Evidence map›Paper›PMID 39344828›Full record

ArticleDiabetes, obesity & metabolism2025

Children and adolescent with suboptimal control of type 1 diabetes improve during the first 2 years on automated insulin delivery system.

Maaria Kiilavuori, Tero Varimo, Anna-Kaisa Tuomaala, Mari-Anne Pulkkinen

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Article in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Maaria KiilavuoriChildren's Hospital, Pediatric Research Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Tero VarimoChildren's Hospital, Pediatric Research Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Anna-Kaisa TuomaalaChildren's Hospital, Pediatric Research Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Mari-Anne PulkkinenChildren's Hospital, Pediatric Research Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0003-2836-1046

Funding

Helsinki University Hospital, Pediatric Research Center
6 · The paper itself

Abstract

aimsThis study investigates the influence of the automated insulin delivery system (AID) on glycaemic control in children and adolescents with type 1 diabetes (T1D) who do not reach optimal glycaemic control with traditional treatment options. MATERIALS AND

methodsAll the patients aged 7 to 16 years with T1D who initiated the AID system between 24 October 2020 and 5 January 2022 in the Helsinki University Hospital and had haemoglobin A1C (HbA1c) levels above 53 mmol/mol/7.0% (N = 79) were included. Time in tight range (TITR), time in range (TIR), HbA1c, mean sensor glucose (SG) value, time below range (TBR) and SG coefficient of variance (CV) were measured at 0, 3, 12 and 24 months. The changes in the outcome measures between the time points were included in the analyses, and statistically significant level was p-value <0.01.

resultsAfter the initiation of AID, glycaemic control improved, and the effect lasted throughout the study period. Between 0 and 3 months, TITR and TIR increased (mean 11.7% [10.6], mean 18.1% [standard deviation [SD] 13.7], p < 0.001), whereas HbA1c and mean SG values decreased significantly (-8.3 mmol/mol [8.7]/-2.9% [2.9], p < 0.001, -1.8 mmol/L [1.7], p < 0.001). These effects were sustainable and were still visible at 12 and 24 months.

conclusionsGlycaemic control in patients not reaching treatment goals improved significantly after the initiation of the AID system, and the favourable effect lasted throughout the follow-up. AID treatment could be an option for also those paediatric patients with T1D who do not have good skills in diabetes management.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1Glycated HemoglobinGlycemic ControlHypoglycemic AgentsInsulinInsulin Infusion SystemsAdolescentBlood Glucose Self-MonitoringChildFemaleFinlandHumansMaleBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulindatabaseglycaemic controlinsulin pump therapyresearchtype 1 diabetes

Identifiers

PMID39344828
PMCPMC11618217

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.