Diabetes technology

Tubed or tubeless insulin pumps? A retrospective real-world analysis of national French health data

BMJ Open Diabetes Res CarePublished Retrospective cohort study

Authors' conclusion

Higher persistence and lower therapy changes among tubeless pump users underscore its sustained benefit for diabetes management.

Study context

Population
People with T1D initiating pump therapy, French National Health Data System, 2016–2021
Participants
61,251 pump users
Exposure
Tubeless vs tubed insulin pumps
Outcome
Treatment persistence
Methodological detailsreal-world, national claims database
  • Real-world
  • National claims database

Main finding

As reported in the abstract

Treatment persistence (discontinuation)
Tubeless vs TubedEstimate (95% CI)P value
40% lower risk of discontinuation with tubeless
unadjusted HR 0.60(0.58–0.61)
P < 0.0001
Treatment persistence (discontinuation)
adjusted HR 0.59(0.57–0.61)

Observational data: associations, not effects.

Further findings

Changes from one therapy to another · 12 months

Tubeless pumps associated with fewer therapy changes within 12 months
Treatment changes rose for tubed pump users after tubeless pumps entered the French market

Original publication

Tubed or tubeless insulin pumps? A retrospective real-world analysis of national French health data. BMJ Open Diabetes Res Care. Published 30 April 2026. doi:10.1136/bmjdrc-2025-005860

Composed by AI from the published abstract and checked against it. How Briefs are made →

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