Diabetes technology

Hypoglycemia and Hyperglycemia According to Type of Diabetes: Observations During Fully Closed-Loop Insulin Delivery in Adults With Type 1 and Type 2 Diabetes

J Diabetes Sci TechnolPublished Retrospective analysis of data from two randomised controlled studies

Primary result · Time in hypoglycemia <70 mg/dLResult — go to the resultMean difference 0.46 percentage points 95% CI 0.23–0.70

Authors' conclusion

Using the FCL system, hypoglycemia and marked hyperglycemia exposure were lower in type 2 diabetes than in type 1 diabetes.

Study context

Population
Adults with T1D or insulin-treated T2D using CamAPS HX fully closed-loop (FCL) insulin delivery, no user input at mealtimes
Participants
52 adults
Comparison
T2D vs T1D during fully closed-loop insulin delivery
Primary endpoint
Time in hypoglycemia <70 mg/dL and marked hyperglycemia >300 mg/dL by type of diabetes
Follow-up
8 weeks, 24-hour period
Methodological detailssingle-centre, unrestricted-living conditions
  • Single-centre
  • Unrestricted-living conditions

Primary result

Time in hypoglycemia <70 mg/dL · 24-hour period

Mean difference

0.46 percentage points

95% CI 0.23–0.70

P < 0.001

By group

T1Dvs T2D
mean difference 0.46 percentage points (95% CI 0.23–0.70); P < 0.001

As reported in the abstract

Further findings

Median

OutcomeT1DT2DMean difference (percentage points) (95% CI)P value
Time in marked hyperglycemia >300 mg/dL · 24-hour periodKey outcome9.3% (IQR 6.9–11.8)1.8% (IQR 0.6–3.5)7.8 (5.5–10.0)P < 0.001

Original publication

Hypoglycemia and Hyperglycemia According to Type of Diabetes: Observations During Fully Closed-Loop Insulin Delivery in Adults With Type 1 and Type 2 Diabetes. J Diabetes Sci Technol. Published 13 April 2024. doi:10.1177/19322968241242803

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