Type 1 diabetes

Survey of glucose levels in adults with T1DM attending clinic using automated insulin delivery (AID) devices compared with manual insulin delivery

Diabetes Res Clin PractPublished Prospective cross-sectional survey study

Authors' conclusion

AID use was associated with better glycaemic and clinical outcomes irrespective of socio-economic status. AID use tended to be more prevalent among the socio-economically advantaged. We strongly advocate for equitable AID access based on clinical need rather than financial means.

Study context

Population
Adults with T1D attending T1D clinics in Australia, 2024–25; 233 females (57.4%), age 45.6 ± 16.5 years
Participants
406 adults
Exposure
AID vs manual insulin delivery
  • AIDn = 141
Outcome
HbA1c
Methodological detailsreal-world, consecutive participants, multicentre
  • Real-world
  • Consecutive participants
  • Multicentre

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

GMI · lower with AID

P < 0.001

TIR · higher with AID

P < 0.001

Associations by Socio-Economic Indexes for Areas (SEIFA) group

Associations observed irrespective of SEIFA group

Interest in AID among non-users

Non-users expressing interest in AID use
50.2%

Safety

Severe hypoglycaemia episodes · fewer with AID

P < 0.001

Original publication

Survey of glucose levels in adults with T1DM attending clinic using automated insulin delivery (AID) devices compared with manual insulin delivery. Diabetes Res Clin Pract. Published 2 February 2026. doi:10.1016/j.diabres.2026.113136

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