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AID Systems & Glucose Control: Updates Needed for Women’s Health

by Rachel Kim

Type 1 Diabetes: Menstrual Cycle Fluctuations Require Insulin Adjustments

women with type 1 diabetes manually adjust insulin delivery during menstrual cycles for better glucose control. Learn more."/>

chicago, IL – A new study presented at the American Diabetes Association (ADA) 85th Scientific Sessions reveals that a important number of premenopausal women with type 1 diabetes (T1D) manually adjust their automated insulin delivery (AID) systems to better manage blood sugar levels during their menstrual cycles.the research highlights the challenges current AID systems face in fully automating glucose control for this population.

The Impact of Menstrual Cycles on Insulin Needs

For women with type 1 diabetes, managing blood glucose levels can be particularly challenging due to the hormonal shifts that occur throughout the menstrual cycle. These fluctuations can lead to unpredictable changes in insulin requirements, making it difficult to maintain stable blood sugar levels [2].

Did You No? Women with diabetes are more likely to experience heart disease or stroke [2].

Study Highlights Manual Adjustments in Insulin Delivery

The study, led by Stefanie Hossmann from the University of Bern in Switzerland, analyzed data from 70 women with T1D using AID systems, covering 354 menstrual cycles.Researchers combined this quantitative data with qualitative insights from focus groups and interviews. The findings indicated that 43% of the participants regularly adjusted their insulin delivery settings to counteract hormone-related fluctuations.

The research aimed to understand how often premenopausal women with T1D manually adjust their insulin delivery settings to offset hormonal fluctuations and maintain glucose control.the study was presented on June 23, 2025, at the American Diabetes Association 85th Scientific Sessions [American Diabetes Association].

Common Adjustment Strategies

To counteract menstrual cycle-induced glucose swings,women primarily tweaked their basal insulin rates,target glucose settings,and correction factors. Some participants also reported using ad hoc tactics, such as inputting fictitious carbohydrate amounts or deliberately underbolusing.

Pro Tip: consult with your endocrinologist or certified diabetes educator to develop a personalized insulin management plan that addresses menstrual cycle-related fluctuations.

improved Glucose Control Through Adjustments

The study revealed that women who made insulin adjustments achieved a 5-percentage point greater time in range compared to those who did not adjust their settings. Time in range is a key metric for diabetes management, representing the amount of time a person’s blood sugar levels stay within a target range.

Metric women Who Adjusted Insulin Women Who Did Not Adjust Insulin
Time in Range 5% Greater Baseline
Insulin Adjustment Frequency Regularly (43%) Rarely

Limitations of Current AID Systems

The authors of the study emphasized the limitations of current AID systems in fully automating glucose control for premenopausal women. They highlighted the need for AID systems to appropriately adapt to factors affecting glucose levels, particularly hormonal changes during the menstrual cycle.

Type 1 diabetes is a chronic condition where the pancreas produces little to no insulin [3]. Access to affordable treatment, including insulin, is critical for survival.

What strategies have you found helpful in managing blood sugar fluctuations during your menstrual cycle? How can technology better support women with type 1 diabetes?

Evergreen Insights: Understanding Type 1 Diabetes and Menstrual Cycles

type 1 diabetes is an autoimmune condition that requires lifelong management. While advancements in technology, such as AID systems, have improved diabetes care, hormonal fluctuations during the menstrual cycle present unique challenges for women with T1D.Understanding these fluctuations and developing personalized management strategies are crucial for achieving optimal glucose control and preventing complications.

FAQ: Managing type 1 diabetes and Menstrual Cycles


Disclaimer: This article provides general details and should not be considered medical advice. Consult with a healthcare professional for personalized guidance on managing type 1 diabetes.

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