Glycaemic Control During School Days and Holidays in Children and Adolescents With Type 1 Diabetes Using Open‐Source Android Artificial Pancreas Systems: A Real‐World Study
Authors' conclusion
CGM-derived glycaemic outcomes were comparable between school days and holidays in participants with T1D using AAPS. Longer nighttime sleep during school days was associated with higher TITR and TIR achievement.
Study context
- Population
- School-aged children and adolescents with T1D aged 6–19 years using open-source Android artificial pancreas systems (AAPS) for >3 months; 20 (36.36%) male
- Participants
- 55 children
- Exposure
- School days vs holidays
- Outcome
- Continuous glucose monitoring (CGM)-derived glycaemic metrics (TIR, TITR, time above range (TAR), time below range (TBR), glucose management indicator (GMI), mean glucose, SD, coefficient of variation (CV), low blood glucose index (LBGI), high blood glucose index (HBGI))
Methodological detailsreal-world
- Real-world
Main finding
As reported in the abstract
- No significant differences between school days and holidays across whole day, daytime and nighttime periods
- School days vs Holidays: P > 0.05
Observational data: associations, not effects.
Further findings
Longer nighttime sleep duration and time in tight range (TITR) achievement during school days
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Longer nighttime sleep durationMultivariable logistic regression | 2.29 (1.29–4.47) | P = 0.008 | |
| 0.20.5125Adjusted odds ratio (log scale) |
Longer nighttime sleep duration and time in range (TIR) achievement during school days
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Longer nighttime sleep durationMultivariable logistic regression | 2.07 (1.17–3.96) | P = 0.018 | |
| 0.20.5125Adjusted odds ratio (log scale) |
Total duration of AAPS use
- Median total duration of AAPS use
- 209.39 [170.66, 289.97] days
Original publication
Glycaemic Control During School Days and Holidays in Children and Adolescents With Type 1 Diabetes Using Open‐Source Android Artificial Pancreas Systems: A Real‐World Study. Diabetes Obes Metab. Published 25 June 2026. doi:10.
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