Faster Compared With Standard Insulin Aspart During Day-and-Night Fully Closed-Loop Insulin Therapy in Type 1 Diabetes: A Double-Blind Randomized Crossover Trial.


Journal

Diabetes care
ISSN: 1935-5548
Titre abrégé: Diabetes Care
Pays: United States
ID NLM: 7805975

Informations de publication

Date de publication:
01 2020
Historique:
received: 03 05 2019
accepted: 03 09 2019
pubmed: 3 10 2019
medline: 3 10 2020
entrez: 3 10 2019
Statut: ppublish

Résumé

We evaluated the safety and efficacy of day-and-night fully closed-loop insulin therapy using faster (Faster-CL) compared with standard insulin aspart (Standard-CL) in young adults with type 1 diabetes. In a double-blind, randomized, crossover trial, 20 participants with type 1 diabetes on insulin pump therapy (11 females, aged 21.3 ± 2.3 years, HbA The proportion of TIR was similar for both arms: 53.3% (83% overnight) in Faster-CL and 57.9% (88% overnight) in Standard-CL ( Fully closed-loop insulin delivery using either faster or standard insulin aspart was safe and efficient in achieving near-normal glucose concentrations outside postprandial periods. The closed-loop algorithm was better adjusted to the standard insulin aspart.

Identifiants

pubmed: 31575640
pii: dc19-0895
doi: 10.2337/dc19-0895
doi:

Substances chimiques

Blood Glucose 0
Hypoglycemic Agents 0
Insulin 0
Insulin Aspart D933668QVX

Banques de données

ClinicalTrials.gov
['NCT03212950']

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

29-36

Informations de copyright

© 2019 by the American Diabetes Association.

Auteurs

Klemen Dovc (K)

Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre-University Children's Hospital, Ljubljana, Slovenia.

Claudia Piona (C)

Pediatric Diabetes and Metabolic Disorders Unit, University City Hospital, Verona, Italy.

Gül Yeşiltepe Mutlu (G)

Department of Pediatric Endocrinology and Diabetes, Koç University Hospital, İstanbul, Turkey.

Natasa Bratina (N)

Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre-University Children's Hospital, Ljubljana, Slovenia.

Barbara Jenko Bizjan (B)

Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre-University Children's Hospital, Ljubljana, Slovenia.

Dusanka Lepej (D)

Department of Pulmonology, University Medical Centre-University Children's Hospital, Ljubljana, Slovenia.

Revital Nimri (R)

The Jesse Z. and Sara Lea Shafer Institute for Endocrinology and Diabetes, National Centre for Childhood Diabetes, Schneider Children's Medical Centre of Israel, Petah Tikva, Israel.

Eran Atlas (E)

DreaMed Diabetes Ltd., Petah Tikva, Israel.

Ido Muller (I)

DreaMed Diabetes Ltd., Petah Tikva, Israel.

Olga Kordonouri (O)

Diabetes Centre for Children and Adolescents, Kinder- und Jugendkrankenhaus Auf der Bult, Hannover, Germany.

Torben Biester (T)

Diabetes Centre for Children and Adolescents, Kinder- und Jugendkrankenhaus Auf der Bult, Hannover, Germany.

Thomas Danne (T)

Diabetes Centre for Children and Adolescents, Kinder- und Jugendkrankenhaus Auf der Bult, Hannover, Germany.

Moshe Phillip (M)

The Jesse Z. and Sara Lea Shafer Institute for Endocrinology and Diabetes, National Centre for Childhood Diabetes, Schneider Children's Medical Centre of Israel, Petah Tikva, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Tadej Battelino (T)

Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre-University Children's Hospital, Ljubljana, Slovenia tadej.battelino@mf.uni-lj.si.
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

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