Closed-Loop Insulin Therapy in Older Adults with Type 1 Diabetes: Real-World Data.
Diabetes Technol Ther
; 24(2): 140-142, 2022 02.
Article
in English
| MEDLINE | ID: covidwho-1852861
ABSTRACT
Objective:
To assess the impact of initiation of closed-loop control (CLC) on glycemic metrics in older adults with type 1 diabetes (T1D) in the real world.Methods:
Retrospective analysis of electronic health records from a single tertiary diabetes center of older adults prescribed CLC between January and December 2020.Results:
Forty-eight patients (mean age 70 ± 4 years, T1D duration 42 ± 14 years) were prescribed CLC and 39/48 started on the CLC. Among the CLC starters, 97.5% and 95% were prior pump and continuous glucose monitoring (CGM) users, respectively. CGM metrics showed an increase in time-in-range (62% ± 13% to 76% ± 9%; P < 0.001), a reduction in both time spent <70 mg/dL [2% (1%-3%) to 1% (1%-2%); P = 0.03] and >180 mg/dL (30% ± 11% to 20% ± 9%; P < 0.001) at 3 months.Conclusion:
In this real-world data most of the older patients with T1D initiating CLC were prior pump and CGM users. Initiation of CLC improved glycemic control and reduced time spent in hypoglycemia compared with prior therapy.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Diabetes Mellitus, Type 1
Type of study:
Observational study
Limits:
Aged
/
Humans
Language:
English
Journal:
Diabetes Technol Ther
Journal subject:
Endocrinology
/
Therapeutics
Year:
2022
Document Type:
Article
Affiliation country:
Dia.2021.0311
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