Format

Send to

Choose Destination
J Diabetes Sci Technol. 2018 Nov;12(6):1223-1226. doi: 10.1177/1932296818792577. Epub 2018 Aug 6.

Open Source Closed-Loop Insulin Delivery Systems: A Clash of Cultures or Merging of Diverse Approaches?

Author information

1
1 Bournemouth University, Bournemouth, UK.
2
2 BHR Limited, Portsmouth, Hampshire, UK.
3
3 Diabetes Clinic for Children and Adolescents, Münster, Germany.
4
4 Diabetes Research Institute, Mills-Peninsula Health Service, San Mateo, CA, USA.
5
5 Charité-Universitätsmedizin Berlin, Department of Paediatric Endocrinology and Diabetes; & DIY Community, Berlin, Germany.
6
6 Roche Diabetes Care GmbH, Mannheim, Germany.
7
7 JDRF, New York, NY, USA.
8
8 Science & Co, Dusseldorf, Germany.

Abstract

Biomedical outcomes for people with diabetes remain suboptimal for many. Psychosocial care in diabetes does not fare any better. "Artificial pancreas" (also known as "closed-loop" and "automated insulin delivery") systems present a promising therapeutic option for people with diabetes (PWD)-simultaneously improving glycemic outcomes, reducing the burden of self-management, and improving health-related quality of life. In recent years there has emerged a growing movement of PWD innovators rallying behind the mantra #WeAreNotWaiting, developing "do-it-yourself artificial pancreas systems (DIY APS)." Self-reported results by DIY APS users show improved metabolic outcomes such as impressive stability of glucose profiles, significant reduction of A1c, and more time within their glycemic target range. However, the benefits remain unclear for the broader population of PWD beyond these highly engaged, highly tech-savvy users willing and able to engage in the demands of building and maintaining their DIY APS. We discuss the challenges faced by key stakeholder groups in terms of potential collaboration and open debate of these challenges.

KEYWORDS:

automated insulin delivery system; diabetes technology; do it yourself; inequality

PMID:
30079769
PMCID:
PMC6232748
[Available on 2019-08-06]
DOI:
10.1177/1932296818792577

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center