Diabetes technology

Real‐world glycaemic outcomes of automated insulin delivery in type 1 diabetes: A meta‐analysis

Diabetes Obes MetabPublished Systematic review and meta-analysis of before-after studies

Pooled result · TIR (3.9-10 mmol/L)Result — go to the resultMD 11.61 % 95% CI 10.47–12.76

Authors' conclusion

Similar improvements in glycaemic parameters were observed in real-world settings in RCTs using AID systems in T1D. AID systems benefit both children and adults by increasing TIR for both short- and long-term interventions.

Study context

Population
Patients with T1D in real-world settings; studies published up until 2 March 2024
Participants
101,704 patients23 before-after studies
Comparison
Automated insulin delivery (AID) systems vs conventional insulin therapy
Outcome
Percent TIR (3.9-10 mmol/L)
Methodological detailsreal-world settings
  • Real-world settings

Pooled result

TIR (3.9-10 mmol/L)

MD

11.61 %

95% CI 10.47–12.76

P < 0.001

AIDvs Conventional insulin therapy
MD 11.61 % (95% CI 10.47–12.76); P < 0.001

As reported in the abstract

Further pooled results

OutcomeMD (%) (95% CI)
TBR (<3.9 mmol/L)−0.53 (−0.63 to −0.42)
TAR (>10 mmol/L)−9.65 (−10.63 to −8.67)
HbA1c−0.42 (−0.47 to −0.37)

Time in range (TIR) by duration of continuous use and age group

TIR increase, 6 months
11.76%
TIR increase, 12 months
11.33%
TIR increase, children
12.16%
TIR increase, adults
11.04%

Original publication

Real‐world glycaemic outcomes of automated insulin delivery in type 1 diabetes: A meta‐analysis. Diabetes Obes Metab. Published 18 June 2024. doi:10.1111/dom.15718

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