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Advanced hybrid closed-loop therapy has transformed type 1 diabetes management, enabling sustained glycemic control with reduced manual input. Findings from a real-world analysis in Europe, the Middle East, and Africa were presented at the European Association for the Study of Diabetes Conference 2025.

Data from 1,145 users aged 16 years and older demonstrated immediate improvement in glycemic control, with average time in range rising to 78.6% and remaining stable over three years. Insulin delivered by the system increased steadily, while user-delivered insulin decreased, reflecting a lower burden on patients. The proportion of users adopting recommended optimal settings grew over time, highlighting increased trust in the system.

These results illustrate the long-term reliability and adaptability of advanced hybrid closed-loop systems. Reduced user effort combined with consistent glycemic outcomes underscores the potential of automated insulin delivery to improve both patient experience and clinical outcomes in type 1 diabetes.
 

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Key highlights
  • Time in range for blood glucose (70–180 mg/dL) rose to 78.6% immediately after system initiation and remained stable over 36 months.
  • User-delivered insulin decreased from 52.4% at baseline to 41.5% over three years, while automated insulin delivery increased correspondingly.
  • System trust improved as more users adopted recommended optimal settings, including glucose targets of 100 mg/dL and active insulin time of 2 hours.
  • Data reflect long-term system reliability and decreasing user burden in type 1 diabetes management.
Source

 McVean J, Juachon M, Voelker B, et al. Achieved and sustained glycaemic outcomes with reduction in burden: three-year real-world follow-up of the MiniMed 780G system. Presented at: 61st EASD Annual Meeting of the European Association for the Study of Diabetes; September 15-19, 2025; Vienna, Austria. Diabetologia. 2025:50. https://link.springer.com/article/10.1007/s00125-025-06497-1#Sec9 

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Automated Insulin Delivery Sustains Glycemic Control and Reduces Patient Burden Over 3 Years
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Long-term real-world data show stable glucose control and increasing reliance on automated insulin delivery, highlighting growing trust and reduced user effort.

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