Comparison of the night-time effectiveness in achieving glycemic targets in adults with type 1 diabetes of three advanced hybryd closed-loop systems.

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Acta Diabetologica Pub Date : 2024-11-22 DOI:10.1007/s00592-024-02397-9

Nicolò Diego Borella, Antonio Ferramosca, Giona Castagna, Silvia Ippolito, Sara Ceresoli, Antonio Taverna, Beatrice Sonzogni, Roberto Trevisan, Giuseppe Lepore

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Abstract

Context: Advanced hybrid closed loop (AHCL) systems currently represent the most advanced modality of insulin therapy.

Aim: To compare the night-time (from 00 to 07 a.m.) effectiveness in achieving recommended glycemic targets of three different AHCL systems in adults with type 1 diabetes (T1D).

Methods: We retrospectively evaluated 55 adults with T1D (mean age 41 ± 16 years, male 40%, diabetes duration 19.4 ± 11.4 years, BMI 24.1 ± 4.1 kg/m²) with similar glycemic control (GMI 7.0-7.4%). Twenty-two participants were using the Minimed 780G system, 18 the Tandem t:slim X2 with Control-IQ system and 15 the DBLG1 system. Continuous glucose monitoring derived metrics and insulin requirement of 14 consecutive nights were analyzed.

Results: All three groups achieved the recommended mean TIR > 70%, mean TBR < 4%, and mean CV < 36% with a similar insulin requirement (Minimed 780G system: TIR 73.9 ± 11.2%, TBR 0.9 ± 1.2%, CV 29 ± 6.7%; Tandem t:slim X2 with Control-IQ system: TIR 74.1 ± 11.1%, TBR 1.1 ± 1.0%, CV 34.5 ± 6.6%; DBLG1 System TIR 71.7 ± 11.3%, TBR 1.4 ± 3.7%, CV 32.4 ± 7.1%). Tight TIR% (70-140 mg/dl) was significantly higher (p < 0.01) in the Tandem t:slim X2 with Control-IQ group (51.5 ± 9.8%) when compared to Minimed 780G group (42.1 ± 13.7%) and DBLG1 System (40.1 ± 10.5%). In all three groups the insulin infusion similarly decreased from midnight to 05.00 am and then increased.

Conclusions: All the three AHCL systems achieved the recommended TIR, TBR and CV without difference in insulin requirement. The Tandem Control-IQ system obtained a higher tight TIR.

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比较三种先进的 hybryd 闭环系统在实现 1 型糖尿病成人患者血糖目标方面的夜间疗效。

背景：目的：比较三种不同的 AHCL 系统在 1 型糖尿病（T1D）成人患者中实现推荐血糖目标的夜间（凌晨 0 时至上午 7 时）有效性：我们对 55 名血糖控制类似（GMI 7.0-7.4%）的成人 1 型糖尿病患者（平均年龄 41 ± 16 岁，男性占 40%，糖尿病病程 19.4 ± 11.4 年，体重指数 24.1 ± 4.1 kg/m2）进行了回顾性评估。其中 22 人使用 Minimed 780G 系统，18 人使用 Tandem t:slim X2 with Control-IQ 系统，15 人使用 DBLG1 系统。对连续 14 个晚上的连续血糖监测得出的指标和胰岛素需求量进行了分析：结果：所有三组都达到了推荐的平均 TIR > 70% 和平均 TBR 结论：三种 AHCL 系统都达到了推荐的 TIR、TBR 和 CV 值，但胰岛素需求量没有差异。Tandem Control-IQ 系统的 TIR 值更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Diabetologica 医学-内分泌学与代谢

CiteScore

7.30

自引率

2.60%

发文量

180

审稿时长

2 months

期刊介绍： Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.