4.2 Review

Review of automated insulin delivery systems for individuals with type 1 diabetes: tailored solutions for subpopulations

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Summary: This study tested the efficacy of an FDA-approved automated insulin delivery system in older adults aged 65 and above with type 1 diabetes. The results showed improvements in glycemic control and reductions in diabetes distress while using the automated system, but no significant changes in sleep parameters were observed.

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Sarah M. McGaugh et al.

Summary: Exercising while fasted with type 1 diabetes can aid in weight loss. A strategy of reducing basal rate by 50% 90 minutes before exercise was found to enhance fat oxidation without the need for carbohydrate intake. Ultimately, all strategies examined were effective in maintaining stable blood glucose levels during fasted exercise.

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New closed-loop insulin systems

Charlotte K. Boughton et al.

Summary: Advances in diabetes technologies have led to the development of automated closed-loop insulin delivery systems, which are changing the way type 1 diabetes is managed. This review examines the evidence supporting currently available closed-loop systems and those in development, including DIY systems, as well as the challenges and potential enhancements for clinical adoption.

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Shift work causes insulin resistance

Ivone Leong

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Diabetes in pregnancy: worse medical outcomes in type 1 diabetes but worse psychological outcomes in gestational diabetes

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Glucose metabolism during rotational shift-work in healthcare workers

Anu Sharma et al.

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