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Article

Real-World Use of Hybrid Closed-Loop Systems during Diabetes Camp: A Preliminary Study for Secure Configuration Strategies in Children and Adolescents

by
María José Olid-Cárdenas
1,2,3,
Alfonso Lendínez-Jurado
3,4,5,*,
Gabriela Monroy-Rodríguez
6,7,*,
Ana Gómez-Perea
4,8,
Ana Cano-Ortiz
9,
Ana B. Ariza-Jiménez
10,11,12,
Ana García-Ruiz
5,
Patricia Jiménez-Cuenca
4,
María José Picón-César
8,13,14 and
Isabel Leiva-Gea
3,4,8
1
Department of Marketing and Communication, Faculty of Communication, European University of Madrid, 28670 Villaviciosa de Odón, Spain
2
Faculty of Tourism, University of Malaga, Campus de Teatinos s/n, 29071 Málaga, Spain
3
Andalucía Tech, Universidad de Málaga, Campus de Teatinos s/n, 29071 Málaga, Spain
4
Department of Pediatric Endocrinology, Hospital Regional Universitario de Málaga, 29011 Málaga, Spain
5
Distrito Sanitario Málaga-Guadalhorce, 29009 Málaga, Spain
6
Department of Endocrinology and Nutrition, Parc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, Spain
7
Instituto de Investigación Sant Joan de Déu, 08950 Barcelona, Spain
8
Instituto de Investigación Biomédica de Málaga (IBIMA), 29010 Málaga, Spain
9
Department of Didactics of Experimental, Social and Mathematical Sciences, Faculty of Education, Complutense University of Madrid, 28040 Madrid, Spain
10
Department of Pediatric Endocrinology, Hospital Universitario Reina Sofía, 14004 Córdoba, Spain
11
Faculty of Medicine, University of Córdoba, Av. Menéndez Pidal, 7, 14004 Córdoba, Spain
12
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
13
Department of Endocrinology and Nutrition, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain
14
Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
*
Authors to whom correspondence should be addressed.
Nutrients 2024, 16(14), 2210; https://doi.org/10.3390/nu16142210
Submission received: 14 June 2024 / Revised: 8 July 2024 / Accepted: 9 July 2024 / Published: 10 July 2024
(This article belongs to the Special Issue Dietary and Behavioral Interventions for Diabetes)

Abstract

The introduction of closed-loop systems in the pediatric population has been a revolution in the management and evolution of diabetes. However, there are not many published studies in situations in which the feeding, schedules, and activities of the children deviate from the routine for which the systems were programmed, as in the case of a summer camp for children and adolescents with diabetes, where the specific programming of this device is not well known. It was a single-center prospective preliminary study. A total of twenty-seven patients (mean age 11.9 ± 1.9 years, 40% male, duration of diabetes 6.44 ± 2.83 years) were included (twenty with Medtronic MiniMed 780G system and seven with Tandem Control-IQ). Glucometric variables and pump functionality were monitored during the 7-day camp and in the following 3 weeks. There was no decrease from the objective TIR 70% at any moment. The worst results in Time Below Range were at 72 h from starting the camp, and the worst results in Time Above Range were in the first 24 h, with a progressive improvement after that. No episodes of level 3 hypoglycemia or ketoacidosis occurred. The use of specific programming in two integrated systems, with complex blood glucose regulation algorithms and not-prepared-for situations with increased levels of physical activity or abrupt changes in feeding routines, did not result in an increased risk of level 3 hypoglycemia and ketoacidosis for our pediatric type 1 diabetes (T1D) patients, regardless of the closed-loop device.
Keywords: advanced hybrid closed loop; diabetes camp; Medtronic MiniMedTM 780G; Tandem Control-IQ; pediatric type 1 diabetes; time in hyperglycemia; time in range advanced hybrid closed loop; diabetes camp; Medtronic MiniMedTM 780G; Tandem Control-IQ; pediatric type 1 diabetes; time in hyperglycemia; time in range

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MDPI and ACS Style

Olid-Cárdenas, M.J.; Lendínez-Jurado, A.; Monroy-Rodríguez, G.; Gómez-Perea, A.; Cano-Ortiz, A.; Ariza-Jiménez, A.B.; García-Ruiz, A.; Jiménez-Cuenca, P.; Picón-César, M.J.; Leiva-Gea, I. Real-World Use of Hybrid Closed-Loop Systems during Diabetes Camp: A Preliminary Study for Secure Configuration Strategies in Children and Adolescents. Nutrients 2024, 16, 2210. https://doi.org/10.3390/nu16142210

AMA Style

Olid-Cárdenas MJ, Lendínez-Jurado A, Monroy-Rodríguez G, Gómez-Perea A, Cano-Ortiz A, Ariza-Jiménez AB, García-Ruiz A, Jiménez-Cuenca P, Picón-César MJ, Leiva-Gea I. Real-World Use of Hybrid Closed-Loop Systems during Diabetes Camp: A Preliminary Study for Secure Configuration Strategies in Children and Adolescents. Nutrients. 2024; 16(14):2210. https://doi.org/10.3390/nu16142210

Chicago/Turabian Style

Olid-Cárdenas, María José, Alfonso Lendínez-Jurado, Gabriela Monroy-Rodríguez, Ana Gómez-Perea, Ana Cano-Ortiz, Ana B. Ariza-Jiménez, Ana García-Ruiz, Patricia Jiménez-Cuenca, María José Picón-César, and Isabel Leiva-Gea. 2024. "Real-World Use of Hybrid Closed-Loop Systems during Diabetes Camp: A Preliminary Study for Secure Configuration Strategies in Children and Adolescents" Nutrients 16, no. 14: 2210. https://doi.org/10.3390/nu16142210

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