144-OR: A Randomized Clinical Trial of Automated Insulin Delivery in Elderly with Type 1 Diabetes

Background: Older adults with T1D are a growing population at risk for severe hypoglycemia. Automated insulin delivery (AID) approaches that can reduce risk have not been sufficiently evaluated in this population. Methods: We conducted a multicenter, randomized, crossover trial in adults ≥65 years w...

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Veröffentlicht in:Diabetes (New York, N.Y.) N.Y.), 2024-06, Vol.73, p.1
Hauptverfasser: Kudva, Yogish C, Henderson, Robert, Kanapka, Lauren, Weinstock, Ruth S, Rickels, Michael R, Pratley, Richard E, Chaytor, Naomi, Janess, Kamille, Desjardins, Donna, Pattan, Vishwanath, Peleckis, Amy, Casu, Anna, Rizvi, Shafaq Raza, Bzdick, Suzan, Whitaker, Keri J, Kamimoto, Jorge L JO, Miller, Kellee, Beck, Roy
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Sprache:eng
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Zusammenfassung:Background: Older adults with T1D are a growing population at risk for severe hypoglycemia. Automated insulin delivery (AID) approaches that can reduce risk have not been sufficiently evaluated in this population. Methods: We conducted a multicenter, randomized, crossover trial in adults ≥65 years with T1D experiencing hypoglycemia (>1.5% time < 70 mg/dL based on CGM). Participants completed 3 sequential 12-week periods of hybrid-closed (HCL) loop with Tandem Control-IQ technology, predictive low glucose suspend (PLGS) with Tandem Basal-IQ technology, and sensor augmented pump (SAP) insulin delivery. The primary outcome was % time
ISSN:0012-1797
1939-327X
DOI:10.2337/db24-144-OR