Diabetes technology

Effects of Alternate Insulin Pump Settings in Patients With Type 1 Diabetes During Ramadan: A Randomized Pilot Study

J Diabetes Sci TechnolPublished Randomised controlled trial

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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