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Virtual vs. In-Person Training for MinMed™ 780G Initiation: Comparable Effectiveness and Safety in Adults with Type 1
Ana Maria Gómez1,2, Diana Henao-Carrillo1,2, Oscar Muñoz-Velandia2,3
1Endocrinology Unit, Hospital Universitario San Ignacio, Bogotá, Colombia.
Virtual and in-person training for the MiniMed™ 780G system are equally effective and safe for adults with type 1 diabetes. Both methods improved time in range and reduced hypoglycemia without significant differences between training modalities.
Area of Science:
- Endocrinology
- Diabetes Technology
Background:
- A knowledge gap exists regarding the comparative effectiveness of virtual versus in-person training for the MiniMed™ 780G advanced hybrid closed-loop (AHCL) system in adults with type 1 diabetes mellitus (T1D).
- Assessing metabolic control and clinical safety is crucial for initiating new diabetes management technologies.
Purpose of the Study:
- To compare the efficacy and safety of virtual versus in-person training for initiating the MiniMed™ 780G AHCL system in adults with T1D.
- To identify factors associated with achieving glycemic targets after system initiation.
Main Methods:
- An observational study comparing retrospective cohorts of adult T1D patients trained in-person versus virtually on the MiniMed™ 780G system.
- Evaluation of metabolic control (Time in Range [TIR]) and safety (hypoglycemia) at 12 weeks post-training.
- Logistic regression analysis to determine factors associated with achieving TIR ≥ 70%.
Main Results:
- No statistically significant differences in TIR (75% virtual vs. 77.5% in-person) or severe hypoglycemia rates were observed between virtual and in-person training cohorts.
- Training modality was not significantly associated with achieving glycemic targets (adjusted OR 0.78).
- Younger age (<45 years) was independently associated with improved metabolic control (adjusted OR 0.08), and higher socioeconomic status showed a trend toward better outcomes (adjusted OR 35.04).
Conclusions:
- Both virtual and in-person training modalities are effective and safe for initiating the MiniMed™ 780G AHCL system in adults with T1D.
- The choice of training modality does not appear to significantly impact metabolic control or safety outcomes at 12 weeks.
- Patient factors such as age and socioeconomic status may play a role in achieving optimal glycemic control with AHCL systems.
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