Table 1.
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.
One-sided paired t-test.
Wilcoxon signed-rank test.
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.