Journal article

Reduction in hypoglycemia with the predictive low-Glucose management system: A long-term randomized controlled trial in adolescents with type 1 diabetes

MB Abraham, JA Nicholas, GJ Smith, JM Fairchild, BR King, GR Ambler, FJ Cameron, EA Davis, TW Jones

Diabetes Care | AMER DIABETES ASSOC | Published : 2018

Abstract

OBJECTIVE Short-term studies with automated systems that suspend basal insulin when hypoglycemia is predicted have shown a reduction in hypoglycemia; however, efficacy and safety have not been established in long-term trials. RESEARCH DESIGN AND METHODS We conducted a 6-month, multicenter, randomized controlled trial in children and adolescents with type 1 diabetes using the Medtronic MiniMed 640G pump with Suspend before low (predictive low-glucose management [PLGM]) compared with sensor-augmented pump therapy (SAPT) alone. The primary outcome was percentage time in hypoglycemia with sensor glucose (SG) <3.5 mmol/L (63 mg/dL). RESULTS In an intent-to-treat analysis of 154 subjects, 74 subje..

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University of Melbourne Researchers

Grants

Awarded by Juvenile Diabetes Research Foundation International


Funding Acknowledgements

The study was funded by JDRF Australia (JDRF 17-2011-664), the recipient of the Australian Research Council Special Research Initiative in Type 1 Juvenile Diabetes. The research was also supported by Medtronic through the provision of insulin pumps, sensors, and transmitters for the study. M.B.A. was supported by a JDRF mentored clinical research fellowship.