Follow Our Live Coverage of COVID-19 Developments

Artificial Pancreas Protocol Deemed Feasible for Younger Kids

Artificial pancreas linked to three-fold reduction of time-in-hypoglycemia for 5- to 9-year-olds

Please note: This article was published more than one year ago. The facts and conclusions presented may have since changed and may no longer be accurate. And "More information" links may no longer work. Questions about personal health should always be referred to a physician or other health care professional.

THURSDAY, May 12, 2016 (HealthDay News) -- A child-specific version of the modular model predictive control (MMPC) algorithm is feasible and safe for 5- to 9-year-old children with type 1 diabetes, according to the first outpatient single-hormone artificial pancreas (AP) trial in a population of this age, published online May 10 in Diabetes Care.

Simone Del Favero, Ph.D., from the University of Padua in Italy, and colleagues conducted an open-label, randomized, crossover trial involving 30 children, aged 5 to 9 years, with type 1 diabetes. The authors compared three days with an AP with three days of parent-managed sensor-augmented pump (SAP).

The researchers observed a reduction in overnight time-in-hypoglycemia with the AP versus the SAP (median, 0.0 versus 2.2 percent; P = 0.002), with no significant change of time-in-target (56.0 and 59.7 percent, respectively; P = 0.430); there was an increase in mean glucose (173 versus 150 mg/dL; P = 0.002). The AP was associated with a three-fold reduction of time-in-hypoglycemia (P < 0.001) at a cost of reduced time-in-target (P = 0.022) and increased mean glucose (P < 0.001).

"This trial, the first outpatient single-hormone AP trial in a population of this age, shows feasibility and safety of MMPC in young children," the authors write. "Algorithm retuning will be performed to improve efficacy."

Several authors disclosed financial ties to pharmaceutical and medical device companies, several of which provided equipment for the study.

Abstract
Full Text (subscription or payment may be required)

Last Updated: