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Results of a post-registration clinical study of the TruCare III insulin pump in children and adolescents with type 1 diabetes mellitus

https://doi.org/10.14341/DM13449

Abstract

BACKGROUND: The increase in the incidence of diabetes mellitus, including type 1 diabetes in children, is a priority issue for the national healthcare system. Currently, due to the development of medical technologies, there has been a significant increase in the number of insulin pump dispensers available to patients. It is an important task for the medical community to conduct research aimed at evaluating the effectiveness and safety of these medical devices.

AIM: Analysis of the use of the TruCare III insulin pump (Wuxi Apex Medical Co., Ltd., China) which is registered for use in patients with type 1 diabetes mellitus aged 4 to 17 years, based on four main criteria: effectiveness, safety, tolerability, and ease of use.

MATERIALS AND METHODS: The open-label comparative study involved 30 children aged 8 to 17 years with a diagnosis of type 1 diabetes mellitus who had been receiving insulin therapy with an insulin pump for at least 3 months at the time of the study. The study was conducted at the Russian Children's Clinical Hospital, a branch of the Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation (Pirogov University).

RESULTS: The TruCare III insulin pump, manufactured by Wuxi Apex Medical Co., Ltd. (China), fully complies with modern medical technology standards. It has demonstrated high efficiency, safety, good tolerability, and ease of use.

CONCLUSION: In the absence of contraindications to pump-based insulin therapy, the TruCare III insulin pump can be recommended as an alternative to other insulin pump models registered in the Russian Federation for patients with type 1 diabetes, including children and adolescents aged 4 to 17 years.

About the Authors

E. S. Demina
Pirogov Russian National Research Medical University
Russian Federation

Elena S. Demina, MD, PhD

WoS ResearcherID: HMP-7312-2023

117 Leninsky Prospekt, 119571 Moscow


Competing Interests:

none



M. A. Barskaya
Pirogov Russian National Research Medical University
Russian Federation

Maria A. Barskaya

Moscow


Competing Interests:

none



A. S. Kombarova
Pirogov Russian National Research Medical University
Russian Federation

Angelina S. Kombarova

Moscow


Competing Interests:

none



I. D. Matveeva
Pirogov Russian National Research Medical University
Russian Federation

Izabella D. Matveeva

Moscow


Competing Interests:

none



A. V. Dobrova
Pirogov Russian National Research Medical University
Russian Federation

Anna V. Dobrova, MD,PhD

Moscow


Competing Interests:

none



E. E. Petryaykina
Pirogov Russian National Research Medical University
Russian Federation

Elena E. Petryaykina, MD, PhD, Professor

WoS ResearcherID: M-3059-2017

Scopus Author ID: 37001794500

Scopus Author ID: 57192194532

Moscow


Competing Interests:

none



References

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2. Peterkova VA, Shestakova MV, Bezlepkina OB, et al. Diabetes mellitus type 1 in childhood. Diabetes mellitus. 2020;23(1S):4–40. (In Russ.). doi: https://doi.org/10.14341/DM12504

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4. American Diabetes Association. Diabetes technology: standards of medical care in diabetes-2019. Diabetes Care. 2019;42(suppl 1):S71–S80. doi: https://doi.org/10.2337/dc19-S007

5. Rossiiskaya assotsiatsiya ehndokrinologov. Klinicheskie rekomendatsii. Sakharnyi diabet 1 tipa u detei. Moscow: Ministerstvo zdravookhraneniya RF; 2025. (In Russ.)

6. Gandhi K, Ebekozien O, Noor N, et al. Insulin Pump Utilization in 2017–2021 for More Than 22,000 Children and Adults With Type 1 Diabetes: A Multicenter Observational Study. Clin Diabetes. 2024;42(1):56–64. doi: https://doi.org/10.2337/cd23-0055

7. Laptev DN, Knyazeva TT, Bezlepkina OB. The introduction of new technologies for insulin therapy and glycemic control in clinical practice in the period 2016–2023, and their impact on achieving treatment targets in children with type 1 diabetes mellitus. Diabetes mellitus. 2024;27(5):461–467. (In Russ.) doi: https://doi.org/10.14341/DM13129

8. Pashkova EY, Antsiferova DM, Mitchenko YI. Choosing an insulin regimen: a patientcentered approach. Endokrinologiya: novosti, mneniya, obuchenie [Endocrinology: News, Opinions, Training]. 2023;12(4):78–86. (In Russ.) doi: https://doi.org/10.33029/2304-9529-2023-12-4-78-86

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10. Erwin [Internet]. Innovatsii dlya kontrolya diabeta s TruCare III. Raskroite novye gorizonty zhizni s diabetom. Kompaniya EHRVIN. Ofitsial'nyi distrib'yutor Usi Apeks Medikal Ko. Ltd. [cited 15 March 2026]. Available from: http://apexdiabetes.ru/trucareiii (In Russ.)

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13. Barsukov IA, Demina AA. The use of TruCare III insulin pump in patients with type 1 diabetes mellitus. Problems of Endocrinology. 2024;70(5):70–75. (In Russ.) doi: https://doi.org/10.14341/probl13516


Supplementary files

1. Рисунок 1. Внешний вид инсулиновой помпы TruCare III производства Wuxi Apex Medical Co., Ltd., Китай.
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2. Рисунок 2. Уровень фруктозамина на момент включения и на момент завершения исследования.
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3. Рисунок 3. Время в целевом диапазоне на момент включения в исследование и через неделю после установки инсулиновой помпы.
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Type Исследовательские инструменты
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4. Рисунок 4. Время в целевом диапазоне на момент включения и в день завершения исследования.
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Type Исследовательские инструменты
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5. Рисунок 5. Оценка гликемического профиля в стационаре и в амбулаторных условиях.
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Type Исследовательские инструменты
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6. Рисунок 6. Время ниже целевого диапазона на момент включения, через неделю после установки инсулиновой помпы и в день завершения исследования.
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Type Исследовательские инструменты
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7. Рисунок 7. Фотографии мест установки канюли после ее снятия.
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Type Исследовательские инструменты
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Review

For citations:


Demina E.S., Barskaya M.A., Kombarova A.S., Matveeva I.D., Dobrova A.V., Petryaykina E.E. Results of a post-registration clinical study of the TruCare III insulin pump in children and adolescents with type 1 diabetes mellitus. Diabetes mellitus. 2026;29(3):256-268. (In Russ.) https://doi.org/10.14341/DM13449

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ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)