Diabetes technology

EValuating Glucose ContrOL Using a Next-GeneraTION Automated Insulin Delivery Algorithm in Patients with Type 1 and Type 2 Diabetes: The EVOLUTION Study

Diabetes Technol TherPublished Feasibility study

Authors' conclusion

In conclusion, a next-generation AID algorithm demonstrated feasibility in people with diabetes.

Study context

Population
Adults with T1D or T2D; 14-day run-in on usual therapy, 48-h hotel automated insulin delivery (AID) (T1D only), up to 6 weeks outpatient AID9 T1D + 8 T2D completed outpatient
Participants
12 vs 8
Comparison
Next-generation AID algorithm for Omnipod, with vs without manual boluses, vs usual therapy run-in
  • T1Dn = 12
  • T2Dn = 8
Outcome
Outpatient % CGM readings >250 mg/dL
Follow-up
Baseline to outpatient phase
Methodological detailsmultiphase, hotel setting (T1D only), outpatient
  • Multiphase
  • Hotel setting (T1D only)
  • Outpatient

Main finding

As reported in the abstract

T1D: baseline
33.5%
T1D: with manual boluses
9.4%
T1D: without manual boluses
14.3%
T2D: baseline
20.8%
T2D: with manual boluses
7.7%
T2D: without manual boluses
10.5%

Further findings

Time below 70 mg/dL · all phases

Remained <4% during all phases

Safety

No adverse events occurred

Original publication

EValuating Glucose ContrOL Using a Next-GeneraTION Automated Insulin Delivery Algorithm in Patients with Type 1 and Type 2 Diabetes: The EVOLUTION Study. Diabetes Technol Ther. Published 27 January 2025. doi:10.1089/dia.2024.0463

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