Home use of closed-loop insulin delivery for overnight glucose control in adults with type 1 diabetes: a 4-week, multicentre, randomised crossover study 

Slides:



Advertisements
Similar presentations
Journal Club 埼玉医科大学 総合医療センター 内分泌・糖尿病内科 Department of Endocrinology and Diabetes, Saitama Medical Center, Saitama Medical University 松田 昌文 Matsuda, Masafumi.
Advertisements

Overnight Closed-Loop Insulin Delivery in Young People With Type 1 Diabetes: A Free- Living, Randomized Clinical Trial Featured Article: Roman Hovorka,
Crohn's disease Prof Daniel C Baumgart, MD, Prof William J Sandborn, MD The Lancet Volume 380, Issue 9853, Pages (November 2012) DOI: /S (12)
Volume 14, Issue 4, Pages (April 2013)
Volume 379, Issue 9824, Pages (April 2012)
2 month evening and night closed-loop glucose control in patients with type 1 diabetes under free-living conditions: a randomised crossover trial  Dr.
Volume 384, Issue 9961, Pages (December 2014)
Chee-Seng Tan, MRCP, David Gilligan, FRCPE, Dr Simon Pacey, FRCP 
Volume 357, Issue 9273, Pages (June 2001)
Efficacy and safety of once-weekly semaglutide versus once-daily insulin glargine as add-on to metformin (with or without sulfonylureas) in insulin-naive.
BMI and risk of dementia in two million people over two decades: a retrospective cohort study  Dr Nawab Qizilbash, MRCP, John Gregson, PhD, Michelle E.
Volume 357, Issue 9257, Pages (March 2001)
Volume 359, Issue 9322, Pages (June 2002)
Pharmacogenetics and future drug development and delivery
Rivaroxaban versus warfarin to treat patients with thrombotic antiphospholipid syndrome, with or without systemic lupus erythematosus (RAPS): a randomised,
Volume 16, Issue 9, Pages (September 2015)
Mortality after surgery in Europe: a 7 day cohort study
New Developments in Insulin Therapy for Type 2 Diabetes
Total and cause-specific mortality before and after the onset of the Greek economic crisis: an interrupted time-series analysis  Ioannis Laliotis, PhD,
Home use of closed-loop insulin delivery for overnight glucose control in adults with type 1 diabetes: a 4-week, multicentre, randomised crossover study 
Day-and-night glycaemic control with closed-loop insulin delivery versus conventional insulin pump therapy in free-living adults with well controlled.
Intravenous or nebulised magnesium sulphate versus standard therapy for severe acute asthma (3Mg trial): a double-blind, randomised controlled trial 
Volume 14, Issue 4, Pages (April 2013)
Abdominal lipohypertrophy without insulin injection
Volume 371, Issue 9611, Pages (February 2008)
Effect of intravenous haloperidol on the duration of delirium and coma in critically ill patients (Hope-ICU): a randomised, double-blind, placebo-controlled.
Volume 366, Issue 9499, Pages (November 2005)
Closed-loop insulin delivery in inpatients with type 2 diabetes: a randomised, parallel- group trial  Hood Thabit, PhD, Sara Hartnell, BSc, Janet M Allen,
Volume 385, Issue 9966, Pages (January 2015)
Diabetes and risk of physical disability in adults: a systematic review and meta-analysis  Dr Evelyn Wong, MBBS, Kathryn Backholer, PhD, Emma Gearon, BBioMedSc,
Volume 389, Issue 10071, Pages (February 2017)
Efficacy of chlorhexidine application to umbilical cord on neonatal mortality in Pemba, Tanzania: a community-based randomised controlled trial  Dr Sunil.
Volume 375, Issue 9716, Pages (February 2010)
Non-uraemic calciphylaxis with acral necrosis
Volume 378, Issue 9786, Pages (July 2011)
Volume 372, Issue 9642, Pages (September 2008)
Volume 2, Issue 6, Pages (June 2015)
Midlife type 2 diabetes and poor glycaemic control as risk factors for cognitive decline in early old age: a post-hoc analysis of the Whitehall II cohort.
Volume 9, Issue 10, Pages (October 2008)
Rivaroxaban versus warfarin to treat patients with thrombotic antiphospholipid syndrome, with or without systemic lupus erythematosus (RAPS): a randomised,
Volume 375, Issue 9732, Pages (June 2010)
Resuscitation at birth and cognition at 8 years of age: a cohort study
Volume 379, Issue 9821, Pages (March 2012)
Volume 389, Issue 10085, Pages (June 2017)
Volume 392, Issue 10155, Pages (October 2018)
Volume 379, Issue 9812, Pages (January 2012)
Volume 16, Issue 1, Pages (January 2017)
Volume 382, Issue 9888, Pages (July 2013)
Trajectories of cardiometabolic risk factors before diagnosis of three subtypes of type 2 diabetes: a post-hoc analysis of the longitudinal Whitehall.
Volume 372, Issue 9647, Pages (October 2008)
Intravenous or nebulised magnesium sulphate versus standard therapy for severe acute asthma (3Mg trial): a double-blind, randomised controlled trial 
Telling it like it isn't: truth and lies in a post-9/11 world
Volume 14, Issue 6, Pages (May 2013)
Fully closed-loop insulin delivery improves glucose control of inpatients with type 2 diabetes receiving hemodialysis  Lia Bally, Philipp Gubler, Hood.
Primary prophylaxis of cryptococcal disease with fluconazole in HIV-positive Ugandan adults: a double-blind, randomised, placebo-controlled trial  Dr.
Low-technology approaches
The emotional journey of gestational diabetes
Volume 386, Issue 10005, Pages (October 2015)
Volume 375, Issue 9714, Pages (February 2010)
Metformin for non-diabetic patients with coronary heart disease (the CAMERA study): a randomised controlled trial  Dr David Preiss, PhD, Suzanne M Lloyd,
Volume 372, Issue 9632, Pages (July 2008)
Volume 376, Issue 9737, Pages (July 2010)
Lifecourse: management of type 1 diabetes
Volume 14, Issue 7, Pages (June 2013)
Clinic attendance and disengagement of young adults with type 1 diabetes after transition of care from paediatric to adult services (TrACeD): a randomised,
Median (interquartile range) of sensor glucose (A) and insulin delivery (B) during closed-loop (solid red line and red shaded area) and control period.
Volume 371, Issue 9611, Pages (February 2008)
The dilemma of vaginal breech delivery worldwide
Efficacy of live oral rotavirus vaccines by duration of follow-up: a meta-regression of randomised controlled trials  Andrew Clark, PhD, Kevin van Zandvoort,
Autism, maths, and sex: the special triangle
Presentation transcript:

Home use of closed-loop insulin delivery for overnight glucose control in adults with type 1 diabetes: a 4-week, multicentre, randomised crossover study  Hood Thabit, MD, Alexandra Lubina-Solomon, PhD, Marietta Stadler, PhD, Lalantha Leelarathna, PhD, Emma Walkinshaw, MRCP, Andrew Pernet, RN, Janet M Allen, RN, Ahmed Iqbal, MRCP, Pratik Choudhary, MD, Kavita Kumareswaran, PhD, Marianna Nodale, MSc, Chloe Nisbet, BMedSci, Malgorzata E Wilinska, PhD, Katharine D Barnard, PhD, Prof David B Dunger, MD, Prof Simon R Heller, FRCP, Prof Stephanie A Amiel, FRCP, Mark L Evans, FRCP, Dr Roman Hovorka, PhD  The Lancet Diabetes & Endocrinology  Volume 2, Issue 9, Pages 701-709 (September 2014) DOI: 10.1016/S2213-8587(14)70114-7 Copyright © 2014 Elsevier Ltd Terms and Conditions

Figure 1 Trial design *Compliance assessed. The Lancet Diabetes & Endocrinology 2014 2, 701-709DOI: (10.1016/S2213-8587(14)70114-7) Copyright © 2014 Elsevier Ltd Terms and Conditions

Figure 2 Trial profile The Lancet Diabetes & Endocrinology 2014 2, 701-709DOI: (10.1016/S2213-8587(14)70114-7) Copyright © 2014 Elsevier Ltd Terms and Conditions

Figure 3 Median (IQR) of sensor glucose (A) and insulin delivery (B) during closed loop and control period for the 24 h duration Solid red line and red shaded area signify closed loop; dashed black line and peach shaded area signify control. The glucose range 3·9–8·0 mmol/L is denoted in panel A by horizontal black lines. The Lancet Diabetes & Endocrinology 2014 2, 701-709DOI: (10.1016/S2213-8587(14)70114-7) Copyright © 2014 Elsevier Ltd Terms and Conditions

Figure 4 Individual values of time when glucose was in target glucose range of 3·9–8·0 mmol/L (A) and mean overnight glucose (B) The Lancet Diabetes & Endocrinology 2014 2, 701-709DOI: (10.1016/S2213-8587(14)70114-7) Copyright © 2014 Elsevier Ltd Terms and Conditions