Abstract

This study determined the feasibility and efficacy of an automated proportional-integral-derivative with insulin feedback (PID-IFB) controller in overnight closed-loop (OCL) control of children and adolescents with type 1 diabetes over multiple days in a diabetes camp setting.The Medtronic (Northridge, CA) Android™ (Google, Mountain View, CA)-based PID-IFB system consists of the Medtronic Minimed Revel™ 2.0 pump and Enlite™ sensor, a control algorithm residing on an Android phone, a translator, and remote monitoring capabilities. An inpatient study was completed for 16 participants to determine feasibility. For the camp study, subjects with type 1 diabetes were randomized to either OCL or sensor-augmented pump therapy (control conditions) per night for up to 6 nights at diabetes camp.During the camp study, 21 subjects completed 50 OCL nights and 52 control nights. Based on intention to treat, the median time spent in range, from 70 to 150?mg/dL, was greater during OCL at 66.4% (n?=?55) versus 50.6% (n?=?52) during the control period (P?=?0.004). A per-protocol analysis allowed for assessment of algorithm performance with the median percentage time in range, 70-150?mg/dL, being 75.5% (n?=?37) for OCL versus 47.6% (n?=?32) for the control period (P?

View details for DOI 10.1089/dia.2015.0431

View details for PubMedID 27183197