Diabetes technology

Real-World Effectiveness of the MiniMed™ 780G Advanced Hybrid Closed-Loop System for People ≥65 Years with Type 1 or Type 2 Diabetes in the United States

Diabetes Technol TherPublished Retrospective real-world cohort study

Authors' conclusion

In a real-world setting, a U.S. cohort aged ≥65 years using the MM780G system achieved consensus-recommended glycemic targets. Use of ROS enabled more users to achieve an even higher level of glycemic control.

Study context

Population
U.S. MM780G advanced hybrid closed-loop system users aged ≥65 years with T1D or T2D; CareLink data as of December 18, 2024
Participants
8,542 vs 2,753
Exposure
MM780G users with vs without recommended optimal settings
  • Overalln = 8,542
  • Recommended optimal settings (ROS)n = 2,753
Outcome
Glycemic metrics (mean) in overall cohort
Methodological detailsde-identified CareLink personal data, subanalyses by age (≥75 years) and T1D/T2D
  • De-identified CareLink personal data
  • Subanalyses by age (≥75 years) and T1D/T2D

Main finding

As reported in the abstract

TIR 70-180 mg/dL
78.4%
TITR 70-140 mg/dL
51.4%
TBR <70 mg/dL
0.9%
TAR >180 mg/dL
20.7%
TAR >250 mg/dL
3.6%
GMI
6.8%

Observational data: associations, not effects.

Further findings

Glycemic metrics in ROS users

TIR higher in ROS users
81.9%
TITR higher in ROS users
55.9%
TAR180 lower in ROS users
17.2%
TAR250 lower in ROS users
2.5%
P for TIR and TITR
P < 0.001
P for TAR180 and TAR250
P < 0.001

Subgroups: age ≥75 years; T1D vs T2D

Data trended similarly among those aged ≥75 years
No differences between T1D and T2D

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Real-World Effectiveness of the MiniMed™ 780G Advanced Hybrid Closed-Loop System for People ≥65 Years with Type 1 or Type 2 Diabetes in the United States. Diabetes Technol Ther. Published 16 September 2025. doi:10.1177/15209156251376654

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