Fully Closed-Loop Glucose Control Compared With Insulin Pump Therapy With Continuous Glucose Monitoring in Adults With Type 1 Diabetes and Suboptimal Glycemic Control: A Single-Center, Randomized, Crossover Study
This single-center, randomized, crossover study evaluated the safety and efficacy of fully closed-loop with ultrarapid insulin lispro in adults (n=26) with type 1 diabetes and suboptimal glycemic control compared with insulin pump therapy with continuous glucose monitoring (CGM). Participants underwent two 8-week periods of unrestricted living to compare fully closed-loop with ultrarapid insulin lispro (CamAPS HX system) with insulin pump therapy with CGM in random order. In an intention-to-treat analysis, the proportion of time glucose was in range was higher during closed-loop than during pump with CGM. In conclusin, fully closed-loop insulin delivery with CamAPS HX improved glucose control compared with insulin pump therapy with CGM in adults with type 1 diabetes and suboptimal glycemic control.
#closed loop
#insulin pump
#cgm