Inclusion criteria | Exclusion criteria |
---|---|
• Type 1 diabetes (as defined by the American Diabetes Association) [8] for at least 6 months • Insulin regimen consisting of either MDI or IPT • Age 18–70 years inclusive • HbA1c < 10.0% (86 mmol/mol) • Willing to perform at least four SMBG readings daily • Willing to learn and apply carbohydrate counting skills • Willing to use Omnipod DASH® Insulin Management System • Access to a computer with internet access • Proficient in English • Suitable for remote education | • Current use of real-time CGM (defined as the use of real-time CGM > 25% of the time during the past 3 months, except Abbott Libre™ 1 ISGM) • Use of any non-insulin glucose-lowering agent within the past 3 months • Oral or injected corticosteroid use within the past 3 months • An insulin requirement of more than 200 units of insulin every 2 days • An episode of severe hypoglycaemia or diabetic ketoacidosis within the past 3 months • Physical or intellectual disability precluding the use of IPT • Severe renal impairment (eGFR < 15 mL/min/1.73m2) • Haemoglobinopathy or haemolytic anaemia due to its interference with HbA1c assays • Major life-threatening illness impacting immediate life expectancy • Pregnancy, or planned pregnancy within the study period • Uncontrolled thyroid disease • Uncontrolled coeliac disease • Uncontrolled hypertension |