Type 1 Diabetes & AID Systems: Meta-Analysis Proves Effectiveness
- Düsseldorf, Germany (April 30, 2025) – A thorough meta-analysis indicates that automated insulin delivery (AID) systems significantly improve blood glucose management for individuals with Type 1 diabetes compared...
- The research focused on Hybrid closed Loop (HCL), Advanced Hybrid Closed Loop (AHCL), and Full Closed Loop (FCL) systems, frequently enough referred to as an artificial pancreas.These systems...
- The study revealed that AID systems increased the time individuals spent within their target glucose range compared to conventional pump therapy.
Automated Insulin Delivery Systems Improve Blood Sugar Control in Type 1 Diabetes, Study Finds
Düsseldorf, Germany (April 30, 2025) – A thorough meta-analysis indicates that automated insulin delivery (AID) systems significantly improve blood glucose management for individuals with Type 1 diabetes compared too conventional insulin therapies. The study, evaluating 46 clinical trials involving 4,113 participants, represents the most extensive review of its kind to date.
AID systems: A Closer Look
The research focused on Hybrid closed Loop (HCL), Advanced Hybrid Closed Loop (AHCL), and Full Closed Loop (FCL) systems, frequently enough referred to as an artificial pancreas.These systems integrate continuous glucose monitoring with automated insulin governance, adjusting insulin levels in real-time based on glucose readings.
Key Findings
The study revealed that AID systems increased the time individuals spent within their target glucose range compared to conventional pump therapy. Specifically, AHCL systems, the most prevalent type of AID system, increased time in the target range by an average of 24%. These systems also reduced the amount of time spent with elevated glucose levels (above 180 mg/dL and 250 mg/dL) when compared to traditional pump methods.
researchers also noted improvements in HbA1c levels among those using AHCL systems. While the findings suggest a clear benefit, the authors caution that future research could refine these assessments. The study indicated limited effectiveness in preventing very low glucose levels (below 70 mg/dL and 54 mg/dL), highlighting the need for further examination in this area.
Implications for Diabetes Management
According to Prof. Dr. Michael Roden, scientific managing director and spokesman for the board, the study offers valuable data for clinical decision-making and collaborative therapy selection between patients and healthcare providers. Roden also directs the clinic for Endocrinology and Diabetology at the University Hospital Düsseldorf (UKD).
Dr. Anna stahl-Pehen, the study’s lead author, added that while AID systems offer overall advantages, their effectiveness varies across different targets. She emphasized the ongoing nature of AID system research.
original publication
The original research article is: Stahl-Pehe A, Shokri-Mashhadi N, Wirth M, Schlesinger S, Kuss O, Holl RW, Bächle C, Warz K-D, Bürger-Büsing J, Spörkel O, Rosenbauer J. 2025. Efficacy of automated insulin delivery systems in people with type 1 diabetes: a systematic review and network meta-analysis of outpatient randomised controlled trials. eClinicalMedicine. 82:103190.
