Diabetes technology

Glycemic and safety outcomes of the insulin-only bionic pancreas in older adults and individuals with impaired awareness of Hypoglycemia: a post hoc analysis of a randomized pivotal trial

Diabetes Res Clin PractPublished Post hoc analysis of the Insulin-Only Bionic Pancreas Pivotal Trial

Authors' conclusion

In high-risk, clinically vulnerable populations, the BP system significantly improved glycemic control while maintaining safety parity with respect to hypoglycemia risk

Study context

Population
People with T1D aged ≥60 years and/or with impaired awareness of hypoglycemia (Clarke score ≥4)of 440 in trial
Participants
96 people
Comparison
Bionic pancreas vs standard care
  • BP-Asp/Lisn = 45
  • BP-Fiaspn = 31
  • Standard care (SC)n = 20reference
Methodological detailsrandomised, individual participant-level data
  • Randomised
  • Individual participant-level data

Primary result

As reported in the abstract

TIR (70-180 mg/dL) · 13 weeks
Each group vs SCDifference, % (95 % CI)
BP-Asp/Lis∼1.8 h/day
7.49(2.61–12.38)
BP-Fiasp∼2.0 h/day
8.28(3.15–13.41)

Safety

OutcomeBP-Asp/LisBP-FiaspSC
Severe hypoglycemiaEvents = participants; measures = number of events
Events4— not stated in the abstract2
DKADue to an infusion set failure— not stated in the abstract1 events— not stated in the abstract

— not stated in the abstract

Hypoglycemia exposure

No significant differences in hypoglycemia exposure

Original publication

Glycemic and safety outcomes of the insulin-only bionic pancreas in older adults and individuals with impaired awareness of Hypoglycemia: a post hoc analysis of a randomized pivotal trial. Diabetes Res Clin Pract. Published 30 August 2026. doi:10.1016/j.diabres.2026.113542

Composed by AI from the published abstract and checked against it. How Briefs are made →

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