Utilization of do-it-yourself artificial pancreas systems in the management of patients with type 1 diabetes: a position statement of the Pump School Education Initiative by Diabetes Poland

Gawrecki, Andrzej; Klupa, Tomasz; Araszkiewicz, Aleksandra; Matejko, Bartłomiej; Szadkowska, Agnieszka; Wolnik, Bogumił; Szymańska‐Garbacz, Elektra; Jarosz-Chobot, Przemysława; Myśliwiec, Małgorzata; Czupryniak, Leszek; Małecki, Maciej T.; Zozulińska‐Ziółkiewicz, Dorota

doi:10.20452/pamw.4468

Cited by 10 publications

(6 citation statements)

References 3 publications

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“…2 Herein, we report 5% increase in TIR. With an autobolus opensource AID system, time in target can be increased by 11.3%, 3 which goes in line with the results of this data analysis.…”

Section: Discussionsupporting

confidence: 88%

Changes in Ambulatory Glucose Profile in Patients With Type 1 Diabetes Mellitus After Switching From Sensor-Augmented Insulin Pump Therapy to a Do-It-Yourself Artificial Pancreas System: A Retrospective Data Analysis of Real-World Data

Müller-Korbsch

Frühwald²,

Kietaibl³

2022

J Diabetes Sci Technol

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“…2 Herein, we report 5% increase in TIR. With an autobolus opensource AID system, time in target can be increased by 11.3%, 3 which goes in line with the results of this data analysis.…”

Section: Discussionsupporting

confidence: 88%

Changes in Ambulatory Glucose Profile in Patients With Type 1 Diabetes Mellitus After Switching From Sensor-Augmented Insulin Pump Therapy to a Do-It-Yourself Artificial Pancreas System: A Retrospective Data Analysis of Real-World Data

Müller-Korbsch

Frühwald²,

Kietaibl³

2022

J Diabetes Sci Technol

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“…Increased interest in the use of closed loop systems was also pointed out in a position statement of the Pump School Education Initiative by Diabetes Poland on DIY artificial pancreas systems. 20 The statement reads that the doctor must not only monitor therapeutic outcome achieved when using DIY systems but also ensure that the treatment is safe for the patient.…”

Section: Discussionmentioning

confidence: 99%

Effect of Using Additional Readers for Flash Glucose Monitoring System on Metabolic Control, Safety, and the Incidence of Complications in Patients With Diabetes Mellitus

Kublin

Stępień

2020

J Diabetes Sci Technol

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Background: The FreeStyle Libre is a flash glucose monitoring (FGM) system, and glucose levels are measured when the reader is brought to the sensor. Additional readers allow for the conversion into a continuous glucose monitoring (CGM) system. These transmitters read data from the sensor and send them to a bluetooth-enabled device thanks to which the user acquires glucose measurements automatically. This modification allows the patient to receive alerts when blood glucose values are abnormal. Methods: The study relied on the results of an anonymous online survey conducted among patients with diabetes or their caregivers who use Facebook groups. A total of 132 respondents who met certain criteria (diabetic who use FGM system longer than 3 months, at least 14 days per month) were enrolled in the study. Results: A significant decrease in self-reported glycated hemoglobin levels was found in adults and children using readers (variable: age P = .008; time P < .001), regardless of the age. The use of additional readers was associated with a significant decrease in the number of self-reported episodes of hypoglycemia ( P < .001) and an improvement in the quality of life (based on self-reported limitations in everyday activities, social contacts, work/school, or doing sports). Conclusion: The use of additional readers for FGM system improves the metabolic control of diabetes and the quality of life, and has a positive effect on the safety of treatment. Flash glucose monitoring used together with additional readers operates as a CGM system and seems to be helpful for patients for the monitoring of interstitial levels of glucose; however, they should be careful when they use do it yourself solution.

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“…System Android APS podobnie jak projekt Nightscout jest rozwiązaniem stworzonym przez pacjentów [16]. Na zwiększającą się liczbę użytkowników systemu DIY AndroidAPS oraz konieczność wspomagania osób decydujących się na takie rozwiązanie zwracają uwagę autorzy stanowiska Szkoły Pompowej Polskiego Towarzystwa Diabetologicznego [17].…”

Section: Dyskusjaunclassified

Effect of Using the Nightscout System on Metabolic Control, Safety, and Incidence of Complications In Patients With Diabetes Mellitus

Kublin

Stępień

2020

Wiad Lek

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Introduction: The Nightscout system is a free Do It Yourself solution. This system appeared in Poland in 2016. The concept of the project is to provide insight into measurements from the system of continuous glucose monitoring in interstitial fluid by authorized persons. The aim: The study was carried out to assess the functionality of the Nightscout system and its effect on metabolic control, safety and the incidence of complications in patients with type 1 diabetes mellitus. Material and methods:The study comprised 98 patients with type 1 diabetes. The study was conducted online using an anonymous questionnaire targeted at members of the “Nightscout Polska (Poland)” group on the Facebook. Results: Severe hypoglycaemic episodes with loss of consciousness were more frequent before using the Nightscout system and were reported by 3 adults (1-2 episodes). No severe hypoglycaemic episodes were reported when using the Nightscout system. The number of ketoacidosis episodes was reduced from 5 before using the Nightscout system to 2 episodes during the use of the system in children, and from 3 to 0 episodes in adults. Levels of glycated haemoglobin were lower in patients using the Nightscout system, both compared to control groups and values before the use it. In people using the Nightscout system glycated hemoglobin values were lower than their values before using this system. It was also shown that people using the Nightscout system had lower glycated hemoglobin than people from the control group. Conclusions: Using the Nightscout system can positively affect the safety of insulin therapy and the treatment process of type 1 diabetes. The Nightscout system can be an improvement of the system of continuous glucose monitoring in interstitial fluid.

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Utilization of do-it-yourself artificial pancreas systems in the management of patients with type 1 diabetes: a position statement of the Pump School Education Initiative by Diabetes Poland

Cited by 10 publications

References 3 publications

Changes in Ambulatory Glucose Profile in Patients With Type 1 Diabetes Mellitus After Switching From Sensor-Augmented Insulin Pump Therapy to a Do-It-Yourself Artificial Pancreas System: A Retrospective Data Analysis of Real-World Data

Changes in Ambulatory Glucose Profile in Patients With Type 1 Diabetes Mellitus After Switching From Sensor-Augmented Insulin Pump Therapy to a Do-It-Yourself Artificial Pancreas System: A Retrospective Data Analysis of Real-World Data

Effect of Using Additional Readers for Flash Glucose Monitoring System on Metabolic Control, Safety, and the Incidence of Complications in Patients With Diabetes Mellitus

Effect of Using the Nightscout System on Metabolic Control, Safety, and Incidence of Complications In Patients With Diabetes Mellitus

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