Diabetes technology

Real-World Impact of a National Funding-Driven Transition Between Automated Insulin Delivery Systems in Pediatric Type 1 Diabetes

Diabetes Technol TherPublished Retrospective audit

Authors' conclusion

Funding-driven AID transitions can be safely implemented with structured education and follow-up.

Study context

Population
Children/adolescents with T1D using Medtronic automated insulin delivery (AID), transitioned after New Zealand PHARMAC funding change; mean age 11.6 ± 3.0 years79 with complete 6-month data
Participants
98 participants
Exposure
Transition from Medtronic AID to funded AID systems
  • Tandem Control-IQn = 66
  • YpsoPump with CamAPS FXn = 11
Outcome
Glycemic outcomes
Follow-up
6 months post-transition
Methodological detailssingle-centre, real-world
  • Single-centre
  • Real-world

Main finding

As reported in the abstract

HbA1c

Mean HbA1c decrease

0.24%

Mean HbA1c before vs after transition

7.14 ± 0.79% to 6.87 ± 0.86%

P = 0.0012

Observational data: associations, not effects.

Safety

Episodes of DKA or level 3 hypoglycemia
0

Original publication

Real-World Impact of a National Funding-Driven Transition Between Automated Insulin Delivery Systems in Pediatric Type 1 Diabetes. Diabetes Technol Ther. Published 2 May 2026. doi:10.1177/15209156261447721

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