Contemporary automated insulin delivery systems in older adults with type 1 diabetes: A systematic review and meta-analysis.
Piyush Ratan, Marconi Abreu, Luisa Saldarriaga et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of automated insulin delivery (AID) systems in adults aged 60 years and older with type 1 diabetes. The analysis included nine studies with 8,765 participants. AID use resulted in a pooled mean time in range of 77.95% and a reduction in HbA1c to 6.95%, indicating improved glycemic control without increased hypoglycemia.
Key findings
- Pooled mean time in range (TIR) was 77.95% (95% CI 75.31-80.59).
- HbA1c levels decreased to 6.95% (95% CI 6.67-7.24).
- Time below range (TBR) was 1.35% (95% CI 1.12-1.57).
- AID use was associated with lower diabetes distress without increased hypoglycemia.
Why it matters
The findings suggest that AID systems can significantly improve glycemic control in older adults with type 1 diabetes, a population often overlooked in diabetes technology discussions. This could enhance patient quality of life and management outcomes.