Evidence map›Paper›PMID 39905659›Full record

ArticleDiabetes, obesity & metabolism2025

MiniMed 780G system performance in older users with type 1 diabetes: Real-world evidence and the case for stricter glycaemic targets.

Vittorino Smaniotto, Simon Heller, David O'Neal, Johan Jendle, Tali Cukierman-Yaffe, Arcelia Arrieta, Isabeau Thijs, Javier Castañeda, Tim van den Heuvel, Ohad Cohen

Abstract readComparative StudyMulticenter Study
In one paragraph

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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Real-World Glucometric Outcomes of the MiniMed 780G Advanced Hybrid Closed-Loop System in Users with Type 1 Diabetes in Spain.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Article
  4. Real-World Performance of the MiniMed 780G Advanced Hybrid Closed Loop Automated Insulin Delivery System in Greece.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Vittorino SmaniottoMedtronic International Trading Sàrl, Tolochenaz, Switzerland.
Simon HellerSchool of Medicine and Population Health, University of Sheffield, Sheffield, UK.ORCID 0000-0002-2425-9565
David O'NealDepartment of Medicine, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-0870-4032
Johan JendleSchool of Medicine, Örebro University, Örebro, Sweden.ORCID 0000-0003-1025-1682
Tali Cukierman-YaffeDivision of Endocrinology and Metabolism, Sheba Medical Center, Tel Aviv, Israel.ORCID 0000-0003-1289-5633
Arcelia ArrietaMedtronic International Trading Sàrl, Tolochenaz, Switzerland.ORCID 0009-0003-1684-0258
Isabeau ThijsMedtronic International Trading Sàrl, Tolochenaz, Switzerland.ORCID 0000-0001-5516-4481
Javier CastañedaMedtronic International Trading Sàrl, Tolochenaz, Switzerland.ORCID 0000-0003-0752-8847
Tim van den HeuvelMedtronic International Trading Sàrl, Tolochenaz, Switzerland.ORCID 0000-0002-3907-6876
Ohad CohenMedtronic International Trading Sàrl, Tolochenaz, Switzerland.ORCID 0000-0003-4337-1795

Funding

Medtronic International Trading Sarl
6 · The paper itself

Abstract

aimsLarge-scale studies on the effectiveness of automated insulin delivery (AID) systems in older people with type 1 diabetes are still limited. A multinational, retrospective, real-world study was conducted to examine the performance of the MiniMed™ 780G advanced hybrid closed-loop system in users with type 1 diabetes aged ≥56 years compared with those aged 16-55 years. MATERIALS AND

methodsData from 35 366 MiniMed™ 780G system users aged 16-55 years and 7415 users aged ≥56 years were included. The main outcome was time in range 70-180 mg/dL (TIR); other continuous glucose monitoring (CGM) metrics were also assessed.

resultsAcross all users, mean TIR was 77.1% for users aged ≥56 years and 73.1% for those aged 16-55 years (Δ4.0, 95% confidence interval [CI]: 3.8-4.2, p <0.0001). In users employing the optimal system settings (i.e., Glucose Target: 100 mg/dL; active insulin time: 2 h), mean TIR was 81.9% in older and 79.7% in younger users (Δ2.2, 95% CI: 1.5-2.9, p <0.0001). Across all users, mean time below range <70 mg/dL (TBR

conclusionsThis real-world analysis demonstrated that older MiniMed™ 780G system users with type 1 diabetes can achieve a TIR >70% without increasing hypoglycaemia risk. Users employing optimal settings showed the best outcomes. The system performed as well as or better than in younger users. These findings support the case that more stringent TIR targets can be achieved safely.

Indexed as

Diabetes Mellitus, Type 1Glycemic ControlHypoglycemic AgentsInsulinInsulin Infusion SystemsAdolescentAdultAgedAge FactorsBlood GlucoseBlood Glucose Self-MonitoringFemaleGlycated HemoglobinHumansHypoglycemiaMaleBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulincontinuous glucose monitoring (CGM)database researchinsulin pump therapyreal‐world evidencetype 1 diabetes

Identifiers

PMID39905659
PMCPMC11885105

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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.