Type 1 diabetes

Therapy Settings Associated with Optimal Outcomes for t:slim X2 with Control-IQ Technology in Real-World Clinical Care

Diabetes Technol TherPublished Retrospective cohort study

Authors' conclusion

Basal rates, C:I ratios, and Correction Factor settings all impact glycemic outcomes in CIQ users in usual clinical care.

Study context

Population
CIQ (t:slim X2 with Control-IQ) users in real-world clinical care; median age 39 years (IQR 19, 59), 55% female, TDI 46.4 U (33–65.2)
Participants
20,764 participants
Outcome
Consensus glycemic outcomes (TIR 70-180 mg/dL, time <70 mg/dL, CV) by Correction Factor, C:I ratio and basal rate settings
Methodological detailsreal-world data, deidentified, associative analysis followed by linear regressions
  • Real-world data
  • Deidentified
  • Associative analysis followed by linear regressions

Main finding

As reported in the abstract

Association of therapy settings with glycemic outcomes
  • More aggressive Correction Factor, C:I ratio and basal settings strongly associated with higher time in range (TIR) and, to a lesser degree, higher time <70 mg/dL
  • Linear regression: more aggressive Correction Factor predicted higher TIR, lower CV, and only negligible impact on time below range
  • Higher basal rate and lower C:I ratio predicted increased TIR and increased hypoglycemia
  • Most important predictor in all glycemic outcomes: average number of user-given boluses per day

Observational data: associations, not effects.

Original publication

Therapy Settings Associated with Optimal Outcomes for t:slim X2 with Control-IQ Technology in Real-World Clinical Care. Diabetes Technol Ther. Published 25 October 2023. doi:10.1089/dia.2023.0308

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