Diabetes technology

Glycometabolic outcomes in adult type 1 diabetic patients switching to closed-loop systems

Diabetes Res Clin PractPublished Prospective observational study

Authors' conclusion

AID-naïve T1D patients switching to HCL/AHCL systems have significantly and safely improved their glycometabolic outcomes with their high satisfaction with the new type of treatment.

Study context

Population
Automated Insulin Delivery (AID)-naïve adults with T1D aged 19–65 years managed with MDI or Continuous Subcutaneous Insulin Infusion (CSII) in open-loop
Participants
54 adults
Exposure
Switch to Hybrid Closed Loop (HCL)/Advanced Hybrid Closed Loop (AHCL) systems
  • HCL/AHCLn = 54
Outcome
TIR 70-180 mg/dL (3.9-10 mmol/L)
Follow-up
Baseline to 12 months
Methodological detailstwo-centre, 12-month
  • Two-centre
  • 12-month

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeValuesP value
TAR 180-250 mg/dL (10-13.9 mmol/L) · baseline to 12 months12 months vs Baseline · decreasedBaseline 30.6 ± 9.0 % · 12 months 19.3 ± 5.3 %P < 0.001 for both
TAR ≥250 mg/dL (13.9 mmol/L) · baseline to 12 months12 months vs Baseline · decreasedBaseline 14.2 ± 10.2 · 12 months 4.8 ± 3.3 %P < 0.001 for both
Glucose CV · baseline to end of studyEnd of study vs Baseline · decreasedBaseline 35.9 ± 7.8 % · End of study 33.0 ± 5.3 %P < 0.05

Satisfaction with new technology

Satisfaction with the new technology was scored as high

Safety

TBR 54-69 mg/dL (3-3.8 mmol/L) · baseline to end of study · decreased

P < 0.001 for both

TBR <54 mg/dL (3.0 mmol/L) · baseline to end of study · decreased

P < 0.001 for both

Original publication

Glycometabolic outcomes in adult type 1 diabetic patients switching to closed-loop systems. Diabetes Res Clin Pract. Published 12 September 2023. doi:10.1016/j.diabres.2023.110907

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