Delivery at Type 1 Diabetes Diagnosis in Children and Adolescents Is Associated with Improved Outcomes. Diabetes Technol Ther. Published 7 April 2026. doi:10.
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