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Introduction: Several different forms of automated insulin delivery systems (AID systems) have recently been developed and are now licensed for type 1 diabetes (T1D). We undertook a systematic review of reported trials and real-world studies for commercial hybrid closedloop (HCL) systems. Methods: Pivotal, phase III and real-world studies using commercial HCL systems that are currently approved for use in type 1 diabetes were reviewed with a devised protocol using the Medline database. Results: Fifty-nine studies were included in the systematic review (19 for 670G; 8 for 780G; 11 for Control-IQ; 14 for CamAPS FX; 4 for Diabeloop; and 3 for Omnipod 5). Twenty were real-world studies, and 39 were trials or subanalyses. Twenty-three studies, including 17 additional studies, related to psychosocial outcomes and were analysed separately. Conclusions: These studies highlighted that HCL systems improve time In range (TIR) and arouse minimal concerns around severe hypoglycaemia. HCL systems are an effective and safe option for improving diabetes care. Realworld comparisons between systems and their effects on psychological outcomes require further study.

should be used. Where ethnicities and sexuality is being discussed it is imperative we do no reiterate stereotypes. Informed teaching and content on diverse populations should become the norm, not performative action.Medical students in our cohort do not feel we are doing enough to represent them and our patient populations; and this is something they desire.We are going to review all case studies, videos and images from our resources and update them to represent more ethnicities, backgrounds, and the LGBTQIA+ spectrum. We will hold faculty development sessions for all our teachers which involve speakers from our cultural competency team, and a Q&A. We plan to work with medical photography to create a series of stock images reflective of our population.We appreciate the need for updating our teaching and development of our faculty. Through the above approach we hope to represent more of our students and population, resulting in more compassionate, educated and understanding clinicians for the future.