Supporting evidence

Hybrid closed-loop system × Time in range

Authoritative support
17
Available studies
17
Unavailable support
0

Available supporting studies

Study 1 · Included

AHCL system improves glycemic control in adults with T1DM

Rct

Comparison
Participants initiated the MiniMed 780G system in open loop and then transitioned to AHCL therapy. · Participants continued with their previous treatment of multiple daily injections and self monitoring of blood glucose.
Duration / follow-up
13 weeks

Relevant effects

Percent change

21.5 · 0.001

Percent change

4.4 · 0.001

Percent change

0

Percent change

0

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Study 2 · Included

AHCL therapy improves glucose levels but increases diabetes distress in youth

Rct

Comparison
Participants used the AHCL algorithm in the Medtronic MiniMed insulin pump for 6 months. · Participants in the control arm continued their usual treatment.
Duration / follow-up
26 weeks
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Study 3 · Limited

Artificial pancreas may improve glucose control in type 1 diabetes

Rct

Comparison
Patients treated with the Android‐HCL therapy for type 1 diabetes. · Patients treated with multiple injections of insulin.
Duration / follow-up
1 weeks

Relevant effects

Mean difference

1.1 · 0.05

Percent change

22.05 · 0.05

Percent change

19.81 · 0.05

Percent change

2.75 · 0.05

Mean difference

1.1

Percent change

22.05

Percent change

19.81

Percent change

2.75

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Study 4 · Included

Automated insulin delivery improves glucose management in diabetes with CKD

Rct

Comparison
Participants received AID for 8 weeks followed by usual care. · Participants continued with their standard insulin regimen and oral hypoglycaemic agents.
Duration / follow-up
26 weeks

Relevant effect

Absolute change

13.7 · 0.001

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Study 5 · Included

Automated insulin-glucagon delivery reduces hypoglycemia risk

Rct

Comparison
Participants used the DiaCon system in AIGD mode during the study. · Participants used the DiaCon system in AID mode during the study.
Duration / follow-up
52 weeks
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Study 6 · Included

Closed-loop insulin delivery reduces hypoglycemia postpartum

Rct

Comparison
Participants received hybrid closed loop insulin delivery starting from 1 week postpartum. · Participants continued sensor augmented pump therapy from 1 week postpartum to 11 weeks, 6 days postpartum.
Duration / follow-up
12 weeks

Relevant effect

Absolute change

79.2 · 0.41

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Study 7 · Included

Closed-loop therapy enhances glycemic control in type 2 diabetes.

Rct

Comparison
Participants received 6 weeks of closed loop therapy first. · Participants received 6 weeks of CSII + CGM first.
Duration / follow-up
13 weeks

Relevant effects

Absolute change

15 · 0.001

Absolute change

15 · 0.001

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Study 8 · Limited

Cloud platform improves algorithm testing for type 1 diabetes

Comparison
Participants received treatment with a dual hormone artificial pancreas system. · Participants received treatment with a single hormone artificial pancreas system. · Participants received standard care with a conventional insulin pump.
Duration / follow-up
4 weeks

Relevant effects

Percent change

1

Event count

0

Percent change

1

Event count

0

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Study 9 · Included

Fiasp reduces hypoglycemia in adults with type 1 diabetes

Rct

Comparison
Participants received hybrid closed loop glucose control using faster acting insulin (fiasp) for 8 weeks. · Participants received hybrid closed loop glucose control using standard insulin aspart for 8 weeks.
Duration / follow-up
8 weeks

Relevant effects

Mean difference

0.6 · 0.001

Mean difference

0 · 0.9

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Study 10 · Included

Hybrid Closed-Loop Insulin Improves Glycemic Control in Youth

Rct

Comparison
Participants continued with hybrid closed loop insulin delivery using the cambridge algorithm until 48 months after diagnosis. · Participants initially randomized to control continued standard insulin therapy until 48 months after diagnosis.
Duration / follow-up
208 weeks

Relevant effect

Absolute change

12 · 0.008

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Study 11 · Limited

Hybrid closed-loop system improves glycemic control in neonatal diabetes.

Rct

Duration / follow-up
1 weeks

Relevant effects

Absolute change

30

Percent change

38.9

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Study 12 · Included

Hybrid closed-loop therapy improves glycemic control in young children with T1D

Rct

Comparison
Participants used hybrid closed loop insulin delivery for 18 months during the extension phase. · Participants used sensor augmented pump therapy for 4 months during the primary study phase.
Duration / follow-up
78 weeks

Relevant effects

Absolute change

8.4 · 0.001

Absolute change

1

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Study 13 · Included

Hybrid telemedicine improves glycemic control in type 1 diabetes

Rct

Comparison
Participants received a hybrid follow up program incorporating telemedicine consultations alongside face to face visits. · Participants received conventional face to face follow up care following standard clinical practice.
Duration / follow-up
52 weeks
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Study 14 · Limited

Meal anticipation does not improve glycemic control in T1D

Rct

Comparison
Participants received the hybrid closed loop insulin delivery system. · Participants received the full closed loop insulin delivery system. · Participants received the full closed loop insulin delivery system with meal anticipation.
Duration / follow-up
4 weeks
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Study 15 · Included

Open-source AID improves glycemic control in type 2 diabetes during surgery

Rct

Comparison
Participants received the open source hybrid closed loop aid system. · Participants received conventional insulin pump therapy.
Duration / follow-up
2 weeks

Relevant effects

Mean difference

15.2 · 0.005

Absolute change

15.6

Event count

0

Mean difference

1.2 · 0.009

Absolute change

61.2

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Study 16 · Included

Qualitative meal-size estimation shows mixed results in insulin delivery

Rct

Comparison
Participants manually enter the CHO content of meals and snacks into the system. · Participants manually announce meals as having low, medium, high, or very high CHO.
Duration / follow-up
3 weeks

Relevant effects

Mean difference

3.6 · 0.78

Mean difference

3.6 · 0.78

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Study 17 · Included

Tubeless AID system improves glycemic outcomes in type 1 diabetes

Rct

Comparison
Participants used the Omnipod 5 AID System for 13 weeks. · Participants continued using their usual insulin pump with a Dexcom G6 CGM.
Duration / follow-up
13 weeks

Relevant effect

Percent change

17.5 · 0.0001

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