Resumen de Investigación
Analyzed using Evidence Intelligence™

AHCL therapy improves glucose levels but increases diabetes distress in youth

Última actualización 12 de julio de 2026

Key finding

HbA1c decreased from 10.2% to 9.1% after 6 months of AHCL therapy.

The study investigated the experiences of youth with Type 1 diabetes starting advanced hybrid closed-loop therapy, revealing significant improvements in HbA1c and overall satisfaction.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

The study investigated the experiences of youth with Type 1 diabetes starting advanced hybrid closed-loop therapy, revealing significant improvements in HbA1c and overall satisfaction.

Clinical relevance

These findings highlight the potential of advanced hybrid closed-loop therapy to enhance diabetes management in youth, leading to better health outcomes and improved quality of life. As diabetes distress can significantly impact mental health, addressing these factors is crucial for holistic care.

Keep in mind

Effectiveness of the therapy remains unclear due to lack of statistical significance. Limited sample size may affect the generalizability of the findings. The study did not include long-term follow-up data.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Alison R, Julie D, Selena L, et al. Experiences of Youth with Type 1 Diabetes Commencing Advanced Hybrid Closed-Loop Therapy. Pediatric Diabetes. 2024;2024:6260002. doi:10.1155/2024/6260002

Efectos Principales

HbA1c decreased from 10.2% to 9.1%, indicating improved glycemic control.

Diabetes distress score increased from 35.3 to 41.5, suggesting heightened emotional challenges.

Participants reported improved quality of sleep and energy levels.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Hybrid closed-loop system and Diabetes distress scores, Energy Levels, HbA1c, and 3 more.

Primary intervention

Hybrid closed-loop system

Primary outcomes

  • Diabetes distress scores
  • Energy Levels
  • HbA1c

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

6

Evidence pairs

503

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Insulin Delivery Systems and CGM Time in Range

Evidencia relacionada

Relación de evidencia

Insulin Delivery Systems and Quality of Life Outcomes

Guardar evidencia

Relación de evidencia

Insulin Delivery Systems and HbA1c

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetes distress scores

Hybrid closed-loop system → Diabetes distress scores

Hybrid closed-loop system → Diabetes distress scores

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Energy Levels

Hybrid closed-loop system → Energy Levels

Hybrid closed-loop system → Energy Levels

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Hybrid closed-loop system → HbA1c

Hybrid closed-loop system → HbA1c

Evidence Intelligence™
EvidenceScore™
80
Strong
ImpactScore™
92
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 5 studies
Add to Evidence Tracker

Satisfaction with diabetes management

Hybrid closed-loop system → Satisfaction with diabetes management

Hybrid closed-loop system → Satisfaction with diabetes management

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Sleep quality

Hybrid closed-loop system → Sleep quality

Hybrid closed-loop system → Sleep quality

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
58
Slightly Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Time in range

Hybrid closed-loop system → Time in range

Hybrid closed-loop system → Time in range

Evidence Intelligence™
EvidenceScore™
81
Strong
ImpactScore™
87
Very Positive
ConsistencyScore™
83
consistent
Supporting studies: Based on 8 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • HbA1c levels decreased by 1.1%, indicating better blood sugar control.
  • Diabetes distress scores increased by 6.2 points, highlighting emotional challenges.
  • Participants reported improved quality of sleep and energy levels.
who this applies

A quién se aplica

  • Youth aged 12-18 with Type 1 diabetes.
  • Participants starting advanced hybrid closed-loop therapy.
keep in mind

Tener en Cuenta

  • Results may not be applicable to all youth with diabetes due to sample characteristics.
  • The increase in diabetes distress may require additional support strategies.
  • Further studies are needed to confirm long-term effects of AHCL therapy.
between the lines

Entre Líneas

  • Effectiveness of the therapy remains unclear due to lack of statistical significance.
  • Limited sample size may affect the generalizability of the findings.
  • The study did not include long-term follow-up data.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Insulin Delivery Systems and CGM Time in Range, Insulin Delivery Systems and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Insulin Delivery Systems improve cgm time in range?

Strong Evidence

Insulin Delivery Systems may improve CGM Time in Range.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Time in range

    EvidenceScore™ Strong | EvidenceScore™ 81.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 17 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
17 supporting studiesUpdated: Jul 2026

Does Insulin Delivery Systems improve quality of life outcomes?

Strong Evidence

Insulin Delivery Systems may improve Quality of Life Outcomes.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Sleep quality

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 5 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
5 supporting studiesUpdated: Jul 2026

Does Insulin Delivery Systems improve HbA1c?

Strong Evidence

Insulin Delivery Systems appears to improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 80.2 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 13 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
13 supporting studiesUpdated: Jul 2026

Does Hybrid closed-loop system improve diabetes distress scores?

Strong Evidence

Hybrid closed-loop system may improve Diabetes distress scores.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Diabetes distress scores

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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