Real-world effectiveness and safety of sensor-augmented insulin pump therapy in adults with type 1 diabetes: Long-term follow-up.
Endocrinol Diabetes Nutr (Engl Ed)
; 2020 Dec 23.
Article
en En, Es
| MEDLINE
| ID: mdl-33358488
OBJECTIVE: To evaluate the effectiveness and safety of sensor-augmented insulin pump therapy (SAP) in addition to a comprehensive diabetes program on glycated hemoglobin (HbA1c), severe hypoglycemia, ketoacidosis, and the hospital admission rate in patients with type 1 diabetes under real-world settings during a 2-year follow-up. METHODS: This was a retrospective real-life study comparing diabetes control before and after SAP therapy initiation. Patients ≥18 years old with type 1 diabetes were included. They were followed for 2 years with clinical assessments at months 3, 6, 12, 18, and 24. Effectiveness was estimated by difference in medians of HbA1c from baseline and at each follow-up visit. Safety was assessed by comparing the annual rates of severe hypoglycemia, hyperglycemic crisis, and hospital admission related to diabetes. RESULTS: 162 patients were included, median age 32 years, women 73%). The main indication for SAP was poor metabolic control (51.2%). At 2 years HbA1c decreased from 8.4% to 7.5% (-0.9%, 95% CI: 0.5-1.2; p<0.0001), HbA1c ≤7% improved from 14.2% to 25.3% (11.1%, 95% CI: 19.7-2.5; p=0.006), and severe hypoglycemia decreased from 22.2% to 14.1% (-8.1%, 95% CI: -16.5 to 0.3; p=0.03). CONCLUSIONS: SAP therapy improved glycemic control after the third month of use and for up to 2 years of follow-up, with lower rates of hospital admission and severe hypoglycemia. More studies are needed to assess the add-on impact of education programs and technologies for diabetes care.
Continuous glucose monitoring; Continuous insulin infusion systems; Diabetes mellitus tipo 1; Diabetes mellitus tipo 2; Glycated hemoglobin A1c; Hemoglobina glicada A1c; Monitoreo continuo de glucosa; Sensor-augmented insulin pump therapy; Sistemas de infusión continua de insulina; Terapia con bomba de insulina aumentada por sensor; Type 1 diabetes mellitus; Type 2 diabetes mellitus
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Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
/
Es
Revista:
Endocrinol Diabetes Nutr (Engl Ed)
Año:
2020
Tipo del documento:
Article
Pais de publicación:
España