Diabetes technology

Impact of an Advanced Hybrid Closed-Loop System on Glycemic Control Throughout the Menstrual Cycle in Women with Type 1 Diabetes Prone to Hypoglycemia

Diabetes Technol TherPublished Prospective before-after study

Authors' conclusion

In conclusion, AHCL improved glycemic control throughout the MC, but performance differed according to phase.

Study context

Population
Women with T1D prone to hypoglycaemia; 39 pairs of spontaneous menstrual cycles39 pairs of cycles
Participants
13 women
Exposure
Advanced hybrid closed loop (AHCL) vs sensor-augmented pump, across menstrual cycle phases
Outcome
Glycaemic control throughout the menstrual cycle

Main finding

As reported in the abstract

Baseline TBR <70: midfollicular vs late luteal phase (significantly higher midfollicular)

5.7% ± 5.0% vs. 4.1% ± 3.0%

After AHCL, pre-existing phase differences in TBR <70 eradicated

3.5% ± 3.2% vs. 3.0% ± 3.0%

After AHCL, TIR significantly higher in early follicular than late luteal phase

79.1% ± 9.3% vs. 74.5% ± 10.0%

Observational data: associations, not effects.

Further findings

Phase-dependent changes in insulin infusion detected

Original publication

Impact of an Advanced Hybrid Closed-Loop System on Glycemic Control Throughout the Menstrual Cycle in Women with Type 1 Diabetes Prone to Hypoglycemia. Diabetes Technol Ther. Published 10 May 2024. doi:10.1089/dia.2023.0571

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