Type 1 diabetes

Randomized Trial of the Insulin-Only iLet Bionic Pancreas for the Treatment of Cystic Fibrosis– Related Diabetes

Diabetes CarePublished Randomised crossover trial

Authors' conclusion

Adults with CFRD had improved glucose control without an increase in CGM-measured hypoglycemia with the BP compared with their UC, suggesting that this may be an important therapeutic option for this patient population.

Study context

Population
Adults with cystic fibrosis-related diabetes (CFRD); no restrictions on diet or activitycrossover
Participants
20 adults
Comparison
iLet bionic pancreas vs usual care
Primary endpoint
Percent time sensor glucose in target range 70-180 mg/dL (TIR)
Follow-up
Days 3-14 of each arm
Methodological detailssingle-center, open-label, random-order
  • Single-center
  • Open-label
  • Random-order

Primary result

As reported in the abstract

TIR · days 3-14

P = 0.001

Secondary outcomes

Mean CGM glucose · lower with BP

P = 0.007

Safety

Self-reported symptomatic hypoglycemia episodes · higher with BP

P = 0.01

Events

OutcomeBPUC
DKA or severe hypoglycemia00
Percent time sensor glucose <54 mg/dL · no significant difference
P = 1.0

Original publication

Randomized Trial of the Insulin-Only iLet Bionic Pancreas for the Treatment of Cystic Fibrosis– Related Diabetes. Diabetes Care. Published 24 October 2023. doi:10.2337/dc23-1411

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