Gestational diabetes & diabetes in pregnancy

Effect of artificial pancreas system use on glycaemic control among pregnant women with type 1 diabetes mellitus: A meta‐analysis of randomized controlled trials

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Pooled result · 24-hour TIRResult — go to the resultSMD 0.53 95% CI 0.25–0.80

Authors' conclusion

Our findings suggest that APS might improve 24-hour TIR and overnight glycaemic control, and 24-hour APS use also significantly reduced 24-hour TBR (2.8 mmol/L) among pregnant women with T1DM.

Study context

Population
Pregnant women with T1D; 5 databases searched before October 9, 2023
Participants
164 women4 RCTs
Comparison
Artificial pancreas systems vs standard care
Outcome
24-hour time in range (TIR) (3.5-7.8 mmol/L)

Pooled result

24-hour TIR

SMD

0.53

95% CI 0.25–0.80

P < 0.001

APSvs Standard care
SMD 0.53 (95% CI 0.25–0.80); P < 0.001

As reported in the abstract

Further pooled results

OutcomeSMD (95% CI)P value
Overnight TIR0.67 (0.39–0.95)P < 0.001
Overnight TBR (<3.5 mmol/L)−0.49 (−0.77 to −0.21)P < 0.001
24-hour TIR, subgroup of 24-hour APS use (overnight trial removed)Subgroup analysis0.41 (0.12–0.71)P = 0.007
24-hour TBR (<2.8 mmol/L), subgroup of 24-hour APS use (overnight trial removed)Subgroup analysis−0.77 (−1.32 to −0.23)P = 0.006

24-hour TAR, 24-hour TBR and MBG

No significant difference between the two groups

Original publication

Effect of artificial pancreas system use on glycaemic control among pregnant women with type 1 diabetes mellitus: A meta‐analysis of randomized controlled trials. Diabetes Obes Metab. Published 12 November 2023. doi:10.1111/dom.15357

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