Effects of Alternate Insulin Pump Settings in Patients With Type 1 Diabetes During Ramadan: A Randomized Pilot Study
Authors' conclusion
Incorporating technological approaches of pump therapy with clinical practice guidelines could improve glycemic control during Ramadan.
Study context
- Population
- Patients with T1D on insulin pumps at low to moderate risk for fasting during Ramadan
- Participants
- 30 patients
- Comparison
- Temporary basal rate and extended bolus plus basal insulin adjustments vs basal insulin adjustments only
- Primary endpoint
- Percentage of time in range (70-180 mg/dL) by CGM
Methodological detailspilot
- Pilot
Primary result
As reported in the abstract
Time in target range (70-180 mg/dL)
- TIR increased significantly in the intervention group, from 63.0 ± 10.7 to 76 ± 16.2% (MD 27% points; P < .001)
Further findings
Time in hyperglycemia level 1 (>180 mg/dL) and level 2 (>250 mg/dL)
- Significant; intervention group spent less time in hyperglycemia
Time in hypoglycemia ranges
- No significant difference
Original publication
Effects of Alternate Insulin Pump Settings in Patients With Type 1 Diabetes During Ramadan: A Randomized Pilot Study. J Diabetes Sci Technol. Published 22 November 2021. doi:10. 1177/ 19322968211059217
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