Reducing Caretaker Burden, Protecting Young Brains and Bodies

This editorial discusses the challenges of managing type 1 diabetes in young children, emphasizing the burden on caretakers and the impact of glycemic extremes on neurodevelopment. It highlights the findings of a trial by Ware et al., which demonstrated that hybrid closed loop insulin delivery systems improve glycemic control without increasing hypoglycemia. The editorial underscores the potential of such technologies to reduce parental stress, improve sleep, and mitigate long term cognitive risks associated with hyperglycemia. However, it also notes the limitations of current devices, including peripheral hyperinsulinism, and calls for further advancements to achieve physiologically optimal insulin delivery.

This editorial discusses the challenges of managing type 1 diabetes in young children, emphasizing the burden on caretakers and the impact of glycemic extremes on neurodevelopment. It highlights the findings of a trial by Ware et al., which demonstrated that hybrid closed loop insulin delivery systems improve glycemic control without increasing hypoglycemia. The editorial underscores the potential of such technologies to reduce parental stress, improve sleep, and mitigate long term cognitive risks associated with hyperglycemia. However, it also notes the limitations of current devices, including peripheral hyperinsulinism, and calls for further advancements to achieve physiologically optimal insulin delivery.