Diabetes technology

Glycemic control metrics in a cohort of hospitalized patients with type 1 diabetes using hybrid closed-loop and advanced hybrid closed-loop systems

Diabetes Res Clin PractPublished Observational cohort study

Authors' conclusion

HCL/AHCL systems with active AM/SG in patients with T1D in the hospital environment leads to %TIR > 70 % in ranges of 70-180 mg/dL in patients without increasing hypoglycemia.

Study context

Population
Hospitalized patients with T1D using hybrid closed-loop (HCL)/advanced hybrid closed-loop (AHCL); 50 % women; mean age 49 years (IQR 39–62)
Participants
24 patients
Exposure
AHCL with active SmartGuard (SG) vs HCL with active Automated Mode (AM)
Outcome
Continuous glucose monitoring (CGM) metrics during hospital stay
Follow-up
During hospitalization

Main finding

As reported in the abstract

CGM metrics during hospitalization (all patients)

Patients achieving Time in Range (TIR) 70–180 mg/dL ≥ 70 %

70.8 %

Overall %TIR, median (IQR)

75.5 %

67.3–81.5 %

%time below range (TBR) < 70 mg/dL (IQR)

2.1 %

0.7–5.4 %

%TBR < 54 mg/dL (IQR)

0 %

0–5.4 %

Observational data: associations, not effects.

Further findings

%TIR during hospitalization, AHCL users with active SG vs HCL users with AM active · non-significant higher %TIR with AHCL + SG · sub-analysis

P = 0.312

Hospital LOS, AHCL users with active SG vs HCL users with AM active · shorter stay with AHCL + SG · sub-analysis

P = 0.045

Safety

No device-related serious adverse events with either system

Original publication

Glycemic control metrics in a cohort of hospitalized patients with type 1 diabetes using hybrid closed-loop and advanced hybrid closed-loop systems. Diabetes Res Clin Pract. Published 5 September 2023. doi:10.1016/j.diabres.2023.110897

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