Priorities, Expectations, Perceptions of Time in Tight Range and Support Needs Relating to Closed‐Loop Therapy Among Adults With Type 1 Diabetes: The SELECT HCL Study
Authors' conclusion
Adults with T1D reported diverse priorities and experiences relating to closed-loop therapy, extending beyond glycaemic outcomes alone.
Study context
- Population
- Adults with T1D using, awaiting initiation of or considering closed-loop therapy, specialist secondary care diabetes service, September 2025–February 2026; median age 47 years; HbA1c 52 mmol/mol (6.9%)
- Participants
- 166 adults
- Outcome
- Priorities, perceptions and experiences of closed-loop therapy
Methodological detailssurvey, single-centre, anonymous online questionnaire, multivariable logistic regression
- Survey
- Single-centre
- Anonymous online questionnaire
- Multivariable logistic regression
Main finding
As reported in the abstract
- Sensor accuracy most commonly prioritised factor when selecting sensors
- 39.3%
- Glycaemic performance most commonly prioritised factor when selecting algorithms
- 37.6%
- Patch pump without tubing most commonly prioritised factor when selecting insulin pumps
- 27.5%
- Treatment satisfaction priorities differed by age (younger: burden reduction and quality of life (QoL); older: hypoglycaemia-related outcomes)
- p = 0.006
- Perceived time in tight range (TITR) (3.9-7.8 mmol/L) ≥ 50% as beneficial for health
- 63.8%
- Considered TITR ≥ 50% an achievable target
- 36.1%
- Closed-loop therapy improved QoL
- 78.6%
- Closed-loop therapy reduced hyperglycaemia
- 75.0%
- Closed-loop therapy reduced hypoglycaemia
- 72.3%
- Closed-loop therapy met expectations
- 81.1%
Observational data: associations, not effects.
Further findings
Association of adequate support during closed-loop initiation with therapy meeting expectations
| OR (95% CI) | P value | ||
|---|---|---|---|
| Adequate support during initiation | 16.6 (5.0–52.4) | P < 0.001 | |
| 0.050.21520Odds ratio (log scale) |
Original publication
Priorities, Expectations, Perceptions of Time in Tight Range and Support Needs Relating to Closed‐Loop Therapy Among Adults With Type 1 Diabetes: The SELECT HCL Study. Diabetes Obes Metab. Published 24 August 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →