12,200 Young Lives, One Breakthrough: Real-World Success of Tubeless AID in Type 1 Diabetes

D-coding the Article : Early Real-World Performance of a Tubeless AID System in 12,200 Children, Adolescents, and Young Adults with Type 1 Diabetes in Europe

Published Date:

14 March, 2023

 

Published By:

Marta Bassi, Daniele Franzone, Francesca Dufour, Marina Francesca Strati, Marta Scalas, Giacomo Tantari, Concetta Aloi, Alessandro Salina, Giuseppe d’Annunzio, Mohamad Maghnie, Nicola Minuto

Approved By:

To be

Decoded By:

Asra H. Ahmed (MBA, PGCE in Assessment Learning disability) & Devanagana Thakuria from The Diabesties Foundation.

10 mins to read

Word Wizard

  • The study included 12,200 children, teens, and young adults using a tubeless AID system.
  • Time in Range (TIR) improved by ~10–15%, meaning more hours per day in safe glucose levels.
  • HbA1c dropped by 0.5–0.7%, which is a meaningful improvement in long-term blood sugar.
  • Safety was strong. Very few episodes of severe hypoglycemia or DKA were reported.
    Even young children benefited, proving that advanced diabetes tech can work across age groups.

Summary Snap
Shots

The researchers analyzed real-world data from over 12,000 young people with Type 1 diabetes in Europe who started using a tubeless automated insulin delivery system. After a few months, these users spent more time in the target glucose range and had lower HbA1c compared to before starting the device.

Importantly, serious safety events were rare. The study confirmed that AID systems can make life easier for both children with diabetes and their families.

Prime Insight

Researchers followed 12,200 young people with Type 1 diabetes in Europe who used a tubeless AID system (like the Omnipod 5). The system automatically gives insulin by reading glucose data from a sensor.

After using it, participants spent more time in the healthy glucose range (Time in Range increased by about 10–15%) and their HbA1c dropped by about 0.5–0.7%. Importantly, there were no major safety concerns, meaning very few cases of severe low blood sugar or diabetic ketoacidosis (DKA).

Imagine having diabetes care that works quietly in the background, like a helper who keeps your sugar levels steady all day and night. This study shows that automated insulin systems can be that helper, especially for kids and teens who already have so much on their plates.

This real-world study is one of the largest pediatric-focused evaluations of advanced diabetes technology to date. The study analyzed data from over 12,000 young people (ages 2–26) across Europe using the Omnipod 5, a tubeless hybrid closed-loop (HCL) system integrated with Dexcom G6 CGM.

Time in Range (TIR) increased significantly—by approximately 10–15%, translating to 2.5 to 3.5 extra hours per day in the target glucose zone (70–180 mg/dL).

HbA1c decreased by 0.5–0.7%, moving many participants closer to the recommended targets.

An AID tubeless pump is a helper you wear, to keep glucose in check while you just live your life your way.

The results were impressive: big improvements in TIR and HbA1c with very low risk of severe hypoglycemia or DKA. The findings add to the growing evidence that advanced diabetes tech can be a game changer for kids, teens, and their families.

Safety profile was excellent, with very low rates of severe hypoglycemia and extremely rare diabetic ketoacidosis (DKA).

Children as young as 2 years old saw benefits, confirming its suitability for even the youngest age group.

Families reported improved confidence, reduced burden, and better quality of life.

This research confirms that tubeless AID systems like Omnipod 5 are not just effective in controlled trials but work in real life—in schools, homes, and daily routines—across diverse populations.

TIR improved by 10–15% and HbA1c dropped by 0.5–0.7%. This translates to about 2.5 to 3.5 more hours per day with blood glucose levels in the recommended range (70–180 mg/dL), reflecting improved long-term glycemic control.

Yes. Very low rates of severe hypoglycemia and DKA. The study included participants as young as 2 years old, and results confirmed a strong safety profile. The incidence of severe hypoglycemia and diabetic ketoacidosis (DKA) was very low, even in the youngest users. 

Although the primary data were clinical, real-world use showed that these systems reduced the need for frequent manual insulin adjustments. Families reported greater peace of mind, less worry about glucose fluctuations, and improved sleep quality. The automation offered by the system helped young people and caregivers feel more in control with less daily effort.

This was one of the largest real-world studies to date, with data from over 12,200 users across multiple European countries. The consistent improvements in glycemic outcomes and low rates of adverse events confirmed that tubeless AID systems are effective and dependable not just in trials but in real-life settings where children live, play, and learn.

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