Efficacy and Safety of Tubeless Hybrid Closed-Loop Systems in Type 1 Diabetes: A Meta-Analysis of Randomized Controlled Trials.
Mengyun Lei, Qiongyan Lin, Yongwen Zhou et al.
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In 30 seconds
This meta-analysis evaluated the efficacy and safety of tubeless hybrid closed-loop (HCL) systems in managing type 1 diabetes (T1D) by analyzing four randomized controlled trials with 514 participants. The study found that tubeless HCL significantly improved time in range (TIR) by 15.31% and reduced glycated hemoglobin (HbA1c) by 0.46% compared to standard care, without increasing insulin doses or safety risks.
Key findings
- Tubeless HCL improved time in range (TIR) by 15.31% compared to standard care.
- Glycated hemoglobin (HbA1c) decreased by 0.46% with tubeless HCL.
- Lower levels of time above range (TAR) and coefficient of variability (CV) were observed in the tubeless HCL group.
- No significant differences in severe hypoglycaemia (SH) or diabetic ketoacidosis (DKA) were noted.
Why it matters
Improving glycaemic control in type 1 diabetes is crucial for reducing long-term complications. This study suggests that tubeless HCL systems may offer a beneficial alternative to standard care without increasing safety risks.