Diabetes technology

Glycaemic control after connected insulin pen initiation in people living with diabetes: Results from a real‐world setting

Diabetes Obes MetabPublished Observational real-world study

Authors' conclusion

These real-world data show that glycaemic outcomes improved after connected insulin pen initiation, especially in individuals with the highest unmet need (i.e., lowest baseline TIR). Combining a connected insulin pen with additional support, such as app-based training or education, may further improve glycaemic control.

Study context

Population
Adults (≥18 years) with insulin-treated diabetes using continuous glucose monitoring (CGM) who started bolus insulin via a connected insulin pen; mean (SD) age 43.7 (15.7) years
Participants
86,133 adults
Exposure
Glycaemic control after vs before connected insulin pen initiation for bolus insulin
Outcome
Key glycaemic outcomes: TIR (3.9-10.0 mmol/L), TAR (>10.0 mmol/L), TBR (<3.9 and <3.0 mmol/L)
Methodological detailsroutine clinical practice
  • Routine clinical practice

Main finding

As reported in the abstract

Change in TIR from baseline

Increase in time in range (TIR) at month 3

1.5%-points

Increase in TIR at month 6

1.4%-points

Increase in TIR at month 12

1.1%-points

Observational data: associations, not effects.

Further findings

TIR by baseline TIR subgroup

Increases in TIR largest with lowest baseline TIR (3-month baseline average <40% TIR)

TIR by country (Austria) · month 3

Increases in TIR largest in Austria; increase in TIR at month 3
4.7%

Original publication

Glycaemic control after connected insulin pen initiation in people living with diabetes: Results from a real‐world setting. Diabetes Obes Metab. Published 28 August 2025. doi:10.1111/dom.70051

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