Pumps that predict and manage low blood glucose are superior to pumps with stand-alone CGM for reducing hypoglycaemia in type 1 diabetes patients in a real-world setting - 20/05/21
Abstract |
Background |
This study aimed to assess the efficacy of insulin pumps with automated predictive low-glucose insulin suspension in a real-world setting compared with stand-alone flash glucose monitoring (FGM).
Methods |
The data analyzed were uploaded by patients with type 1 diabetes (n=195) treated with external insulin pumps [either a MiniMed 640G system (Medtronic) including SmartGuard technology that predicts and manages low glucose (n=61) or an Omnipod patch pump accompanied by a FreeStyle Libre sensor (Abbott) for FGM (n=134)].
Result |
The median (25th–75th percentile) time spent with sensor glucose values≤3.9mmol/L was 0.9% (0.4–1.55) vs. 5.6% (3.05–9.55) in the predictive low-glucose suspend group vs. FGM users, respectively (P<0.0001), with similar results obtained for median time spent with sensor glucose values≤3mmol/L (P<0.0001). The group using sensor-integrated pumps had lower % coefficient of variation (CV) values and lower mean amplitude glycaemic excursions (P<0.0001). Mean glucose values as well as measured HbA1c levels were also lower.
Conclusion |
These real-world data show that predictive low-glucose insulin suspension is more effective than pumps with stand-alone FGM for reducing hypoglycaemic events, and could be of benefit to patients at risk of hypoglycaemia as well as those lacking in hypoglycaemic awareness.
Le texte complet de cet article est disponible en PDF.Keywords : Continuous monitoring, Hypoglycaemia, Impaired awareness of hypoglycaemia, Insulin pump
Plan
Vol 47 - N° 3
Article 101168- mai 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.