Table 4.
Comparison of HCL System Pivotal Trial Outcomes and Real-World HCL System Use Analyses.
HCL system pivotal trial
a
(N = 124) |
First real-world HCL system use analysis
a
(n = 3141) |
Present study real-world HCL system use analysis (n = 19 929) |
|||||||
---|---|---|---|---|---|---|---|---|---|
Before Auto Mode initiation (Run-in) | After Auto Mode initiation (Study) | P b | Before Auto Mode initiation | 3 months after Auto Mode initiation | P b | Before Auto Mode initiation | 3 months after Auto Mode initiation | P b | |
Auto Mode, % | — | 82.2 | — | — | 80.8 | — | — | 89.4 | — |
SG, mg/dL | 150 | 151 | .267 | 159 | 152 | <.001 | 167 | 158 | <.001 |
<54 mg/dL | 1.3 | 0.8 | <.001 | 0.6 | 0.5 | <.001 | 0.5 | 0.6 | <.017 |
<70 mg/dL | 5.5 | 3.0 | <.001 | 2.7 | 2.1 | <.001 | 2.1 | 2.1 | .117 |
70-180 mg/dL | 67.1 | 72.4 | <.001 | 66.0 | 73.3 | <.001 | 62.4 | 69.3 | <.001 |
>180 mg/dL | 27.4 | 24.5 | <.001 | 31.4 | 24.6 | <.001 | 35.6 | 28.7 | <.001 |
>250 mg/dL | 6.9 | 5.6 | .007 | 8.1 | 5.4 | <.001 | 10.2 | 7.2 | <.001 |
TDD, units | 47.5 | 50.9 | <.001 | 49.8 | 51.9 | <.001 | 50.1 | 51.1 | <.001 |
Data are shown as mean. The pivotal trial Run-in period (before Auto Mode initiation) was ~2 weeks and the Study period was 3 months. The mean percentage of time in Auto Mode, sensor glucose, percentage of time in sensor glucose ranges, and total daily insulin dose delivered before and 3 months after Auto Mode initiation are shown for the HCL system pivotal trial, the first real-world HCL system use analysis and the present real-world HCL system use analysis.
Abbreviations: HCL, hybrid closed-loop; SG, sensor glucose; TDD, total daily insulin dose.
As reported in Stone et al. 9
Comparison of before versus after Auto Mode initiation.