Results From a Virtual Clinic for the Follow-up of Patients Using the Advanced Hybrid Closed-Loop System
Authors' conclusion
Medium-term follow-up of users of AHCL systems in a VDC contributes to safely achieving %TIR goals. Virtual diabetes clinic follow-up favored adherence to sensor use and continuous SmartGuard use. Socioeconomic strata were associated with a better glycemic profile and education level was associated with better adherence to sensor use.
Study context
- Population
- Adults with T1D using the advanced hybrid closed-loop (AHCL) system in a virtual diabetes clinic; mean age 42 ± 14.6 years, 65% men, 54% with graduate education
- Participants
- 64 adults
- Outcome
- Efficacy and safety of the AHCL system (metabolic control outcomes)
- Follow-up
- 6 months
Methodological detailsvirtual diabetes clinic follow-up, single-group, Standardized training and follow-up conducted virtually
- Virtual diabetes clinic follow-up
- Single-group
- Standardized training and follow-up conducted virtually
Main finding
As reported in the abstract
%TIR · follow-up to 6 months
- %TIR increased significantly after starting AHCL regardless of prior therapy (isCGM + MDI or sensor-augmented pump with predictive low-glucose management) and persisted during follow-up
Observational data: associations, not effects.
Further findings
| Outcome | Lower | Middle | Upper |
|---|---|---|---|
| %TIR 70 to 180 mg/dL by socioeconomic strata | 73.4% ± 5.3% | 78.1% ± 8.1% | 84.2% ± 7.5% |
Sensor use by education level
- Sensor used more frequently in the population with a higher education level
Adherence to sensor use and SmartGuard retention
- Higher in patients who underwent the virtual diabetes clinic (VDC) follow-up
Safety
Hypoglycemic events · follow-up period
- No hypoglycemic events
Original publication
Results From a Virtual Clinic for the Follow-up of Patients Using the Advanced Hybrid Closed-Loop System. J Diabetes Sci Technol. Published 9 November 2023. doi:10.
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