Type 1 diabetes

Real‐World Glycemic Outcomes of Open‐Source Automated Insulin Delivery During 12 Months Among People With Type 1 Diabetes Across Age Groups

Diabetes Obes MetabPublished Real-world cohort study

Authors' conclusion

Open-source AAPS achieved sustained glycemic improvement across age groups in T1D people.

Study context

Population
People with T1D who had used open-source android artificial pancreas (AAPS) continuously for 12 months; median age 26.1 (11.9, 36.7) years, T1D duration 2.1 (0.2, 8.4) years
Participants
190 people
Exposure
Open-source AAPS use across age groups
Outcome
Glycemic outcomes (TIR 70-180 mg/dL, TBR <70 mg/dL) by age group
Follow-up
3, 6 and 12 months
Methodological detailsage-stratified, 12-month follow-up
  • Age-stratified
  • 12-month follow-up

Main finding

As reported in the abstract

Glycemic outcomes, whole cohort
Mean TIR at 3 months
79.9% ± 11.8%
Mean TIR at 6 months
77.8% ± 13.9%
Mean TIR at 12 months
77.2% ± 13.5%
TBR70 at 3 months
3.8 (1.9, 6.1)%
TBR70 at 6 months
3.3 (1.6, 5.8)%
TBR70 at 12 months
3.6 (2.0, 6.6)%

Observational data: associations, not effects.

Further findings

TBR70 by age group · 12 months

Factors associated with composite target (TIR >70% and TBR70 <4%) at 12 months

ORP value
Longer time in automation (adults)Exploratory analyses1.04P = 0.03
Higher meal announcement frequency (paediatrics under 18 years)Exploratory analyses1.35P < 0.01

Mean

Outcome13-18 years> 45 years
TIR by age group · 12 monthsOther age groups not reported in abstract72.8% (SD 15.5%)78.9% (SD 11.8%)

TBR70 by age group · 12 months

> 45 years had relatively less hypoglycemia

Original publication

Real‐World Glycemic Outcomes of Open‐Source Automated Insulin Delivery During 12 Months Among People With Type 1 Diabetes Across Age Groups. Diabetes Obes Metab. Published 27 August 2026. doi:10.1111/dom.71281

Composed by AI from the published abstract and checked against it. How Briefs are made →

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