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Excellence in the management of Advanced Hybrid Closed-Loop Systems: Lessons from the Polish cohort
The aim of the study was to analyze the real-world performance of MiniMed 780G (MM780G) Advanced Hybrid Closed Loop (AHCL) system users from Poland (PL) and compare it to the European region excluding Poland (EU-PL) in order to identify factors contributing to potential differences. The former achie...
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Published in: | Diabetes research and clinical practice 2024-10, Vol.216, p.111832, Article 111832 |
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container_title | Diabetes research and clinical practice |
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creator | Matejko, Bartłomiej van den Heuvel, Tim Castaneda, Javier Arrieta, Arcelia Cyranka, Katarzyna Cohen, Ohad Małecki, Maciej Klupa, Tomasz |
description | The aim of the study was to analyze the real-world performance of MiniMed 780G (MM780G) Advanced Hybrid Closed Loop (AHCL) system users from Poland (PL) and compare it to the European region excluding Poland (EU-PL) in order to identify factors contributing to potential differences. The former achieved some of the best Time in Range (TIR) results globally using this technology.
CareLink Personal data uploaded by MM780G system users from August 2020 to December 2022 were analyzed.
The Polish users (N=1304) on average reached to TIR of 79.1 ± 8.7 % (vs 73.0 ± 10.0 % for EU-PL, N=55659), a TBR |
doi_str_mv | 10.1016/j.diabres.2024.111832 |
format | article |
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CareLink Personal data uploaded by MM780G system users from August 2020 to December 2022 were analyzed.
The Polish users (N=1304) on average reached to TIR of 79.1 ± 8.7 % (vs 73.0 ± 10.0 % for EU-PL, N=55659), a TBR<54 mg/dL of 0.6 ± 0.7 % (vs 0.4 ± 0.6 %) and a TBR<70 mg/dL of 2.9 ± 2.1 % (vs 2.1 ± 1.8 %). The adoption rate of optimal settings (i.e, GT=100 mg/dL, AIT=2hr) in PL was high (19.7 % vs 6.3 %), and filtering on optimal setting users led to less pronounced differences in glycemic control between PL and EU-PL. A univariable analysis with post-AHCL TIR showed that geography itself (PL vs EU-PL) is not a significant contributor to a high post-AHCL TIR (p = 0.15), and that much of the Polish post-AHCL TIR can be explained by the high pre-AHCL TIR.
The Polish MM780G users achieved better glycemic control than the general European population (excluding Poland). This is largely attributable to the adoption of optimal settings in Poland and the already high glycemic outcomes at system start. As these characteristics can be implemented elsewhere, we believe this outstanding result can be obtained in other countries as well.</description><identifier>ISSN: 0168-8227</identifier><identifier>ISSN: 1872-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/j.diabres.2024.111832</identifier><identifier>PMID: 39173678</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>AHCL ; Closed loop systems ; RWD ; RWE ; Type 1 diabetes</subject><ispartof>Diabetes research and clinical practice, 2024-10, Vol.216, p.111832, Article 111832</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c243t-ed948911bff7bcf44af14d180abc5697c3907f954cc1dd531c231b3701167f763</cites><orcidid>0000-0001-6938-352X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39173678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matejko, Bartłomiej</creatorcontrib><creatorcontrib>van den Heuvel, Tim</creatorcontrib><creatorcontrib>Castaneda, Javier</creatorcontrib><creatorcontrib>Arrieta, Arcelia</creatorcontrib><creatorcontrib>Cyranka, Katarzyna</creatorcontrib><creatorcontrib>Cohen, Ohad</creatorcontrib><creatorcontrib>Małecki, Maciej</creatorcontrib><creatorcontrib>Klupa, Tomasz</creatorcontrib><title>Excellence in the management of Advanced Hybrid Closed-Loop Systems: Lessons from the Polish cohort</title><title>Diabetes research and clinical practice</title><addtitle>Diabetes Res Clin Pract</addtitle><description>The aim of the study was to analyze the real-world performance of MiniMed 780G (MM780G) Advanced Hybrid Closed Loop (AHCL) system users from Poland (PL) and compare it to the European region excluding Poland (EU-PL) in order to identify factors contributing to potential differences. The former achieved some of the best Time in Range (TIR) results globally using this technology.
CareLink Personal data uploaded by MM780G system users from August 2020 to December 2022 were analyzed.
The Polish users (N=1304) on average reached to TIR of 79.1 ± 8.7 % (vs 73.0 ± 10.0 % for EU-PL, N=55659), a TBR<54 mg/dL of 0.6 ± 0.7 % (vs 0.4 ± 0.6 %) and a TBR<70 mg/dL of 2.9 ± 2.1 % (vs 2.1 ± 1.8 %). The adoption rate of optimal settings (i.e, GT=100 mg/dL, AIT=2hr) in PL was high (19.7 % vs 6.3 %), and filtering on optimal setting users led to less pronounced differences in glycemic control between PL and EU-PL. A univariable analysis with post-AHCL TIR showed that geography itself (PL vs EU-PL) is not a significant contributor to a high post-AHCL TIR (p = 0.15), and that much of the Polish post-AHCL TIR can be explained by the high pre-AHCL TIR.
The Polish MM780G users achieved better glycemic control than the general European population (excluding Poland). This is largely attributable to the adoption of optimal settings in Poland and the already high glycemic outcomes at system start. As these characteristics can be implemented elsewhere, we believe this outstanding result can be obtained in other countries as well.</description><subject>AHCL</subject><subject>Closed loop systems</subject><subject>RWD</subject><subject>RWE</subject><subject>Type 1 diabetes</subject><issn>0168-8227</issn><issn>1872-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFkFFv0zAQxy0EYt3gI4D8yEs6n53ECS9oqsY2qRJIg2fLsc_UVRIXXzrRb790LbzydCfd7-70_zH2AcQSBNTX26WPtstISylkuQSARslXbAGNlkUjpX7NFjPXvPQX7JJoK4SoVVm9ZReqBa1q3SyYu_3jsO9xdMjjyKcN8sGO9hcOOE48BX7jn-w89Pz-0OXo-apPhL5Yp7TjjweacKDPfI1EaSQechpebnxPfaQNd2mT8vSOvQm2J3x_rlfs59fbH6v7Yv3t7mF1sy6cLNVUoG_LpgXoQtCdC2VpA5QeGmE7V9WtdqoVOrRV6Rx4XylwUkGntACoddC1umKfTnd3Of3eI01miHRMZ0dMezJKtLXUrZTVjFYn1OVElDGYXY6DzQcDwhz9mq05-zVHv-bkd977eH6x7wb0_7b-Cp2BLycA56BPEbMhF492fczoJuNT_M-LZwU7jkY</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Matejko, Bartłomiej</creator><creator>van den Heuvel, Tim</creator><creator>Castaneda, Javier</creator><creator>Arrieta, Arcelia</creator><creator>Cyranka, Katarzyna</creator><creator>Cohen, Ohad</creator><creator>Małecki, Maciej</creator><creator>Klupa, Tomasz</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6938-352X</orcidid></search><sort><creationdate>20241001</creationdate><title>Excellence in the management of Advanced Hybrid Closed-Loop Systems: Lessons from the Polish cohort</title><author>Matejko, Bartłomiej ; van den Heuvel, Tim ; Castaneda, Javier ; Arrieta, Arcelia ; Cyranka, Katarzyna ; Cohen, Ohad ; Małecki, Maciej ; Klupa, Tomasz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c243t-ed948911bff7bcf44af14d180abc5697c3907f954cc1dd531c231b3701167f763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>AHCL</topic><topic>Closed loop systems</topic><topic>RWD</topic><topic>RWE</topic><topic>Type 1 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matejko, Bartłomiej</creatorcontrib><creatorcontrib>van den Heuvel, Tim</creatorcontrib><creatorcontrib>Castaneda, Javier</creatorcontrib><creatorcontrib>Arrieta, Arcelia</creatorcontrib><creatorcontrib>Cyranka, Katarzyna</creatorcontrib><creatorcontrib>Cohen, Ohad</creatorcontrib><creatorcontrib>Małecki, Maciej</creatorcontrib><creatorcontrib>Klupa, Tomasz</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matejko, Bartłomiej</au><au>van den Heuvel, Tim</au><au>Castaneda, Javier</au><au>Arrieta, Arcelia</au><au>Cyranka, Katarzyna</au><au>Cohen, Ohad</au><au>Małecki, Maciej</au><au>Klupa, Tomasz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Excellence in the management of Advanced Hybrid Closed-Loop Systems: Lessons from the Polish cohort</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>216</volume><spage>111832</spage><pages>111832-</pages><artnum>111832</artnum><issn>0168-8227</issn><issn>1872-8227</issn><eissn>1872-8227</eissn><abstract>The aim of the study was to analyze the real-world performance of MiniMed 780G (MM780G) Advanced Hybrid Closed Loop (AHCL) system users from Poland (PL) and compare it to the European region excluding Poland (EU-PL) in order to identify factors contributing to potential differences. The former achieved some of the best Time in Range (TIR) results globally using this technology.
CareLink Personal data uploaded by MM780G system users from August 2020 to December 2022 were analyzed.
The Polish users (N=1304) on average reached to TIR of 79.1 ± 8.7 % (vs 73.0 ± 10.0 % for EU-PL, N=55659), a TBR<54 mg/dL of 0.6 ± 0.7 % (vs 0.4 ± 0.6 %) and a TBR<70 mg/dL of 2.9 ± 2.1 % (vs 2.1 ± 1.8 %). The adoption rate of optimal settings (i.e, GT=100 mg/dL, AIT=2hr) in PL was high (19.7 % vs 6.3 %), and filtering on optimal setting users led to less pronounced differences in glycemic control between PL and EU-PL. A univariable analysis with post-AHCL TIR showed that geography itself (PL vs EU-PL) is not a significant contributor to a high post-AHCL TIR (p = 0.15), and that much of the Polish post-AHCL TIR can be explained by the high pre-AHCL TIR.
The Polish MM780G users achieved better glycemic control than the general European population (excluding Poland). This is largely attributable to the adoption of optimal settings in Poland and the already high glycemic outcomes at system start. As these characteristics can be implemented elsewhere, we believe this outstanding result can be obtained in other countries as well.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>39173678</pmid><doi>10.1016/j.diabres.2024.111832</doi><orcidid>https://orcid.org/0000-0001-6938-352X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | AHCL Closed loop systems RWD RWE Type 1 diabetes |
title | Excellence in the management of Advanced Hybrid Closed-Loop Systems: Lessons from the Polish cohort |
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