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About the research

Hybrid closed-loop systems are made up of an insulin pump, continuous glucose monitor and a maths program or algorithm. The algorithm collects data from both the insulin pump and the continuous glucose monitor and then triggers the insulin pump to adjust the insulin dose automatically in an effort to maintain target blood glucose levels. This is an exciting and rapidly advancing area of research.

Advanced hybrid closed loop system

We are looking for young people with type 1 diabetes with a HbA1c above 9% to be involved in our new Advanced Hybrid Closed Loop system study.

Researchers want to see if using the system — MiniMed Medtronic 670G Advanced Hybrid Closed Loop — will improve blood glucose levels and HbA1c in this group.

To be in this study, you need to be:

  • Aged 12 – 25 years
  • Using an insulin pump already
  • Have your past two HbA1c above 9%

If you are interested in being involved and would like more information, please contact Julie Dart on 6456 4608 or, or Dr Mary Abraham on 6456 5027 or

Hybrid closed-loop outpatient trial

Recruitment for the largest at-home trial of a hybrid closed-loop insulin pump system, led by Children’s Diabetes Centre researchers, has now closed.

The national Hybrid Closed-Loop Outpatient Trial is testing the use of an automated insulin delivery system to see if it is better at optimising blood glucose levels than standard therapy.

It includes 160 participants aged 12 to 25 and 120 adults aged 26 to 65 years.

The young people’s team is led by Perth Children's Hospital’s Professor Tim Jones, co-director of the Children’s Diabetes Centre, while Associate Professor David O’Neal, from Melbourne’s St Vincent’s Hospital, heads up the adult trial. 

Professor Jones said researchers wanted to understand how hybrid closed-loop systems affected the quality of life for young people living with Type 1 Diabetes, in addition to its potential savings to the healthcare system.

“The hybrid closed-loop system consists of an insulin pump, sensor with transmitter attached and a maths program (an algorithm) within the pump that automatically works out how much insulin is needed and is adjusted every five minutes,” Professor Jones said.

“This study will tell us if using an artificial pancreas is better than either insulin injections or normal insulin pump therapy at keeping blood glucose levels within the normal range. 

“Researchers will also explore how this technology affects how people feel about managing diabetes, specifically through improving their blood glucose levels, reducing diabetes complications and making treatment easier — which all goes towards reducing the burden of diabetes.”

The Hybrid Closed-Loop Outpatient Trial is a multi-centre study involving a number of Australian hospitals, and is funded by the Type 1 Diabetes Clinical Research Network, an innovative clinical research program led by JDRF Australia and funded by a Special Research Initiative through the Australian Research Council.

For more information, email

Android-based systems

The maths program, or algorithm, can be stored on a smartphone, which then can override the insulin pump to deliver insulin. In partnership with St Vincent's Hospital in Melbourne, we are currently trialling this system for overnight blood glucose control. Not only are we monitoring quality of  blood glucose but we are monitoring how a good night of glucose control can effect other factors such as sleep quality and cognitive function. This trial will produce valuable data to compare with the results produced when a patient uses this system at home.

Professor Tim Jones with a participant in one of the Centre's smartphone algorithm trials.

Safety studies

The algorithm can also be loaded on to an insulin pump itself, so there is no need to carry an extra smartphone. We are currently testing a new pump by Medtronic to see how well the system copes when we try to induce a hypoglycaemic episode. This test is based on the knowledge that the greatest fear people with Type 1 Diabetes have is hypoglycaemia, which is exacerbated if you lose control of your insulin delivery. In this study, patients stayed in the research facility for four days and three nights. To test the system and its ability to prevent hypoglycaemia, we asked participants to wear the system during a range of hypoglycaemia-inducing scenarios. This included exercising for 45 minutes or over calibrating the glucose sensor to detect 'artificially-inflated' glucose levels and in turn, deliver more insulin. Preliminary results are encouraging. None of the patients on the trial experienced any overnight hypoglycaemia despite the exercise and inflated glucose levels.

For general inquiries including collaborations, please contact Senior Program Manager Tanyana Jackiewicz:

Phone: (08) 6456 4616

Postal address

Children's Diabetes Centre
Telethon Kids Institute
PO Box 855
West Perth Western Australia 6872