Resumen de Investigación
Analyzed using Evidence Intelligence™

Tubeless AID system improves glycemic outcomes in type 1 diabetes

Última actualización 12 de julio de 2026

Key finding

TIR during the trial was 4.2h/day higher in the intervention compared with the control group (mean difference 17.5% [95% CI 14.0%, 21.1%]; P < 0.0001)

This study evaluated the efficacy and safety of the Tubeless Omnipod 5 automated insulin delivery system compared to traditional pump therapy with continuous glucose monitoring in adults with Type 1 diabetes.

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

This study evaluated the efficacy and safety of the Tubeless Omnipod 5 automated insulin delivery system compared to traditional pump therapy with continuous glucose monitoring in adults with Type 1 diabetes.

Clinical relevance

These findings are significant for clinicians and patients as they suggest that the Tubeless Omnipod 5 may offer a more effective and safer option for managing blood glucose levels in adults with Type 1 diabetes, potentially leading to better long-term health outcomes.

Keep in mind

The study's sample size may limit the generalizability of the findings. The trial duration may not capture long-term effects of the interventions. Participants were selected based on specific criteria, which may not represent the broader population.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Eric R, Ruth SW, Grazia A, et al. Efficacy and Safety of the Tubeless Omnipod 5 Automated Insulin Delivery System Compared with Pump Therapy with Continuous Glucose Monitor in Adults with Type 1 Diabetes. Diabetes Care. 2024;47(12):2248-2257. doi:10.2337/dc24-1550

Efectos Principales

The intervention group had 4.2 hours/day more time in range (TIR 70-180 mg/dL) compared to the control group.

The intervention group showed a greater reduction in HbA1c by 1.24% from baseline.

The intervention group experienced significantly lower time <70 mg/dL and >180 mg/dL by 0.57% and 16.8%, respectively.

No diabetes-related ketoacidosis or severe hypoglycemia events occurred in the intervention group.

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 Diabetic ketoacidosis, HbA1c, Hypoglycemia events, and 3 more.

Primary intervention

Hybrid closed-loop system

Primary outcomes

  • Diabetic ketoacidosis
  • HbA1c
  • Hypoglycemia events

Evidence relationships

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

6
Evidence pairs
6
Relationships
4
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

4

Related topics

6

Evidence pairs

578

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

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 HbA1c

Guardar evidencia

Relación de evidencia

Insulin Delivery Systems and Hypoglycemia

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetic ketoacidosis

Hybrid closed-loop system → Diabetic ketoacidosis

Hybrid closed-loop system → Diabetic ketoacidosis

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
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

Hypoglycemia events

Hybrid closed-loop system → Hypoglycemia events

Hybrid closed-loop system → Hypoglycemia events

Evidence Intelligence™
EvidenceScore™
75
Moderate
ImpactScore™
65
Slightly Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Percentage of time spent above 180 mg/dL

Hybrid closed-loop system → Percentage of time spent above 180 mg/dL

Hybrid closed-loop system → Percentage of time spent above 180 mg/dL

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

Percentage of time spent below 70 mg/dL

Hybrid closed-loop system → Percentage of time spent below 70 mg/dL

Hybrid closed-loop system → Percentage of time spent below 70 mg/dL

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

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

  • Omnipod 5 users had 4.2 hours more time in target glucose range daily.
  • HbA1c levels decreased by 1.24% more in the intervention group.
  • No severe hypoglycemia or ketoacidosis events were reported in the Omnipod 5 group.
who this applies

A quién se aplica

  • Adults diagnosed with Type 1 diabetes.
  • Individuals currently using insulin pump therapy.
keep in mind

Tener en Cuenta

  • Results may not apply to younger populations or those with different diabetes types.
  • The study's findings are based on a specific trial population and may not reflect all patients.
  • Further research is needed to assess long-term safety and efficacy.
between the lines

Entre Líneas

  • The study's sample size may limit the generalizability of the findings.
  • The trial duration may not capture long-term effects of the interventions.
  • Participants were selected based on specific criteria, which may not represent the broader population.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

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 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 Insulin Delivery Systems affect hypoglycemia?

Strong Evidence

Insulin Delivery Systems may improve Hypoglycemia.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Hypoglycemia events

    EvidenceScore™ Moderate | EvidenceScore™ 74.6 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

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

Does Hybrid closed-loop system improve percentage of time spent above 180 mg/dl?

Emerging Evidence

Hybrid closed-loop system appears to improve Percentage of time spent above 180 mg/dL.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage of time spent above 180 mg/dL

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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