Early Use of Automated Insulin Delivery With Telehealth Support in People Recently Diagnosed With Type 1 Diabetes: One‐Year Outcomes From a Prospective Observational Study
Authors' conclusion
Early self-funded AID initiation, supported by telehealth support, was associated with rapid and sustained glycaemic improvement in those recently diagnosed with T1D.
Study context
- Population
- Individuals within 3 months of T1D diagnosis, mainland China; median age 13.6 (8.9, 27.4) years, median diabetes duration 0.9 (0.5, 1.7) months≥3 months follow-up
- Participants
- 126 individuals
- Outcome
- TIR 3.9-10.0 mmol/L
- Follow-up
- First month; remained stable through 12 months
Methodological detailssingle-arm, Glycaemic outcomes assessed at 1, 3, 6 and 12 months, Structured e-learning and personalised telehealth consultation in the first month, then regular virtual follow-up
- Single-arm
- Glycaemic outcomes assessed at 1, 3, 6 and 12 months
- Structured e-learning and personalised telehealth consultation in the first month, then regular virtual follow-up
Main finding
As reported in the abstract
TIR during the first month, median (IQR-type spread 80.4, 90.7)
85.2%
80.4, 90.7
Observational data: associations, not effects.
Further findings
TIR in participants with prior CGM data (N = 93) · before AID initiation to 1 month; similar at 12 months
- TIR before AID initiation
- 70.0% (58.6, 80.2)
- TIR at 1 month
- 84.8% (79.9, 90.4)
- TIR remained similar at 12 months
HbA1c (when available, n = 95) · diagnosis to 12 months
- HbA1c at diagnosis
- 10.0% (8.0, 13.4) [86 mmol/mol (64, 123)]
- HbA1c at 12 months
- 6.3% (6.0, 6.8) [45 mmol/mol (42, 51)]
AID discontinuation · latest data update (August, 2026)
- AID discontinuation rate
- 35.7% (N = 45)
- Discontinuation mainly due to financial barriers
- 55.2%
Safety
Severe hypoglycaemia (SH) and diabetic ketoacidosis (DKA)
- Episodes of SH or DKA
- 0
Original publication
Early Use of Automated Insulin Delivery With Telehealth Support in People Recently Diagnosed With Type 1 Diabetes: One‐Year Outcomes From a Prospective Observational Study. Diabetes Obes Metab. Published 17 September 2026. doi:10.
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