Technology choice, glycemic control and patient-reported outcome measures in adults with type 1 diabetes: A randomized crossover trial comparing a smart insulin pen with an automated insulin delivery system (EBIACE-1).
Teresa Ruiz Gracia, Lía Nattero-Chávez, Alfonso Arranz Martín et al.
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In 30 seconds
This randomized crossover trial evaluated glycemic outcomes and patient-reported outcomes in 31 adults with type 1 diabetes using a smart insulin pen (SIP) versus an automated insulin delivery (AID) system. AID significantly improved time in range (TIR) at 81% compared to 66% with SIP, and reduced HbA1c by 0.4%.
Key findings
- AID improved TIR to 81% compared to 66% with SIP, a difference of +15%.
- AID reduced HbA1c to 6.9% versus 7.3% with SIP, a decrease of -0.4%.
- 46% of participants achieved near-optimal glycemic control with SIP.
- Higher baseline diabetes-related life interference correlated with lower likelihood of achieving near-optimal control.
Why it matters
Understanding the comparative effectiveness of insulin delivery technologies is crucial for optimizing glycemic control in type 1 diabetes. This study highlights the potential for personalized technology selection based on individual patient needs and responses.