Sue Marshall, closed loop insulin pump, artificial pancreas, CGM

LIVINGLIVING

What is closing the loop, and why would we want to do it?

What's an artificial pancreas? For that matter, what is a bionic

one, and would you wear it? By Sue Marshall

ARE WE CLOSING

THE LOOP?

In this article I am looking at

some of the clinical trials being

undertaken in what is being

referred to as a 'bionic' or

'artificial' pancreas (AP), also

known as closed-loop insulin delivery. It

is an overview and therefore not entirely

comprehensive. As normal, further

updates will be included as news reports

or further features in subsequent issues of

this magazine as this is not a static field,

progress is happening all the time, if slowly.

In March 2012, the American Federal

Drugs Administration (FDA) allowed the

first outpatient clinical trial of an artificial

pancreas (AP) system. Five years later

there are several hundred sites around

the world conducting artificial pancreas

clinical trials -- many of them in outpatient

settings (so at home, not confined to a

hospital or clinic).

The purpose of trying to produce an

artificial pancreas is two-fold. First, it's to

improve overall blood glucose control,

whether that is judged by HbA1c or

time-in-range (another way of assessing

glucose control that is gaining credibility

as a better guide to good control than

a number that is just a three-month

average). Second, it's to improve quality

of life, creating systems that can take

away some of the burden of living with

diabetes. If CGM is accurate, if we trust

the pumps and the algorithms within them

to work properly, then certainly there is

growing proof that closed loop improves

outcomes.

Index

  1. Page 0001
  2. Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets
  3. Sue Marshall, The Grumpy Pumper, Desang Diabetes Magazine, hypos, DRWF, Diabetes UK, CGM, the full s
  4. DRWF, diabetes news, Adocia insulin, Type 2 diabetes
  5. Sanofi diabetes care, diabetes highs and lows
  6. Page 0006
  7. Diabetes Risk Score, Professor Khunti, Leicester Diabetes Centre
  8. diabetes kit
  9. Medtronic diabetes insulin pump, Medtronic Minimed 640G, and Medtronic Enlite CGM,
  10. Desang diabetes magazine diabetes diet
  11. diabetic diet, carbs and cals, Chris Cheyette and Yello Baliola
  12. Page 0012
  13. National Institute of Medical Herbalists
  14. my diabetes kit, the grumpy pumper
  15. my diabetes kit, the grumpy pumper
  16. my diabetes kit, the grumpy pumper, insulin pump, Animas Vibe, Dexcom
  17. Ascensia Contour Diabetes blood test meters
  18. my diabetes kit, the grumpy pumper, insulin pump, Animas Vibe, Dexcom
  19. Page 0019
  20. Page 0020
  21. Page 0021
  22. Sue Marshall, closed loop insulin pump, artificial pancreas, CGM
  23. artificial insulin pump, bionic bi-hormonal pump
  24. artificial insulin pump, Medtronic 640g insulin pump
  25. Bionic pancreas Edward Damiano, Steven Russell, Firas El-Khatib, Boston University
  26. Agamatrix Wavesense Jazz Wireless, blood test meter and app
  27. artificial insulin pump, bionic pancreas, CGM, type 1 diabetes, Type 2 diabetes
  28. Page 0028
  29. Medtronic diabetes insulin pump, Medtronic Minimed 640G, and Medtronic Enlite CGM,
  30. Chris Chapman GlucoRx, type 2 diabetes, blood test meters
  31. Chris Chapman GlucoRx,
  32. Making Carbs Count pseudograins
  33. Making Carbs Count pseudograins
  34. Accu-Chek Insight insulin pump
  35. Page 0035
  36. Page 0036

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