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. 2021 Mar 22;23(4):277–285. doi: 10.1089/dia.2020.0516

Table 1.

Continuous Glucose Monitor-Measured Glucose Metrics and Insulin Metrics

  Time HCL APEX P
Primary outcome        
 Episodes of hypoglycemiac [17:00–19:00] day 1 1[0–1.7] 0 [0–1] 0.04b
Exploratory outcomes
 Episodes of hypoglycemiac Overall 1[1–3] 0 [0–1] 0.01b
[17:00–19:00] day 2 0 [0–0] 0 [0–0] 0.25b
[19:00–23:00] 0[0–1.7] 0 [0–0] 0.02b
Overnight 0 [0–0] 0 [0–0] 1b
 Mean BG (mg/dL) Overall 136.9 (19.9) 141.9 (20.3) 0.03a
[17:00–19:00] day 1 125.0 (27.2) 140.3 (27.1) 0.02a
[17:00–19:00] day 2 130.4 (34.4) 152.6 (28.8) 0.007a
[19:00–23:00] 113.6 (23.2) 131.3 (33.3) 0.01a
Overnight 115.8 (10.9) 116.2 (9.0) 0.5a
 % time <54 mg/dL Overall 0 [0–0.3] 0 [0–0] 0.06
[17:00–19:00] day 1 0 [0–0] 0 [0–0] 0.5b
[17:00–19:00] day 2 0 [0–0] 0 [0–0] 1b
[19:00–23:00] 0 [0–2.0] 0 [0–0] 0.06b
Overnight 0 [0–0] 0 [0–0] 1b
 % time <70 mg/dL Overall 1.3 [0.0–2.7] 0 [0–0.7] 0.02b
[17:00–19:00] day 1 0 [0–0] 0 [0–4.0] 0.5b
[17:00–19:00] day 2 0 [0–0] 0 [0–0] 0.1b
[19:00–23:00] 0 [0–10.2] 0 [0–0] 0.01b
Overnight 0 [0–0] 0 [0–0] 0.6b
 % time [70–180] mg/dL Overall 81.0 (12.4) 81 (15.7) 0.5a
[17:00–19:00] day 1 96.0 [64.0–100] 84.0 [66.0–100] 0.31b
[17:00–19:00] day 2 92.0 [81.6–100] 100 [96.0–100] 0.2b
[19:00–23:00] 89.9 [87.8–100] 100 [90.8–100] 0.3b
Overnight 100 [100–100] 100 [100–100] 0.9b
 % time [70–140] mg/dL Overall 62.0 (14.1) 58.4 (15.3) 0.08a
[17:00–19:00] day 1 68.0 [46.0–92.0] 48.0 [39.1–74.0] 0.08b
[17:00–19:00] day 2 55.6 [30.4–89.3] 3.2 [0.0–50.0] 0.02b
[19:00–23:00] 75.5 [51.0–88.8] 77.5 [30.6–93.0] 0.3b
Overnight 96.9 [85.0–100] 95.8 [77.3–100] 0.3b
 % time >180 mg/dL Overall 16.6 (12.6) 18.5 (15.9) 0.1a
[17:00–19:00] day 1 0.0 [0.0–34.0] 12.0 [0.0–32.0] 0.8b
[17:00–19:00] day 2 0.0 [0.0–10.2] 0.0 [0.0–4.0] 0.4b
[19:00–23:00] 0 [0–5.1] 0 [0–5.1] 0.9b
Overnight 0 [0–0] 0 [0–0] 1b
 % time >250 mg/dL Overall 0 [0–2.0] 0 [0–4.4] 0.8b
[17:00–19:00] day 1 0 [0–0] 0 [0–0] 1b
[17:00–19:00] day 2 0 [0–0] 0 [0–0] 1b
[19:00–23:00] 0 [0–0] 0 [0–0] 1b
Overnight 0 [0–0] 0 [0–0] 1b
 CV—glucose (%) Overall 30.5 (6.1) 29.1 (6.3) 0.2a
[17:00–19:00] day 1 24.3 (8.9) 21.1 (12.6) 0.2a
[17:00–19:00] day 2 14.7 (9.2) 6.0 (3.5) 0.002a
[19:00–23:00] 22.0 (7.4) 17.2 (6.5) 0.02a
Overnight 11.8 (4.0) 15.1 (7.2) 0.04a
 SD—glucose (mg/dL) Overall 42.0 (11.8) 42.0 (12.2) 0.5a
[17:00–19:00] day 1 30.8 (14.0) 29.5 (18.0) 0.4a
[17:00–19:00] day 2 18.4 (10.3) 8.8 (5.1) 0.002a
[19:00–23:00] 24.7 (8.7) 22.0 (8.7) 0.2a
Overnight 13.7 (5.2) 17.7 (9.3) 0.05a
 LBGI Overall 0.6 [0.4–0.9] 0.3 [0.3–0.7] 0.04b
[17:00–19:00] day 1 0.9 [0.4–1.8] 0.5 [0.2–1.4] 0.07b
[17:00–19:00] day 2 0.3 [0.1–1.5] 0.0 [0.0–0.0] 0.002b
[19:00–23:00] 1.3 [0.5–2.9] 0.2 [0–1.9] 0.01b
Overnight 0.2 [0.1–0.5] 0.2 [0.1–0.7] 0.5b
 Infused insulin (U) Overall 50.6 (18.2) 46.2 (13.0) 0.002a
[15:30–17:00] day 1 1.8 (0.7) 1.3 (0.9) 0.004a
[17:00–19:00] day 1 1.1 [0.8–1.5] 0.7 [0.2–2] 0.21
[15:30–17:00] day 2 1.6 (1.0) 1.1 (0.8) 0.02a
[17:00–19:00] day 2 1.5 [0.6–2.4] 0.9 [0.6–2.5] 0.4
[19:00–23:00] 9.3 (5.5) 8.2 (2.7) 0.12
Overnight 6.9 (3.0) 6.1 (2.0) 0.05a
Meal information
  Lunch (1st day) Dinner (1st day) Breakfast (2nd day) Lunch (2nd day)
 Carbohydrate content (g) 48 (5.5) 44 (15.8) 59 (25.4) 48 (5.5)
 Meal estimation error (%) 2 [0–4.7] 0 [0–0] 6.5 [0–18.5] 2 [0–4.8]
System operation
 Time in closed-loop (%) HCL: 100 [96.7–100] APEX: 100 [100–100]

Values are shown as mean (SD) for normally distributed samples and median [Q1–Q3] for non-normally distributed samples. Significance levels <0.05 are presented in bold font.

a

One-sided paired t-test.

b

Wilcoxon signed-rank test.

c

No severe hypoglycemia episodes occurred during the clinical trial.

APEX, treatment controller; BG, blood glucose; CV, coefficient of variation; HCL, hybrid closed-loop (baseline); SD, standard deviation.