Prevalence, Safety, and Metabolic Control Among Danish Children and Adolescents with Type 1 Diabetes Using Open-Source Automated Insulin Delivery Systems

Diabetes Technol TherPublished Retrospective cohort study

Authors' conclusion

This study is the first to provide knowledge on pediatric users of OS-AID systems in Denmark and found a prevalence of 1.89% for OS-AID systems, improved TIR, and no increased risk associated with use of OS-AID systems.

Study context

Population
Danish children and adolescents with T1D using open-source automated insulin delivery (OS-AID) systems, recruited via pediatric diabetes outpatient clinics and social media; median age 12 [IQR 11–14] years, 51% females56 users identified
Participants
31 children
Exposure
Before vs during use of OS-AID systems
Outcome
Prevalence of OS-AID use among Danish children and adolescents with T1D
Methodological detailsMean duration of OS-AID use 2.37 ± 0.86 years
  • Mean duration of OS-AID use 2.37 ± 0.86 years

Main finding

As reported in the abstract

Users of OS-AID systems identified out of 2950 children and adolescents with T1D

56

Prevalence of OS-AID systems

1.89%

Observational data: associations, not effects.

Further findings

TIR

TIR increased from mean 62.29% ± 13.68% to 70.12% ± 10.08%
*P < 0.01

HbA1c

HbA1c decreased from mean 50.13 ± 5.76 mmol/mol (6.7% ± 2.7%) to 47.86 ± 6.24 mmol/mol (6.5% ± 2.7%)
**P < 0.05

Parental sleep quality (Pittsburgh Sleep Quality Index)

Parents reported better quality of sleep

Safety

No changes were found in safety parameters

Original publication

Prevalence, Safety, and Metabolic Control Among Danish Children and Adolescents with Type 1 Diabetes Using Open-Source Automated Insulin Delivery Systems. Diabetes Technol Ther. Published 25 March 2024. doi:10.1089/dia.2023.0412

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