Assessment of Meal Anticipation for Improving Fully Automated Insulin Delivery in Adults With Type 1 Diabetes
This research aimed to investigate the impact of meal anticipation within a fully automated insulin delivery (AID) system on glycemic control in adults with type 1 diabetes (T1D). The study used a randomized crossover clinical trial with three AID system modalities: hybrid closed loop (HCL), full closed loop (FCL), and full closed loop with meal anticipation (FCL+). Participants consumed meals at fixed times during supervised 24-hour admissions, and were started on a Tandem t:AP insulin pump set with their home insulin parameters and a Dexcom G6 CGM sensor session within 24–48 h before study start. Overall, the 24-hour glycemic control percentages for HCL, FCL, and FCL+ were 86%, 77%, and 77%, respectively. The study concluded that the inclusion of meal anticipation did not significantly enhance postprandial control within the AID systems, but it also did not increase the risk of low blood sugar when meals were delayed.
#closed loop
#cgm
#insulin pump