Could a High-Tech insulin system and Low-Carb diet fix a dangerous diabetes problem?

NCT ID NCT04614168

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study looks at whether using an automated insulin delivery system (a smart insulin pump and continuous glucose monitor) along with a low-carbohydrate diet can help restore the body's natural glucagon response to low blood sugar in people with type 1 diabetes. The glucagon response is often lost after years of diabetes, raising the risk of severe hypoglycemia. Researchers will measure glucagon levels during controlled low blood sugar at the start and after 8 months of tight glucose control in 24 participants.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Automated insulin delivery system and low carbohydrate diet
What this could lead to
If successful, this could point toward a way to restore the body's natural defense against dangerously low blood sugar in type 1 diabetes.
What could go wrong
This is a small, early-stage study with only 24 people, so results may not apply to everyone. It tests a theory, not a proven treatment, and the diet and technology may be hard to maintain long-term.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Edinburgh Royal Infirmary/University of Edinburgh

    Edinburgh, United Kingdom

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