stella
Type 1 DiabetesJanuary 2022Summary reviewed August 2026

Automated Insulin System Kept Young Kids' Blood Sugar in Range 9% More of the Day

Young children with type 1 diabetes who used an automated insulin pump system (often called an artificial pancreas) kept their blood sugar in a healthy range much more of the time than kids using a standard insulin pump. The automated system adjusted insulin doses on its own throughout the day and night, helping kids spend less time with dangerous highs or lows.

What the trial was testing

The trial enrolled 81 patients with type 1 diabetes. The study was sponsored by University of Cambridge and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

Researchers followed patients through treatment and into recovery, tracking the outcomes that mattered most for the disease being studied.

What the results showed

Kids using the automated system spent 9% more time in a healthy blood sugar range each day.

The New England journal of medicine · 2022 · NCT03784027

These findings — that kids' blood sugar stayed in the healthy zone more of each day with the automated pump — were published in the The New England journal of medicine and represent the headline result of the study.

Researchers tracked outcomes across 81 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with type 1 diabetes, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

If your young child has type 1 diabetes, this automated system is FDA-approved and could make managing blood sugar much easier. It works like an artificial pancreas — constantly monitoring glucose and adjusting insulin automatically. Ask your child's endocrinologist if this technology is right for your family.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

Open type 1 diabetes trials

RecruitingObservational study

Canadian Bone Strength Development Study

The goal of this project is to learn about differences in bone development between children with and without type-1 diabetes (T1D). The main questions this study aims to answer are: 1. Assess how and when sex-specific bone developmental trajectories in the leg and arm will differ between children with T1D and control cohorts relative to the critical period of rapid skeletal growth in puberty. It is hypothesized that children with T1D will have inferior bone development, particularly lower gains in bone strength. 2. Assess why bone trajectories differ between T1D and control cohorts by identifying the role of body composition, site-specific muscle force and physical activity on differences in bone properties in female and male children with and without T1D. It is hypothesized that children with T1D will have lower gains in lean mass, muscle force, number of daily bone impacts and minutes of moderate-vigorous physical activity and will be associated with inferior gains in bone development. 3. Assess why T1D may impair sex-specific bone development by exploring the role of disease-related factors (e.g., duration, glucose control, hormones and markers of bone turnover) and fracture history on bone trajectories of children with T1D. It is hypothesized that longer exposure to T1D, poorer glucose control, alterations in hormones, lower bone formation markers and higher history of fracture will be negatively associated with bone trajectories of children with T1D. Participant's physical growth, bone growth, muscle strength, physical activity and nutrition habits will be assessed and followed up annually for up to 4 years.

Saskatoon, Saskatchewan, Canada
RecruitingInterventional study

Evaluation of the Accuracy and Safety of a Continuous Glucose Monitoring System

The study is to evaluate the accuracy and safety of a real-time CGM system among adult patients with type 1 diabetes with respect to reference venous plasma sample measurements.

Zibo, Shandong, China