A Randomized Trial of Closed-Loop Control in Children with Type 1 Diabetes
A closed-loop system (also called an artificial pancreas) may improve glycemic outcomes in children with type 1 diabetes. In this 16-week trial, the glucose level was in the target range for a greater percentage of time with a closed-loop system than with a sensor-augmented insulin pump.
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Veröffentlicht in: | The New England journal of medicine 2020-08, Vol.383 (9), p.836-845 |
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creator | Breton, Marc D Kanapka, Lauren G Beck, Roy W Ekhlaspour, Laya Forlenza, Gregory P Cengiz, Eda Schoelwer, Melissa Ruedy, Katrina J Jost, Emily Carria, Lori Emory, Emma Hsu, Liana J Oliveri, Mary Kollman, Craig C Dokken, Betsy B Weinzimer, Stuart A DeBoer, Mark D Buckingham, Bruce A Cherñavvsky, Daniel Wadwa, R. Paul |
description | A closed-loop system (also called an artificial pancreas) may improve glycemic outcomes in children with type 1 diabetes. In this 16-week trial, the glucose level was in the target range for a greater percentage of time with a closed-loop system than with a sensor-augmented insulin pump. |
doi_str_mv | 10.1056/NEJMoa2004736 |
format | Article |
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In this 16-week trial, the glucose level was in the target range for a greater percentage of time with a closed-loop system than with a sensor-augmented insulin pump.</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMoa2004736</identifier><identifier>PMID: 32846062</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Adolescent ; Age ; Automation ; Blood Glucose ; Blood Glucose - analysis ; Child ; Children ; Closed loop systems ; Diabetes ; Diabetes mellitus (insulin dependent) ; Diabetes Mellitus, Type 1 ; Diabetes Mellitus, Type 1 - blood ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetic Ketoacidosis ; Diabetic Ketoacidosis - etiology ; FDA approval ; Female ; Glucose ; Glycated Hemoglobin A ; Glycated Hemoglobin A - analysis ; Hemoglobin ; Human health and pathology ; Humans ; Hypoglycemia ; Hypoglycemia - chemically induced ; Hypoglycemic Agents ; Hypoglycemic Agents - administration & dosage ; Hypoglycemic Agents - adverse effects ; Infusion Pumps, Implantable ; Injections, Subcutaneous ; Insulin ; Insulin - administration & dosage ; Insulin - adverse effects ; Insulin Infusion Systems ; Insulin Infusion Systems - adverse effects ; Ketoacidosis ; Kidney diseases ; Laboratories ; Life Sciences ; Male ; Pancreas ; Pancreas, Artificial ; Patients ; Quality of life ; Statistical analysis</subject><ispartof>The New England journal of medicine, 2020-08, Vol.383 (9), p.836-845</ispartof><rights>Copyright © 2020 Massachusetts Medical Society. 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Paul</creatorcontrib><creatorcontrib>iDCL Trial Research Group</creatorcontrib><title>A Randomized Trial of Closed-Loop Control in Children with Type 1 Diabetes</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>A closed-loop system (also called an artificial pancreas) may improve glycemic outcomes in children with type 1 diabetes. In this 16-week trial, the glucose level was in the target range for a greater percentage of time with a closed-loop system than with a sensor-augmented insulin pump.</description><subject>Adolescent</subject><subject>Age</subject><subject>Automation</subject><subject>Blood Glucose</subject><subject>Blood Glucose - analysis</subject><subject>Child</subject><subject>Children</subject><subject>Closed loop systems</subject><subject>Diabetes</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes Mellitus, Type 1</subject><subject>Diabetes Mellitus, Type 1 - blood</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>Diabetic Ketoacidosis</subject><subject>Diabetic Ketoacidosis - etiology</subject><subject>FDA approval</subject><subject>Female</subject><subject>Glucose</subject><subject>Glycated Hemoglobin A</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Hemoglobin</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Hypoglycemia</subject><subject>Hypoglycemia - chemically induced</subject><subject>Hypoglycemic Agents</subject><subject>Hypoglycemic Agents - administration & dosage</subject><subject>Hypoglycemic Agents - adverse effects</subject><subject>Infusion Pumps, Implantable</subject><subject>Injections, Subcutaneous</subject><subject>Insulin</subject><subject>Insulin - administration & dosage</subject><subject>Insulin - adverse effects</subject><subject>Insulin Infusion Systems</subject><subject>Insulin Infusion Systems - adverse effects</subject><subject>Ketoacidosis</subject><subject>Kidney diseases</subject><subject>Laboratories</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Pancreas</subject><subject>Pancreas, Artificial</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Statistical analysis</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kd1LwzAUxYMoOqePvkpAfPChmq-m64sw6seUqSDzOWRJajPaZiadon-9kc2hgpdAQvK7J_dwADjA6BSjlJ_dX97eOUkQYhnlG6CHU0oTxhDfBD2EyCBhWU53wG4IMxQLs3wb7FAyYBxx0gO3Q_goW-0a-2E0nHgra-hKWNQuGJ2MnZvDwrWddzW0LSwqW2tvWvhmuwpO3ucGYnhh5dR0JuyBrVLWweyv9j54urqcFKNk_HB9UwzHiYqjdAllqcE6Y4wSjqZEYVrieJSGp1gyTjkZlHIgaYaYybVUSmukdUYUy5UiqKR9cL7UnS-mjdHKxPFkLebeNtK_Cyet-P3S2ko8u1eR5ST651HgZClQ_WkbDcfi6w5RygjL2SuO7NHqM-9eFiZ0YuYWvo3-BGE0iytWpJIlpbwLwZtyLYuR-IpJ_Iop8oc_Lazp71wicLwEmiaI1syaf4Q-AeIPlx8</recordid><startdate>20200827</startdate><enddate>20200827</enddate><creator>Breton, Marc D</creator><creator>Kanapka, Lauren G</creator><creator>Beck, Roy W</creator><creator>Ekhlaspour, Laya</creator><creator>Forlenza, Gregory P</creator><creator>Cengiz, Eda</creator><creator>Schoelwer, Melissa</creator><creator>Ruedy, Katrina J</creator><creator>Jost, Emily</creator><creator>Carria, Lori</creator><creator>Emory, Emma</creator><creator>Hsu, Liana J</creator><creator>Oliveri, Mary</creator><creator>Kollman, Craig C</creator><creator>Dokken, Betsy B</creator><creator>Weinzimer, Stuart A</creator><creator>DeBoer, Mark D</creator><creator>Buckingham, Bruce A</creator><creator>Cherñavvsky, Daniel</creator><creator>Wadwa, R. 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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
subjects | Adolescent Age Automation Blood Glucose Blood Glucose - analysis Child Children Closed loop systems Diabetes Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - drug therapy Diabetic Ketoacidosis Diabetic Ketoacidosis - etiology FDA approval Female Glucose Glycated Hemoglobin A Glycated Hemoglobin A - analysis Hemoglobin Human health and pathology Humans Hypoglycemia Hypoglycemia - chemically induced Hypoglycemic Agents Hypoglycemic Agents - administration & dosage Hypoglycemic Agents - adverse effects Infusion Pumps, Implantable Injections, Subcutaneous Insulin Insulin - administration & dosage Insulin - adverse effects Insulin Infusion Systems Insulin Infusion Systems - adverse effects Ketoacidosis Kidney diseases Laboratories Life Sciences Male Pancreas Pancreas, Artificial Patients Quality of life Statistical analysis |
title | A Randomized Trial of Closed-Loop Control in Children with Type 1 Diabetes |
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