Factors Associated With Time to Automated Insulin Delivery System Initiation in Adults With Type 1 Diabetes on Multiple Daily Injections
Authors' conclusion
Adults took roughly 3 months to initiate AID, with longer delays among those with public insurance and those attending AID selection visits. Streamlining AID system initiation may reduce delays and optimize outcomes.
Study context
- Population
- Adults with T1D on MDI initiating automated insulin delivery (AID) for the first time, academic diabetes center, Baltimore, Maryland, May 2022–March 2025; median age 38.9 years, 57% male, 21% Black, 75% commercial insurance
- Participants
- 114 adults
- Exposure
- AID selection visit vs none; commercial vs public insurance
- Outcome
- Time to AID initiation (TT-AID)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
TT-AID
Median TT-AID
89.5 days
IQR 49, 132
Median time between decision and training (longest delay)
82.5 days
IQR 43, 122
Observational data: associations, not effects.
Further findings
Days
| Outcome | AID selection visit | No selection visit | Commercial insurance | Public insurance | P value |
|---|---|---|---|---|---|
| TT-AID by AID selection visit attendanceAID selection visit vs No selection visit · significantly longer with selection visit | 112 (IQR 79–144) | 55 (IQR 35–98) | — not stated in the abstract | — not stated in the abstract | P ≤ 0.0001 |
| TT-AID by insurance · within 6 months of decisionCommercial insurance vs Public insurance · sooner initiation with commercial insurance | — not stated in the abstract | — not stated in the abstract | 86 (IQR 69–98) | 122 (IQR 67–195) | P = 0.03 |
— not stated in the abstract
TT-AID by AID type
- Did not differ by AID type (P = .74)
Original publication
Factors Associated With Time to Automated Insulin Delivery System Initiation in Adults With Type 1 Diabetes on Multiple Daily Injections. J Diabetes Sci Technol. Published 30 January 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →