Closed-Loop Insulin Delivery Effects on Glycemia During Sleep and Sleep Quality in Older Adults with Type 1 Diabetes: Results from the ORACL Trial.

Aged Automated insulin delivery Clinical trials Closed-loop systems Continuous glucose monitoring Continuous subcutaneous insulin infusion Pittsburgh Sleep Quality Index Sensor-augmented pump therapy Sleep Type 1 diabetes

Journal

Diabetes technology & therapeutics
ISSN: 1557-8593
Titre abrégé: Diabetes Technol Ther
Pays: United States
ID NLM: 100889084

Informations de publication

Date de publication:
09 2022
Historique:
pubmed: 17 5 2022
medline: 9 9 2022
entrez: 16 5 2022
Statut: ppublish

Résumé

Sleep-related effects of closed-loop therapy among older adults with type 1 diabetes have not been well established. In the OldeR Adult Closed-Loop (ORACL) randomized, crossover trial of first-generation closed-loop therapy (MiniMed 670G), participants wore actigraphy and completed sleep diaries for 14-day periods at stage end. During objectively measured sleep (actigraphy) with closed-loop versus sensor-augmented pump therapy, glucose time-in-range 70-180 mg/dL (3.9-10.0 mmol/L) was greater (90.3% vs. 78.7%, respectively; difference 8.2 percentage points [95% confidence interval {CI} 1.5 to 13.0];

Identifiants

pubmed: 35575751
doi: 10.1089/dia.2022.0110
doi:

Substances chimiques

Blood Glucose 0
Hypoglycemic Agents 0
Insulin 0
Insulin, Regular, Human 0

Banques de données

ANZCTR
['ACTRN12619000515190']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

666-671

Auteurs

Anindita Chakrabarti (A)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

Steven Trawley (S)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Psychology, The Cairnmillar Institute, Melbourne, Victoria, Australia.

Erin Kubilay (E)

Department of Psychology, The Cairnmillar Institute, Melbourne, Victoria, Australia.

Andisheh Mohammad Alipoor (A)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

Sara Vogrin (S)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.

Spiros Fourlanos (S)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Australian Centre for Accelerating Diabetes Innovations, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Melissa H Lee (MH)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

David N O'Neal (DN)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

Niamh A O'Regan (NA)

Department of Geriatric Medicine, Waterford Integrated Care for Older People, University Hospital Waterford, Waterford, Ireland.

Vijaya Sundararajan (V)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Public Health, La Trobe University, Melbourne, Victoria, Australia.

Glenn M Ward (GM)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

Richard J MacIsaac (RJ)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Australian Centre for Accelerating Diabetes Innovations, The University of Melbourne, Melbourne, Victoria, Australia.

Peter G Colman (PG)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Sybil A McAuley (SA)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

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Classifications MeSH