Study showed MiniMed™ 780G system achieved ADA-recommended time-in-range goals even on days users forgot to bolus
Mealtime burden
Mealtimes are one of the biggest challenges for people living with type 1 diabetes and frequently linked to diabetes distress.1,2 The constant need for decision-making and mental load around calculating carbohydrates and insulin requirements at mealtimes contributes to the overall burden of the condition. Missed boluses can significantly impact diabetes management and glycemic outcomes. A 2024 study published in Diabetes Technology & Therapeutics found that children and adolescents using AID systems missed an average of 2.2 boluses per day, with each additional missed bolus reducing TIR by nearly 10%.3
"While labeling requires meal bolusing for all automated insulin delivery systems, including the MiniMed™ 780G system, missed boluses are a reality in real-world use," said Jennifer McVean, MD, Senior Medical Affairs Director,
While announcing meals is required per the labeling of the MiniMed™ 780G system, the algorithm adjusts the delivery of insulin every five minutes based on sensor readings to auto-correct† glucose levels—providing support when boluses are occasionally missed or carbohydrates are underestimated. The MiniMed™ 780G system is not approved for no bolusing for meals.
Study Design & Key Findings
The study retrospectively analyzed real-world global CareLink user data (N=369,467) of those using the MiniMed™ 780G insulin pump with a compatible Medtronic sensor‡ who experienced at least 10 days without bolusing (N=54,553) between
The analysis compared glycemic outcomes on missed bolus days with (N=12,723) and without (N=41,830) use of the recommended optimal settings. Those using the recommended optimal settings achieved significantly better outcomes than those using other settings in all age groups, including both type 1diabetes and type 2 diabetes populations:
- TIR: 76.3% recommended optimal settings vs. 69.3% for non-recommended optimal users
- Mean Sensor Glucose: 149 mg/dL vs. 160 mg/dL
- Glucose Management Indicator: 6.9% vs. 7.1%
- More than 61% of recommended optimal setting users met all three of the
ADA recommended glycemic targets on missed bolus days compared to 36.6% in users of other settings
"These findings underscore the advanced capabilities of the MiniMed™ 780G system and its potential to ease the daily burden of diabetes care," said Que Dallara, EVP and President of
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† |
Refers to auto correct, which provides bolus assistance. Can deliver all auto correction doses automatically without user interaction, feature can be turned on and off. |
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§ |
Refers to SmartGuard™ feature. Individual results may vary. |
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‡ |
"CareLink Personal" data from |
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1 |
Bergenstal RM, et al. Exploring the Burden of Mealtime Insulin Dosing in Adults and Children With Type 1 Diabetes. Diabetes Care. 2021; Published online. |
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2 |
Monaghan M, Herbert LJ, Wang J, Holmes C, Cogen FR, Streisand R. Mealtime behavior and diabetes-specific parent functioning in young children with type 1 diabetes. Health Psychol. 2015 Aug;34(8):794-801. doi: 10.1037/hea0000204. Epub 2015 |
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3 |
Laugesen C, et al. Impact of Missed and Late Meal Boluses on Glycemic Outcomes in Automated Insulin Delivery-Treated Children and Adolescents with Type 1 Diabetes. *Diabetes Technol Ther*. 2024;26(12):897-907. |
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