Subjects will undergo a 7±1 day outpatient, standard therapy phase during which sensor and insulin data will be collected. Subjects or their caregivers will manage their diabetes at home per their usual routine using the study CGM and remain on current MDI or pump therapy. This will be followed by a 5-day/4-night or from approximately 48 to 72 hours for children ages 2.0-5.9 years, hybrid closed-loop phase conducted in a supervised hotel/rental house setting.
The study schedule will consist of a standard therapy data collection week followed by a hybrid closed-loop phase. Subjects will undergo a 7±1 day outpatient, standard therapy phase during which sensor and insulin data will be collected. Subjects or their caregivers will manage their diabetes at home per their usual routine using the study CGM and remain on current MDI or pump therapy. This will be followed by a 5-day/4-night or from approximately 48 to 72 hours for children ages 2.0-5.9 years, hybrid closed-loop phase conducted in a supervised hotel/rental house setting. The hybrid closed-loop phase will begin prior to lunch on Study Day 1. During the hybrid closed-loop phase, subjects will participate in specific setpoint challenges, meal challenges, and exercise. Hybrid closed-loop will be discontinued approximately 5 hours after breakfast time on Study Day 5. Subjects will be asked to complete a post-study questionnaire regarding their experience with the system. Subjects will be discharged home when stable and all discharge criteria are met. Subjects will consume a snack or meal after discontinuation of hybrid closed-loop before they leave the study site.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DEVICE_FEASIBILITY
Masking
NONE
Enrollment
120
Insulet AP (artificial pancreas) system, using the Omnipod® insulin management system, Dexcom G4Share® AP System and personalized model predictive control algorithm.
Stanford University
Palo Alto, California, United States
University of Colorado Denver
Denver, Colorado, United States
Yale University School of Medicine
New Haven, Connecticut, United States
Percentage of time in hypoglycemic range (defined as < 70 mg/dL)
Time frame: 96 hours
Percentage of time in hyperglycemic range (defined as ≥ 250 mg/dL)
Time frame: 96 hours
Mean Glucose
Time frame: 96 hours
Percentage of time < 50 mg/dL
Time frame: 96 hours
Percentage of time < 54 mg/dL
Time frame: 96 hours
Percentage of time < 60 mg/dL
Time frame: 96 hours
Percentage of time > 180 mg/dL
Time frame: 96 hours
Percentage of time ≥ 300 mg/dL
Time frame: 96 hours
Percentage of time between 70-180 mg/dL
Time frame: 96 hours
Percentage of time between 70-140 mg/dL
Time frame: 96 hours
Standard deviation
Using CGM measurements, the Standard deviations will be reported for the entire hybrid closed-loop phase overall, as well as separately during the day (0700 - 2259h) and during the night (2300 - 0659h).
Time frame: 96 hours
Coefficient of variation
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Using CGM measurements, the Coefficient of variation will be reported for the entire hybrid closed-loop phase overall, as well as separately during the day (0700 - 2259h) and during the night (2300 - 0659h).
Time frame: 96 hours