Cited by 22Diabetes Management and ResearchIntravenous Infusion Technology and SafetyDiabetes Management and Education

Longevity of the novel ConvaTec infusion set with Lantern technology

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Lal, Rayhan A., Hsu, Liana, Zhang, Jian, Schøndorff, Pernelle K., Heschel, Matthias, Buckingham, Bruce·2021·Diabetes, Obesity and Metabolism

Abstract

Current insulin infusion sets are approved for only 2‐3 days. The novel ConvaTec infusion set with Lantern technology is designed to extend infusion set wear time. The goal of this pilot study was to evaluate the duration of wear for this set. This was a pilot safety study in adults with type 1 diabetes using tethered insulin pumps. Participants inserted the set and wore it for 10 days or until failure. Among 24 participants, two were excluded. Forty‐five per cent of the sets lasted 10 days. Median wear time was 9.1 (7.1, 10.0) days. Among 12 premature failures, six (50%) involved adhesive failures, four (33%) hyperglycaemia unresponsive to correction, one (8%) hyperglycaemia with ketones and one (8%) infection. Average CGM glucose per day of infusion set wear showed a statistically significant increase over time, while total daily insulin over the same period did not change. In this pilot study, the duration of wear for the novel infusion set exceeded previously reported commercial sets ( P < .001). This extended wear technology may eventually allow for a combined glucose sensor and infusion set.

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  • A recent pilot study of 22 adults using varied insulin delivery systems demonstrated a survival rate of 82% at 6.8 days of wear during use of a novel IIS with multiple perforations within the cannula shaft, without significant change in glucose or daily insulin delivered at this time point.

    “In addition to these findings, a recent pilot study of 22 adults (40.1 ± 14.3 years of age) using varied insulin delivery systems demonstrated a survival rate of 82% at 6.8 days of wear, during use of a novel IIS with multiple perforations within the cannula shaft (i.e., Lantern technology [ConvaTec, Inc., Deeside, United Kingdom]) without significant change in glucose or daily insulin delivered”

    From Evaluation of Extended Infusion Set Performance in Adults with Type 1 Diabetes: Infusion Set Survival Rate and Glycemic Outcomes from a Pivotal Trial (2022) · cites this paper as [22]

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  • Without recognition and replacement, IIS failures lead to inadequate insulin delivery, hyperglycemia, and increased risk for diabetes-related ketoacidosis (DKA).

    “Without recognition and replacement, IIS failures lead to inadequate insulin delivery, hyperglycemia, and increased risk for diabetes-related ketoacidosis (DKA).2,5,8,9”
  • Extended wear infusion sets present a wider timeframe for infusion failure.

    “given the recent introduction of extended wear infusion sets, 32 which present a wider timeframe for infusion failure”

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Research works printed but not linked: 11

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Authors
Lal, R. A., Hsu, L., Zhang, J., Schøndorff, P. K., Heschel, M., & Buckingham, B.
Affiliations
  • Stanford Medicine (US)
  • ConvaTec Copenhagen Denmark
Corresponding author
Lal, Rayhan A.
Venue
Diabetes, Obesity and Metabolism
Publisher
Wiley
Published
2021-04-18
Volume
23
Issue
8
Pages
1973-1977
ISSN
  • 1462-8902 (ISSN-L)
  • 1463-1326
OpenAlex
W3144920652
Cited by
22
References
2
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 13 · 2021: 3
FWCI
3.55
Type
journal article
Language
en
Open access
Locations
  • Diabetes Obesity and Metabolism (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (UL1TR001085, UL1TR003142)
  • National Institute of Diabetes and Digestive and Kidney Diseases (K12DK122550, DP3DK101055, DP3DK104059, K23DK122017, P30DK116074, T32DK007217)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Keywords
type 1 diabetes, adhesive failure, hyperglycemia, infection, continuous glucose monitoring, glucose sensor
MeSH terms
Adult, Blood Glucose, Diabetes Mellitus, Type 1, Humans, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, Pilot Projects, Technology, Blood Glucose Self-Monitoring

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