Safety and Feasibility of a Self-Learning Bolus Calculator With Simplified Meal Announcement in Adolescents With Type 1 Diabetes Using Automated Insulin Delivery

Inclusion Criteria

• •1. Age ≥14.0 and ≤21 years old at time of consent
• •2. HbA1c ≤ 10%.
• •3. Clinical diagnosis, based on investigator assessment, of type 1 diabetes for at least one year
• •4. Having used an insulin pump within the last three months.
• •5. Currently using insulin for at least six months
• •6. Willingness to use insulin parameters such as carbohydrate ratio and correction factors consistently on their pump in order to dose insulin for meals or corrections
• •7. Willingness to switch to a commercially approved insulin (e.g. lispro or aspart or biosimilar approved products) within the study pump as directed by the study team.
• •8. Has one or more supportive caregivers or companions living with the participant who are knowledgeable about emergency procedures for treatment of severe hypoglycemia and able to contact emergency services and study staff.
• •9. Acceptable forms of contraception for participants of child-bearing potential include hormonal treatments including IUD, abstinence from heterosexual intercourse, vasectomy in partner, barrier methods (e.g. condom or diaphragm).
• •10. For females, not currently known to be pregnant or breastfeeding. A negative serum or urine pregnancy test will be required for all females of childbearing potential. Participants who become pregnant will be discontinued from the study. Also, participants who during the study develop and express the intention to become pregnant within the timespan of the study will be discontinued.
• •11. Willingness to use the study InsuLearn system (CGM, pump, and phone) during the study period.
• •12. Willingness not to start any new non-insulin glucose-lowering agent during the course of the trial.
• •13. Access to internet at home and ability to upload data during the study as needed.
• •14. Investigator has confidence that the participant can successfully operate all study devices and is capable of adhering to the protocol.
• •15. Participant is proficient in reading and writing English.