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Impact of Advanced Hybrid Closed Loop on Youth With High-Risk Type 1 Diabetes Using Multiple Daily Injections

Diabetes care, ISSN: 1935-5548, Vol: 46, Issue: 3, Page: 628-632
2023
  • 25
    Citations
  • 0
    Usage
  • 16
    Captures
  • 10
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    25
  • Captures
    16
  • Mentions
    10
    • News Mentions
      10
      • News
        10

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Article Description

OBJECTIVE: To evaluate glycemic outcomes in youth (aged 13-25 years) with type 1 diabetes and high-risk glycemic control (HbA1c ≥8.5% [69 mmol/mol]) on multiple daily injection (MDI) therapy after transitioning to advanced hybrid closed loop (AHCL) therapy. RESEARCH DESIGN AND METHODS: This prospective, 3-month, single-arm, dual-center study enrolled 20 participants, and all completed the study. RESULTS: HbA1c decreased from 10.5 ± 2.1% (91.2 ± 22.8 mmol/mol) at baseline to 7.6 ± 1.1% (59.7 ± 11.9 mmol/mol), and time spent in target range 70-180 mg/dL (3.9-10.0 mmol/L) increased from 27.6 ± 13.2% at baseline to 66.5 ± 9.8% after 3 months of AHCL. Two episodes of diabetic ketoacidosis attributed to infusion set failure occurred. CONCLUSIONS: AHCL has the potential to improve suboptimal glycemia in youth with type 1 diabetes previously on MDI therapy.

Bibliographic Details

Boucsein, Alisa; Watson, Antony S; Frewen, Carla M; Sanders, Olivia J; Haszard, Jillian J; Jones, Shirley D; Milford-Hughes, Philippa J; de Bock, Martin I; Wheeler, Benjamin J

American Diabetes Association

Medicine; Nursing

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