Patient‐reported outcomes for older adults on CamAPS FX closed loop system

Author:

Schneider‐Utaka A. K.1ORCID,Hanes S.1,Boughton C. K.23ORCID,Hartnell S.3,Thabit H.45ORCID,Mubita W. M.4,Draxlbauer K.6,Poettler T.7,Hayes J.2,Wilinska M. E.2,Mader J. K.7ORCID,Narendran P.68ORCID,Leelarathna L.45,Evans M. L.23,Hovorka R.2ORCID,Hood K. K.1

Affiliation:

1. Division of Endocrinology and Diabetes, Stanford Diabetes Research Center University Stanford California USA

2. Wellcome Trust‐MRC Institute of Metabolic Science University of Cambridge Cambridge UK

3. Wolfson Diabetes and Endocrine Clinic Cambridge University Hospitals NHS Foundation Trust Cambridge UK

4. Diabetes, Endocrinology and Metabolism Centre Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre Manchester UK

5. Division of Diabetes, Endocrinology and Gastroenterology, Faculty of Biology, Medicine and Health University of Manchester Manchester UK

6. University Hospitals Birmingham NHS Foundation Trust Birmingham UK

7. Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz Graz Austria

8. Institute of Immunology and Immunotherapy University of Birmingham Birmingham UK

Abstract

AbstractAimsUse of the CamAPS FX hybrid closed loop (CL) system is associated with improved time in range and glycated haemoglobin A1c across the age span, but little is known about its effects on patient‐reported outcomes (PROs).MethodsThis open‐label, randomized, multi‐site study compared CamAPS FX to sensor‐augmented pump (SAP) in a sample of older adults (≥60 years) with type 1 diabetes (T1D). Thirty‐five older adults completed PROs surveys at the start of the study and after each period of 16 weeks using either CL or SAP. At the end of the study, 19 participated in interviews about their experiences with CL.ResultsResults examining the 16 weeks of CL use showed that the overall Diabetes Distress Scale score and two subscales (powerlessness and physician distress) improved significantly along with trust on the Glucose Monitoring Satisfaction Survey. User experience interview responses were consistent in noting benefits of ‘improved glycaemic control’ and ‘worrying less about diabetes’.ConclusionIn this sample of older adults with T1D who have previously shown glycaemic benefit, there are indicators of improved PROs and subjective user experience benefits.

Funder

National Institute of Diabetes and Digestive and Kidney Diseases

Juvenile Diabetes Research Foundation International

Publisher

Wiley

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Internal Medicine

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