Technology in Diabetes Management Irl B. Hirsch, MD University of Washington

Size: px
Start display at page:

Download "Technology in Diabetes Management Irl B. Hirsch, MD University of Washington"

Transcription

1 Technology in Diabetes Management 2016 Irl B. Hirsch, MD University of Washington

2 Dualities Research: Helmsley Charitable Trust, JDRF, ADA, NIDDK, CDC Consulting: Abbott, Roche, Intarcia

3 Raise Your Hand If In Your Practice Every patient gets their meter downloaded Every patient gets their pump downloaded Every patient gets their CGM downloaded No patient gets downloaded, but you encourage your patients to download at home If you have at least one computer designated for downloading If your downloads are uploaded into your EMR

4 Required (or at least desirable) Infrastructure for Your Office Person knowledgeable with insurance/payers, PAs, verbiage to efficiently gain approval Person (doesn t have to be CDE) who can train patients; pros and cons of using all industry support Coming soon? Kiosks in the waiting room for patients to download their own technology Mechanisms (stickers) to ensure technologies do not get mixed up Dedicated computer(s) for downloading

5 What You Need (Minimal) A program which allows downloading of various meters/pumps/sensors Clinipro (Numedics.com), Glooko/Diasend, Carelink, Tidepool Ideally, many of the native softwares are also available A better solution: immediate upload to the cloud Livongo, Accucheck Aviva Connect, Dexcom Clarity

6 Metrics in Diabetes Meaningful Use (performance metrics) Glucometrics : analysis of blood glucose data To better understand the glycemic fingerprint of each individual patient: A1C, mean, SD, CV, TIR, LBGI What we always seem to be doing in diabetes: updating the metrics ( work in progress )

7 Standard Deviation Our clinically available measurement of glycemic variability for both SMBG and CGM Many other statistical analysis are available but correlation will be with CGM and outcomes, not SMBG (current studies using CV) Can determine both overall and time specific SD SMBG: Need sufficient data points Minimum 5 but prefer 10

8 Calculation To Determine SD Target SMBG SD X 3 < MEAN SD X 2 < mean, may be difficult for some type 1 patients. Formulas only relevant for mean BG between CGM SD X 3 < MEAN Need better metrics: CV, TIR, TBR, TAR all to be correlated with outcomes

9 CASE 1: Christie 32 y/o woman on 8 units glargine BID with pre meal lispro 1:15, ISF 50 day, 60 at HS; jogs at 7am 5X s/week; b fast at 8a, lunch at 1p, dinner at 7p Mean/SD 126/47; A1C 6.0% 1. Too much basal Too much prandial with downward trend As is often the case, the A1C doesn t reflect all of the major challenges are patients are having Poor prandial replacement

10 CASE 2 45 y/o Ethiopean man moved to Seattle to work as an executive for a coffee company (we don t have Dunkin Donuts in Seattle) T2DM X 10 years, on insulin X8 years BMI 36; A1C 8.7% Has been on SAP for 4 years

11 SEPT 2014:MEAN 197; SD 75; A1C = 8.7%

12 Good basal BC: 17U BC: 11.5 U 60 g CHO 44 g CHO Stayed high: last bolus not enough No bolus: too much basal? Insulin given with food Insulin given with food

13 With All of This Technology, His Major Problem (or Should Be) is Easy to Fix Insulin needs to be given before one eats! Why is this so difficult for so many patients?

14 So What Happened To Our Patient s Diabetes Over the Next Two Years? OCT 2016: Mean = 156; SD = 41; A1C = 7.1%

15 CSII: What Does The Clinical Endocrinologist Need To Know in 2016?

16 Features of CSII: Evolution Over the Years Many basal (alternating, temp) and bolus (extended, 2 component) options but to me, the most important ones both grossly under utilized by patient and provider: Downloading both for patients and providers. Bolus calculator: when used appropriately is a tremendous tool!

17 The Problem with Bolus Calculators They are not smart! If the glucose is trending up or down, more or less insulin will be required Estimate Details: Bolus Calculator Est. total 4.5 U Food intake 36 g (meter) BG 210 Food 3 U Correction 2 U IOB 0.5 U

18 Like With Pumps, We ve Come A Long Way With CGM

19 Sensors: Continual Evolution For the Near Future Guardian Sensor 3 Freestyle Libre Roche Glucose Sensor Dexcom Gen 6 Sensionics Implantable Sensor

20 Medtronic Sensors For the Next 5 Years

21 What is AP? CGM + Pump + Controller Controller: laptop, tablet, phone to start, chips will get smaller

22 Our Current Pathway to AP (Closed Loop)

23 Past, Present, and Future of CSII/AP CSII LGS and PGS Lancet Diabetes Endocrinology 2014; 2: SAP Nocturnal CL HCL LB 99 ADA, 2016

24 ARTIFICIAL PANCREAS

25 What is Hybrid Closed Loop? Patient still needs to bolus for meals and notify the system for exercise. Medtronic 670G approved for release in 2017

26 Medtronic 670G Pivotal Trial ADA Scientific Sessions 2016, Bergenstal, Buckingham, Garg et al: 99 LB Single arm, non randomized, 3 months N = 124 (n=94 adults, 30 adolescents) Baseline A1C 7.4%; mean reduction 0.5% Those with baseline > 7.5% reduction by 1.0% Time < 70 mg/dl reduced by 44%, < 50 mg/dl by 40% Time in range increased 72% 1.4 kg weight increase in adults, 1.0 kg weight gain in adolescents MARD 10.3%

27 All patients

28 Adolescents

29 More Information About the 670G No control group: an up coming 1000 patient trial is planned Two on going pediatric studies in 7 14 year olds and 2 6 year olds DreaMed MD Logic (Fuzzy Logic): incorporate automatic correction doses: bridge funding from NIH secured. This product will be called Medtronic 690G

30 IBM Watson (appears to be positioned more for non CL patients)

31 More To Think About with our First HCL Psycho social studies now on going: little now known how will this impact QOL for needing to unlearn behaviors (eg., hypo Rx with down arrow) Are expectations too high, especially for clinicians in non centers of excellence? What about type 1 patients not seen by endocrinologists. How will the elderly do with this technology?

32 Components of a Bi Hormonal AP (Bionic Pancreas) Are 2 hormones better than 1? Are we better off with glucagon, pramlintide, or GLP 1?

33 Finally: Some Data For What We ve All Been Wondering! N = 10; CL, then 4 weeks 60 mcg PRAM ac Mean age 20 years, 9 years T1D, A1C 7.2% N = 11: CL, then 4 weeks 1.8 mg daily LIRA Mean age 22 years, 10.5 years T1D, A1C 7.5% Meals were not announced Diabetes Care 2016;39:

34 CL vs. CL + PRAM or LIRA Adjunctive Rx: Purple Control: Green Diabetes Care 2016;39:

35 CL vs. CL + PRAM or LIRA CL vs. CL + PRAM CL vs. CL + LIRA P< Time to Peak G (h) P=NS Time to peak G (h) CL alone CL + PRAM CL alone CL + LIRA CL vs. CL + PRAM CL vs. CL + LIRA P< P= Glucose Spike Glucose spike CL CL + LIRA CL CL+PRAM Diabetes Care 2016;39:

36 CL vs. CL + PRAM or LIRA TIR during daytime better with PRAM (p<0.004) but not LIRA (p=ns). Neither drug with better TIR overnight LIRA: better weight loss (3.2 kg) compared to PRAM (0.7 kg) Longer term studies with these adjunctive agents are warranted. Diabetes Care 2016;39:

37 But What About Glucagon? Would this be a better adjunctive hormone to infuse in a CL system?

38 Bihormonal AP 2014

39 ẞeta ẞionics 2016

40 Bionic Pancreas with 6 11 Year Old Children at Diabetes Camp Lancet Diabetes Endocrinol 2016;4:233 43

41 Mean CGM and Percentage <70 mg/dl Bionic Pancreas vs Usual Care (Adults) <70 = 7.3% <60 = 3.7% 2016: stable liquid glucagon analogue: ZP4207 from Zealand Pharmaceuticals <70 = 4.1% <60 = 1.5% Russell et al. New Engl J Med 2014; 371:

42 This is All VERY Exciting, but What Does All of This Mean for the Endocrinologist in Practice? Non pediatric, non academic endocrinologists Few (less than 10%) do any pump/sensor downloading, so unable to really see patterns/understand the granularity how the patient is managing the diabetes For many (number now known) much if not most of the training, insulin adjustments, management done by industry or non physician (often CDE) Unfortunately, this is so time consuming and there is so much more pressure to be productive, it isn t time efficient for many of us to routinely manage these patients Few learn to be experts in this therapy in their training

43 My Questions Could a more automated pump system make the therapy simpler and more efficient so both clinical endocrinologists and non specialists can easily oversee closed loop systems with better A1C levels with less hypoglycemia? OR, will this create a greater clinical burden making this therapy an even greater hassle requiring more infrastructure than it does now? Raise your hand if you think the administrative burden managing this therapy from your offices and clinics will be MORE than it is now! Will payers want to pay for this if the cost is more than a pump and sensor alone? (BTW many Medicaid patients in WA state are now back on human insulin)

44 One Other Point In the US, about 30% of our type 1 patients use CSII (60% in the T1D Exchange) and most agree the majority of adult type 1 patients receive their care from a nonspecialist The majority of patients use MDI will this therapy increase CSII use for those who are cared for by both endocrinologists and non specialists? 2 studies at 2016 ADA: outcomes improved with CGM and MDI

45 What About the 70% of T1D Who Use MDI? Companion Medical InPen system Approved by FDA 8/16, to be launched 2017 Will track prandial insulin doses (cartridge pens) and send to paired app via Bluetooth App also includes a bolus calculator (with real time IOB)

46 What does it look like?

47 Conclusion We are at a crossroads in the evolution of our pumps and sensors. While the technology for a HCL may be available within the next year, a true CL hopefully will be close behind Still, there are many questions that need to be answered: 1 vs. 2 hormones, which 2 nd hormone and how would each do in a pump, site failures, skin problems, cost, work flow, psycho social issues, CGM accuracy, etc., etc, etc Still, these are better questions than we had 5 years ago

CGM and Closing The Loop

CGM and Closing The Loop CGM and Closing The Loop Dualities Research: Helmsely Charitable Trust, ADA, JDRF, NIDDK Consulting: Abbott Diabetes Care, Roche, Intarcia, Valeritas, Adocia, Big Foot Like With Pumps, We ve Come A Long

More information

Diabetes Technology for the Endocrinologist, Irl B. Hirsch, MD University of Washington

Diabetes Technology for the Endocrinologist, Irl B. Hirsch, MD University of Washington Diabetes Technology for the Endocrinologist, 2017 Irl B. Hirsch, MD University of Washington Dualities Research: Helmsley Charitable Trust, JDRF, ADA, NIDDK, CDC Consulting: Abbott, Roche, Intarcia, Adocia,

More information

Using and Interpreting Diabetes Data. Irl B. Hirsch, MD University of Washington

Using and Interpreting Diabetes Data. Irl B. Hirsch, MD University of Washington Using and Interpreting Diabetes Data Irl B. Hirsch, MD University of Washington Dualities Research: Helmsely Charitable Trust, ADA, JDRF, NIDDK Consulting: Abbott Diabetes Care, Roche, Intarcia, Valeritas,

More information

Applications of Technologies to Your Patient. Irl B. Hirsch, MD Professor of Medicine University of Washington School of Medicine Seattle, Washington

Applications of Technologies to Your Patient. Irl B. Hirsch, MD Professor of Medicine University of Washington School of Medicine Seattle, Washington Applications of Technologies to Your Patient Irl B. Hirsch, MD Professor of Medicine University of Washington School of Medicine Seattle, Washington Disclosures Consultant: Abbott Diabetes Care, Roche

More information

Pump and Sensor Data Interpretation. Irl B. Hirsch, MD University of Washington School of Medicine

Pump and Sensor Data Interpretation. Irl B. Hirsch, MD University of Washington School of Medicine Pump and Sensor Data Interpretation Irl B. Hirsch, MD University of Washington School of Medicine Dualities Research: Medtronic Diabetes Consulting: Abbott Diabetes Care, BD, Bigfoot, Roche Raise Your

More information

Diabetes Technology in Irl B. Hirsch, MD University of Washington School of Medicine Seattle, WA

Diabetes Technology in Irl B. Hirsch, MD University of Washington School of Medicine Seattle, WA Diabetes Technology in 2018 Irl B. Hirsch, MD University of Washington School of Medicine Seattle, WA Dualities Research: Medtronic Diabetes Consulting: Abbott Diabetes Care, BD, Bigfoot, Roche Let s First

More information

Dr Sander Zwart MD, FACP, ECNU Arizona-AACE 2016 Annual Meeting

Dr Sander Zwart MD, FACP, ECNU Arizona-AACE 2016 Annual Meeting Dr Sander Zwart MD, FACP, ECNU Arizona-AACE 2016 Annual Meeting Disclaimers None Except products and software discussed are all proprietary, so if I mention a brand product it is because there is no other

More information

Diabetes Management with Continuous Glucose Monitoring & Multiple Daily Injections. Aaron Michels MD

Diabetes Management with Continuous Glucose Monitoring & Multiple Daily Injections. Aaron Michels MD Diabetes Management with Continuous Glucose Monitoring & Multiple Daily Injections Aaron Michels MD Outline SMBG & CGM by age group JDRF CGM Trial Sensor Augmented Insulin Pump Therapy for A1c Reduction

More information

Advances in Technology in the Treatment of Diabetes Mellitus 2017 How far have we come-how far are we going? Is there a final frontier?

Advances in Technology in the Treatment of Diabetes Mellitus 2017 How far have we come-how far are we going? Is there a final frontier? Advances in Technology in the Treatment of Diabetes Mellitus 2017 How far have we come-how far are we going? Is there a final frontier? Alan B Schorr DO FAAIM FACE www.sugardoc.com abs@sugardoc.com Disclosures

More information

Diabetes Technology Update. Sarah Konigsberg, MD Diabetes & Endocrine Assoc. April 7, 2018

Diabetes Technology Update. Sarah Konigsberg, MD Diabetes & Endocrine Assoc. April 7, 2018 Diabetes Technology Update Sarah Konigsberg, MD Diabetes & Endocrine Assoc. April 7, 2018 Disclosures None No future technologies are FDA approved Continuous Glucose Monitors Continuous Glucose Monitors

More information

DIABETES TECHNOLOGY: WHERE ARE WE NOW AND WHERE ARE WE GOING? Presented by: Tom Brobson

DIABETES TECHNOLOGY: WHERE ARE WE NOW AND WHERE ARE WE GOING? Presented by: Tom Brobson DIABETES TECHNOLOGY: WHERE ARE WE NOW AND WHERE ARE WE GOING? Presented by: Tom Brobson March 3 rd, 2018 Who is this guy? Accelerating Progress 1 Oh that guy! Accelerating Progress 2 STATE OF T1D CARE

More information

1. Continuous Glucose Monitoring

1. Continuous Glucose Monitoring 1. Continuous Glucose Monitoring 1. Physiology of interstitial fluid glucose 2. Comparison of CGM and self-monitored blood glucose (SMBG) data 3. Insulin dosing indication in BGM vs. CGM & the FDA 4. Protection

More information

Diabetes Management: Current High Tech Innovations

Diabetes Management: Current High Tech Innovations Diabetes Management: Current High Tech Innovations How Far We ve Come in the Last 40 Years William V. Tamborlane, MD Department of Pediatrics Yale School of Medicine Disclosures I am a consultant for:

More information

Update on Diabetes Technology

Update on Diabetes Technology Update on Diabetes Technology Andrew Ahmann, MD Professor of Medicine Director, Harold Schnitzer Diabetes Health Center OHSU Objectives: Recognize the growing role of technology in assisting patients and

More information

When Will CGM Replace SMBG? Roy W. Beck, MD, PhD. JAEB Center for Health Research Tampa, Florida

When Will CGM Replace SMBG? Roy W. Beck, MD, PhD. JAEB Center for Health Research Tampa, Florida When Will CGM Replace SMBG? Roy W. Beck, MD, PhD JAEB Center for Health Research Tampa, Florida Financial Disclosures Dr. Beck does not have any personal conflicts of interest His employer, the JAEB Center

More information

Control of Glycemic Variability for Reducing Hypoglycemia Jae Hyeon Kim

Control of Glycemic Variability for Reducing Hypoglycemia Jae Hyeon Kim Control of Glycemic Variability for Reducing Hypoglycemia Jae Hyeon Kim Division of Endocrinology and Metabolism, Samsung Medical Center, Sungkyunkwan University School of Medicine Conflict of interest

More information

The Realities of Technology in Type 1 Diabetes

The Realities of Technology in Type 1 Diabetes The Realities of Technology in Type 1 Diabetes May 6, 2017 Rosanna Fiallo-scharer, MD Margaret Frederick, RN Disclosures I have no conflicts of interest to disclose I will discuss some unapproved treatments

More information

Emerging Automated Insulin Delivery Systems

Emerging Automated Insulin Delivery Systems Emerging Automated Insulin Delivery Systems Richard M. Bergenstal, MD International Diabetes Center Park Nicollet & HealthPartners Minneapolis, MN Presenter Name 1 Dualities: Richard M. Bergenstal, MD

More information

NEW TECHNOLOGIES FOR MANAGING DIABETES ANGELA THOMPSON DNP, FNP-C, BC-ADM, CDE, FAANP

NEW TECHNOLOGIES FOR MANAGING DIABETES ANGELA THOMPSON DNP, FNP-C, BC-ADM, CDE, FAANP NEW TECHNOLOGIES FOR MANAGING DIABETES ANGELA THOMPSON DNP, FNP-C, BC-ADM, CDE, FAANP No commercial support or sponsorship was received for this project I have nothing to disclose OBJECTIVES Identify at

More information

Making Sense of Glucose Monitoring. My Journey with Glucose Monitoring Over the Last 37 Years 8/7/2017

Making Sense of Glucose Monitoring. My Journey with Glucose Monitoring Over the Last 37 Years 8/7/2017 HSW1 Disclosure to Participants Making Sense of Glucose Monitoring Alison B. Evert, MS, RD, CDE UW Neighborhood Clinics UW Medicine Seattle, WA Conflict of Interest (COI) and Financial Relationship Disclosures:

More information

Diabetes II Insulin pumps; Continuous glucose monitoring system (CGMS) Ernest Asamoah, MD FACE FACP FRCP (Lond)

Diabetes II Insulin pumps; Continuous glucose monitoring system (CGMS) Ernest Asamoah, MD FACE FACP FRCP (Lond) Diabetes II Insulin pumps; Continuous glucose monitoring system (CGMS) Ernest Asamoah, MD FACE FACP FRCP (Lond) 9501366-011 20110401 Objectives Understand the need for insulin pumps and CGMS in managing

More information

Making the Most of Continuous Glucose Monitoring

Making the Most of Continuous Glucose Monitoring Making the Most of Continuous Glucose Monitoring Gary Scheiner MS, CDE Owner & Clinical Director Integrated Diabetes Services LLC Wynnewood, PA AADE 2014 Diabetes Educator of the Year gary@integrateddiabetes.com

More information

Future Direction of Artificial Pancreas. Roy W. Beck, MD, PhD. JAEB Center for Health Research Tampa, Florida

Future Direction of Artificial Pancreas. Roy W. Beck, MD, PhD. JAEB Center for Health Research Tampa, Florida Future Direction of Artificial Pancreas Roy W. Beck, MD, PhD JAEB Center for Health Research Tampa, Florida Financial Disclosures Dr. Beck does not have any personal conflicts of interest His employer,

More information

PREVENTION OF NOCTURNAL HYPOGLYCEMIA USING PREDICTIVE LOW GLUCOSE SUSPEND (PLGS)

PREVENTION OF NOCTURNAL HYPOGLYCEMIA USING PREDICTIVE LOW GLUCOSE SUSPEND (PLGS) PREVENTION OF NOCTURNAL HYPOGLYCEMIA USING PREDICTIVE LOW GLUCOSE SUSPEND (PLGS) Pathways for Future Treatment and Management of Diabetes H. Peter Chase, MD Carousel of Hope Symposium Beverly Hilton, Beverly

More information

CAROLINAS CHAPTER/AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS Annual Meeting HILTON HEAD ISLAND FRIDAY PRESENTATION

CAROLINAS CHAPTER/AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS Annual Meeting HILTON HEAD ISLAND FRIDAY PRESENTATION CAROLINAS CHAPTER/AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS 2016 Annual Meeting HILTON HEAD ISLAND FRIDAY PRESENTATION September 9-11, 2016 ~ Sonesta Resort ~ Hilton Head Island, SC This continuing

More information

Diabetes and Technology. Saturday, September 9, 2017 Aimee G sell, APRN, ANP-C, CDE

Diabetes and Technology. Saturday, September 9, 2017 Aimee G sell, APRN, ANP-C, CDE Diabetes and Technology Saturday, September 9, 2017 Aimee G sell, APRN, ANP-C, CDE Disclosure Speaker s Bureau: Janssan Pharmaceuticals Current Technology V-Go by Valeritas Continuous Sensors (personal

More information

INSULIN INITIATION AND INTENSIFICATION WITH A FOCUS ON HYPOGLYCEMIA REDUCTION

INSULIN INITIATION AND INTENSIFICATION WITH A FOCUS ON HYPOGLYCEMIA REDUCTION INSULIN INITIATION AND INTENSIFICATION WITH A FOCUS ON HYPOGLYCEMIA REDUCTION Jaiwant Rangi, MD, FACE Nov 10 th 2018 DISCLOSURES Speaker Novo Nordisk Sanofi-Aventis Boheringer Ingleheim Merck Abbvie Abbott

More information

Advances in Diabetes Care Technologies

Advances in Diabetes Care Technologies 1979 Advances in Diabetes Care Technologies 2015 Introduction Insulin pump use: ~ 20% - 30% of patients with T1DM < 1% of insulin-treated patients with T2DM 2007 FDA estimates ~375,000 insulin pumps for

More information

Diabetes Technology Continuous Subcutaneous Insulin Infusion Therapy And Continuous Glucose Monitoring In Adults: An Endocrine Society Clinical

Diabetes Technology Continuous Subcutaneous Insulin Infusion Therapy And Continuous Glucose Monitoring In Adults: An Endocrine Society Clinical Diabetes Technology Continuous Subcutaneous Insulin Infusion Therapy And Continuous Glucose Monitoring In Adults: An Endocrine Society Clinical Practice Guideline Task Force Members Anne Peters, MD (Chair)

More information

More Than 1 Year of Hybrid Closed Loop in Pediatrics. Gregory P. Forlenza, MD Assistant Professor Barbara Davis Center

More Than 1 Year of Hybrid Closed Loop in Pediatrics. Gregory P. Forlenza, MD Assistant Professor Barbara Davis Center More Than 1 Year of Hybrid Closed Loop in Pediatrics Gregory P. Forlenza, MD Assistant Professor Barbara Davis Center Disclosure Dr. Forlenza has served as a consultant for Abbott Diabetes Care and conducts

More information

Insulin Pumps and Continuous Glucose Sensors- Embracing Technology. Susan Cavalier, BS, RN, CDE Manager, Diabetes Educator Sanford Diabetes Education

Insulin Pumps and Continuous Glucose Sensors- Embracing Technology. Susan Cavalier, BS, RN, CDE Manager, Diabetes Educator Sanford Diabetes Education Insulin Pumps and Continuous Glucose Sensors- Embracing Technology Susan Cavalier, BS, RN, CDE Manager, Diabetes Educator Sanford Diabetes Education Diabetes Management Tools in 1974 Insulin pump history

More information

What is a CGM? (Continuous Glucose Monitor) The Bionic Pancreas Is Coming

What is a CGM? (Continuous Glucose Monitor) The Bionic Pancreas Is Coming The Bionic Pancreas Is Coming Montana Diabetes Professional Conference October 23, 2014 H. Peter Chase, MD Professor of Pediatrics University of Colorado Barbara Davis Center Stanford: Bruce Buckingham,

More information

Paolo Di Bartolo U.O di Diabetologia Dip. Malattie Digestive & Metaboliche AULS Prov. di Ravenna. Ipoglicemie e Monitoraggio Glicemico

Paolo Di Bartolo U.O di Diabetologia Dip. Malattie Digestive & Metaboliche AULS Prov. di Ravenna. Ipoglicemie e Monitoraggio Glicemico Paolo Di Bartolo U.O di Diabetologia Dip. Malattie Digestive & Metaboliche AULS Prov. di Ravenna Ipoglicemie e Monitoraggio Glicemico Management of Hypoglycaemia.if hypoglycemia is a problem, the principles

More information

Incorporating CGM Into Clinical Decision Making. Etie Moghissi, MD, FACE Clinical Associate Professor, David Geffen School of Medicine UCLA

Incorporating CGM Into Clinical Decision Making. Etie Moghissi, MD, FACE Clinical Associate Professor, David Geffen School of Medicine UCLA Incorporating CGM Into Clinical Decision Making Etie Moghissi, MD, FACE Clinical Associate Professor, David Geffen School of Medicine UCLA 1 Limitations of Current Glucose Monitoring Methods A1c Standard

More information

Advances Towards the Bionic Pancreas.

Advances Towards the Bionic Pancreas. Advances Towards the Bionic Pancreas. Ron Brazg MD, FACE Rainier Clinical Research Center Renton, WA DISCLOSURES Rainier Clinical Research Center is an independent research facility not directly affiliated

More information

The artificial pancreas: the next step in connectivity and digital treatment of type 1 diabetes

The artificial pancreas: the next step in connectivity and digital treatment of type 1 diabetes The artificial pancreas: the next step in connectivity and digital treatment of type 1 diabetes Roman Hovorka PhD FMedSci University of Cambridge, UK Duality of interest declaration Advisory Panel: Research

More information

Presented by Dr. Bruce Perkins, MD MPH Dr. Michael Riddell, PhD

Presented by Dr. Bruce Perkins, MD MPH Dr. Michael Riddell, PhD Type 1 Diabetes and Exercise: Optimizing the Medtronic MiniMed Veo Insulin Pump and Continuous Glucose Monitoring (CGM) for Better Glucose Control 1,2 for Healthcare Professionals Presented by Dr. Bruce

More information

Objectives. The Problem. We ve come a LONG way, Innovations in Diabetes Care and Management. Barbara Walz, RN, BSN, CDE April 26, 2018

Objectives. The Problem. We ve come a LONG way, Innovations in Diabetes Care and Management. Barbara Walz, RN, BSN, CDE April 26, 2018 Objectives Innovations in Diabetes Care and Management Barbara Walz, RN, BSN, CDE April 26, 2018 1. Briefly discuss the history of diabetes management over the past 100 years 2. Describe the impact of

More information

OBJECTIVES THE PAST INNOVATIVE TECHNOLOGY & DIABETES DIABETES MIS MANAGEMENT IMPROVEMENTS IN DIABETES MANAGEMENT

OBJECTIVES THE PAST INNOVATIVE TECHNOLOGY & DIABETES DIABETES MIS MANAGEMENT IMPROVEMENTS IN DIABETES MANAGEMENT OBJECTIVES INNOVATIVE TECHNOLOGY & DIABETES TRISHA PORRETTI, RN, BSN, CDE PWD FOR 25 YEARS Identify important safety features and differences of 3 Continuous Glucose Monitoring (CGM) systems Identify important

More information

CGM Use in Pregnancy & Unique Populations ELIZABETH O. BUSCHUR, MD THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER

CGM Use in Pregnancy & Unique Populations ELIZABETH O. BUSCHUR, MD THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER CGM Use in Pregnancy & Unique Populations ELIZABETH O. BUSCHUR, MD THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER Case 1: CGM use during pregnancy 29 yo G1P0000 at 10 5/7 weeks gestation presents to set

More information

Advances in Diabetes Care Technologies

Advances in Diabetes Care Technologies 1979 Advances in Diabetes Care Technologies 2015 Introduction Roughly 20% - 30% of patients with T1DM and fewer than 1% of insulin-treated patients with T2DM use an insulin pump In 2007, the US FDA estimated

More information

NEWS BRIEFING Advances in Technology. moderated by: Irl Hirsch, MD University of Washington Medical Center

NEWS BRIEFING Advances in Technology. moderated by: Irl Hirsch, MD University of Washington Medical Center NEWS BRIEFING Advances in Technology moderated by: Irl Hirsch, MD University of Washington Medical Center 1 EMBARGO POLICY All recordings are for personal use only and not for rebroadcast online or in

More information

Advances in Diabetes Care Technologies

Advances in Diabetes Care Technologies Advances in Diabetes Care Technologies 1979 2015 Introduction Roughly 20% to 30% of patients with T1DM and fewer than 1% of insulin-treated patients with T2DM use an insulin pump In 2007, the U.S. FDA

More information

JDRF Perspective on Closed Loop

JDRF Perspective on Closed Loop JDRF Perspective on Closed Loop Aaron J. Kowalski, Ph.D. Assistant Vice President Treatment Therapies Juvenile Diabetes Research Foundation International 1 Presenter Disclosure Aaron Kowalski Disclosed

More information

Continuous Glucose Monitors for Diabetes Management

Continuous Glucose Monitors for Diabetes Management Continuous Glucose Monitors for Diabetes Management Ryan Huang, DO PGY II, Sonia Garcia-Jayne, DO PGY II Mandeep Gill, DO PGY I, Justin Leeka, DO, PGY I, Catherine Nguyen OMS IV Family Medicine Residency,

More information

Comparing the use of SMBG vs. CGM data to Optimize Glucose Control in T2DM

Comparing the use of SMBG vs. CGM data to Optimize Glucose Control in T2DM Comparing the use of SMBG vs. CGM data to Optimize Glucose Control in T2DM For the first time using CGM to assess glucose control achieved in both groups Richard M. Bergenstal, MD International Diabetes

More information

Diabetes through my eyes. Rick Mauseth, M.D. W.A.D.E. April 2013

Diabetes through my eyes. Rick Mauseth, M.D. W.A.D.E. April 2013 Diabetes through my eyes Rick Mauseth, M.D. W.A.D.E. April 2013 Ant hills Total Available Glucose utilized Two drops of urine in test tube Add 10 drops of water Added tablet Foamed and got hot Compared

More information

Today s Goals 10/6/2017. New Frontiers in Diabetes Technology. Disclosures

Today s Goals 10/6/2017. New Frontiers in Diabetes Technology. Disclosures New Frontiers in Diabetes Technology Marie E. McDonnell, MD Director, Brigham and Women's Diabetes Program Division of Endocrinology, Diabetes and Hypertension Brigham and Women s Hospital Today s Goals

More information

5/18/2010. History of 1,5 Anhydroglucitol (1,5 AG) Glucose Variability & Pattern Management: Way Beyond Logbooks. Normal Renal Glucose Handling

5/18/2010. History of 1,5 Anhydroglucitol (1,5 AG) Glucose Variability & Pattern Management: Way Beyond Logbooks. Normal Renal Glucose Handling Variability & Pattern Management: Way Beyond Logbooks Irl B. Hirsch, M.D. University of Washington, Seattle, WA Normal Renal Handling 180 g of glucose is filtered each day Virtually all glucose reabsorbed

More information

Glucose Variability & Pattern Management: Way Beyond Logbooks Irl B. Hirsch, M.D. University of Washington, Seattle, WA

Glucose Variability & Pattern Management: Way Beyond Logbooks Irl B. Hirsch, M.D. University of Washington, Seattle, WA Glucose Variability & Pattern Management: Way Beyond Logbooks Irl B. Hirsch, M.D. University of Washington, Seattle, WA 1 Normal Renal Glucose Handling 180 g of glucose is filtered each day Virtually all

More information

The Diamond Study: Continuous Glucose Monitoring In Patients on Mulitple Daily Insulin Injections

The Diamond Study: Continuous Glucose Monitoring In Patients on Mulitple Daily Insulin Injections 8/5/217 The Diamond Study: Continuous Glucose Monitoring In Patients on Mulitple Daily Insulin Injections Richard M. Bergenstal, MD Executive Director International Diabetes Center at Park Nicollet Minneapolis,

More information

Advances in Diabetes Technology Part II: Analysis of Diabetes Self Management Devices and Support Tools

Advances in Diabetes Technology Part II: Analysis of Diabetes Self Management Devices and Support Tools Advances in Diabetes Technology Part II: Analysis of Diabetes Self Management Devices and Support Tools Jennifer Trujillo, PharmD, FCCP, BCPS, CDE, BC ADM Associate Professor University of Colorado School

More information

Insulin Pump Therapy in children. Prof. Abdulmoein Al-Agha, FRCPCH(UK)

Insulin Pump Therapy in children. Prof. Abdulmoein Al-Agha, FRCPCH(UK) Insulin Pump Therapy in children Prof. Abdulmoein Al-Agha, FRCPCH(UK) aagha@kau.edu.sa Highlights Evolution of insulin pump Pumps mimics Pancreas Goals of diabetes care What lowers HbA1c Criteria for selection

More information

JDRF RESEARCH UPDATE. Daniel Finan, Ph.D. Research Director

JDRF RESEARCH UPDATE. Daniel Finan, Ph.D. Research Director JDRF RESEARCH UPDATE Daniel Finan, Ph.D. Research Director March 10, 2018 PRESENTER Daniel Finan Biomedical engineer B.S. Chemical Engineering University of Colorado, 2003 Ph.D. Chemical Engineering UC

More information

Artificial Pancreas, shortly close to home? BC Pediatric Diabetes Day, Feb 26, 2016

Artificial Pancreas, shortly close to home? BC Pediatric Diabetes Day, Feb 26, 2016 Artificial Pancreas, shortly close to home? BC Pediatric Diabetes Day, Feb 26, 2016 Rémi Rabasa- Lhoret, M.D. (Endocrinology), Ph.D. CSPQ Director Pla:orm for Research in Obesity, Metabolism and Diabetes

More information

Endocrine Update Mary T. Korytkowski MD Division of Endocrinology University of Pittsburgh

Endocrine Update Mary T. Korytkowski MD Division of Endocrinology University of Pittsburgh Endocrine Update 2016 Mary T. Korytkowski MD Division of Endocrinology University of Pittsburgh Disclosure of Financial Relationships Mary Korytkowski MD Honoraria British Medical Journal Diabetes Research

More information

Glucometers Gastrostomy Tubes Nasogastric Tubes Insulin pumps Continuous Glucose monitoring system Closed Loop Smart phones/tablets

Glucometers Gastrostomy Tubes Nasogastric Tubes Insulin pumps Continuous Glucose monitoring system Closed Loop Smart phones/tablets Devices Glucometers Gastrostomy Tubes Nasogastric Tubes Insulin pumps Continuous Glucose monitoring system Closed Loop Smart phones/tablets Accuracy Glucometers The ISO (International Organization for

More information

Hybrid Closed Loop Status & Practical Challenges in Implementation

Hybrid Closed Loop Status & Practical Challenges in Implementation Hybrid Closed Loop Status & Practical Challenges in Implementation Bruce Buckingham, MD Buckingham@Stanford.edu Professor of Pediatric Endocrinology Stanford School of Medicine Conflict of Interests Company

More information

DIABETES TECHNOLOGY: ENDLESS CHOICES FOR HEALTHY MANAGEMENT

DIABETES TECHNOLOGY: ENDLESS CHOICES FOR HEALTHY MANAGEMENT DIABETES TECHNOLOGY: ENDLESS CHOICES FOR HEALTHY MANAGEMENT MAKING THE MOST OF MODERN DIABETES TREATMENTS & TECHNOLOGIES JENNIFER C. SMITH RD, LD, CDE DIRECTOR OF LIFESTYLE AND NUTRITION INTEGRATED DIABETES

More information

ADVANCES IN DIABETES TECHNOLOGY: A FOCUS ON CONTINUOUS GLUCOSE MONITORING 9:15 10:15 AM

ADVANCES IN DIABETES TECHNOLOGY: A FOCUS ON CONTINUOUS GLUCOSE MONITORING 9:15 10:15 AM ADVANCES IN DIABETES TECHNOLOGY: A FOCUS ON CONTINUOUS GLUCOSE MONITORING 9:15 10:15 AM ACPE UAN: 0107-9999-18-124-L01-P 0.1 CEU/1 hr Activity Type: Knowledge-Based Learning Objectives for Pharmacists:

More information

7/18/2017. Everything discussed in this presentation is off-label. (And that s ok.) Dana Lewis Founder, #OpenAPS WARNING: Disclosure to Participants

7/18/2017. Everything discussed in this presentation is off-label. (And that s ok.) Dana Lewis Founder, #OpenAPS WARNING: Disclosure to Participants Dana Lewis Founder, #OpenAPS Seattle, WA Disclosure to Participants Notice of Requirements For Successful Completion Please refer to learning goals and objectives Learners must attend the full activity

More information

Subject Index. Breastfeeding, self-monitoring of blood glucose 56

Subject Index. Breastfeeding, self-monitoring of blood glucose 56 Subject Index Animas Vibe 86, 130 Artificial pancreas clinical studies inpatient studies 175 180 outpatient studies outcome assessment 182, 183 technology 180, 181 telemedicine 182 components glucose sensor

More information

ADA 2018 JUN 25, 2018 ORLANDO, FLORIDA

ADA 2018 JUN 25, 2018 ORLANDO, FLORIDA ADA 2018 JUN 25, 2018 ORLANDO, FLORIDA FORWARD LOOKING STATEMENTS This presentation contains forward-looking statements. They are based on current assumptions and expectations that involve uncertainties

More information

Continuous Glucose Monitoring (CGM)

Continuous Glucose Monitoring (CGM) Continuous Glucose Monitoring (CGM) Background Info A1c Average glucose levels over previous 2-3 months Currently remains gold standard for determining control Indicator of risk for development of complications

More information

Insulin Pumps and Glucose Sensors in Diabetes Management

Insulin Pumps and Glucose Sensors in Diabetes Management Diabetes Update+ 2014 Congress Whistler, British Columbia Friday March 21, 2014ǀ 8:15 8:45 am Insulin Pumps and Glucose Sensors in Diabetes Management Bruce A Perkins MD MPH Division of Endocrinology Associate

More information

Technology in Diabetes Care: Emerging Level

Technology in Diabetes Care: Emerging Level Technology in Diabetes Care: Emerging Level Charlotte Parsons ARNP, CDE Christine Fisher, RD, CD, CDE, CPT WADE April 26, 2019 Disclosures to Participants Notice of Requirements for Successful Completion:

More information

WHEN YOUR PANCREAS IS NOT A HAPPY CAMPER A PRESENTATION ON DIABETES MANAGEMENT IN THE CAMP SETTING AMANDA COSCHI, BSCN, RN, CDE

WHEN YOUR PANCREAS IS NOT A HAPPY CAMPER A PRESENTATION ON DIABETES MANAGEMENT IN THE CAMP SETTING AMANDA COSCHI, BSCN, RN, CDE WHEN YOUR PANCREAS IS NOT A HAPPY CAMPER A PRESENTATION ON DIABETES MANAGEMENT IN THE CAMP SETTING AMANDA COSCHI, BSCN, RN, CDE MAY 5, 2018 OBJECTIVES Strong understanding of diabetes and its management

More information

Tips and Tricks for Starting and Adjusting Insulin. MC MacSween The Moncton Hospital

Tips and Tricks for Starting and Adjusting Insulin. MC MacSween The Moncton Hospital Tips and Tricks for Starting and Adjusting Insulin MC MacSween The Moncton Hospital Progression of type 2 diabetes Beta cell apoptosis Natural History of Type 2 Diabetes The Burden of Treatment Failure

More information

Kathleen Dunn, RN CDE Jason Pelzek, RN CDE Ksenia Tonyushkina, MD Baystate Pediatric Endocrinology June, 2018

Kathleen Dunn, RN CDE Jason Pelzek, RN CDE Ksenia Tonyushkina, MD Baystate Pediatric Endocrinology June, 2018 Kathleen Dunn, RN CDE Jason Pelzek, RN CDE Ksenia Tonyushkina, MD Baystate Pediatric Endocrinology June, 2018 Ksenia Tonyushkina, MD 1 Objectives What does it mean to live with T1DM? Why exercise is important?

More information

UvA-DARE (Digital Academic Repository) The artificial pancreas Kropff, J. Link to publication

UvA-DARE (Digital Academic Repository) The artificial pancreas Kropff, J. Link to publication UvA-DARE (Digital Academic Repository) The artificial pancreas Kropff, J. Link to publication Citation for published version (APA): Kropff, J. (2017). The artificial pancreas: From logic to life General

More information

MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps

MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps POLICY: PG0177 ORIGINAL EFFECTIVE: 12/01/08 LAST REVIEW: 07/10/18 MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps GUIDELINES This policy does not certify benefits or authorization

More information

Real-Time Continuous Glucose Monitoring: From Application to Evaluation

Real-Time Continuous Glucose Monitoring: From Application to Evaluation Real-Time Continuous Glucose Monitoring: From Application to Evaluation Gary Scheiner MS, CDE Owner/Director, Integrated Diabetes Services 333 E. Lancaster Ave., Suite 24 Wynnewood, PA 1996 (877) 735-3648

More information

Abbott FreeStyle Libre Pro System

Abbott FreeStyle Libre Pro System , the Professional CGM Abbott FreeStyle Libre Pro Reader Kit includes: Reader, USB cable, interactive tutorial on USB, and power adapter, user s manual, Quick Start Guide, Quick Reference Guide Kit includes:

More information

Optimizing Therapy and Clinical Outcomes Using Real-Time Continuous Glucose Monitoring (AADE PRODUCT THEATRE) August 7, 2014 Orlando, FL

Optimizing Therapy and Clinical Outcomes Using Real-Time Continuous Glucose Monitoring (AADE PRODUCT THEATRE) August 7, 2014 Orlando, FL Optimizing Therapy and Clinical Outcomes Using Real-Time Continuous Glucose Monitoring (AADE PRODUCT THEATRE) August 7, 2014 Orlando, FL Welcome and Introduction Orlando, FL August 7 th, 2014 Keri Weindel,

More information

BASICS OF INSULIN PUMPS. Jennifer Okemah MS RD BCADM CDE CSSD

BASICS OF INSULIN PUMPS. Jennifer Okemah MS RD BCADM CDE CSSD BASICS OF INSULIN PUMPS Jennifer Okemah MS RD BCADM CDE CSSD SPEAKER DISCLOSURES: Contracted trainer for Animas, Omnipod, Medtronic Dexcom Advisory Board Sanofi Advisory Board Sanofi Contracted Speaker

More information

DIABETES & ENDOCRINE DIABETES TECHNOLOGY: HOW TO STAY CURRENT WITH ONGOING TECHNOLOGY ADVANCEMENT

DIABETES & ENDOCRINE DIABETES TECHNOLOGY: HOW TO STAY CURRENT WITH ONGOING TECHNOLOGY ADVANCEMENT DIABETES TECHNOLOGY: HOW TO STAY CURRENT WITH ONGOING TECHNOLOGY ADVANCEMENT Min-Jye Chen, MD Endocrinology Diabetes Management of the School-Aged Child Provided by Texas Children s Hospital Provider #18-267764-A

More information

Hypoglycemia a barrier to normoglycemia Are long acting analogues and pumps the answer to the barrier??

Hypoglycemia a barrier to normoglycemia Are long acting analogues and pumps the answer to the barrier?? Hypoglycemia a barrier to normoglycemia Are long acting analogues and pumps the answer to the barrier?? Moshe Phillip Institute of Endocrinology and Diabetes National Center of Childhood Diabetes Schneider

More information

January 2017 Investor Presentation. confidently live life with ease

January 2017 Investor Presentation. confidently live life with ease January 2017 Investor Presentation confidently live life with ease Forward-Looking Statements This presentation contains certain forward-looking statements that involve risks and uncertainties that could

More information

QUESTION 4. WHAT CLINICAL DATA ARE CURRENTLY AVAILABLE TO SUPPORT EXPANDED CGM COVERAGE BY PAYERS AS PERTAINS TO QUESTIONS 1 AND 3?

QUESTION 4. WHAT CLINICAL DATA ARE CURRENTLY AVAILABLE TO SUPPORT EXPANDED CGM COVERAGE BY PAYERS AS PERTAINS TO QUESTIONS 1 AND 3? 500 1 QUESTION 4. WHAT CLINICAL DATA ARE CURRENTLY AVAILABLE TO SUPPORT EXPANDED CGM COVERAGE BY PAYERS AS PERTAINS TO QUESTIONS 1 AND 3? WHAT ADDITIONAL DATA ARE NEEDED? AACE/ACE CGM Consensus Conference:

More information

Tried and True Tips. Common BG Patterns & Fixes 11/2/16. Tried and True Tips and New Advances in Diabetes. The Right Number of Carbs for a Low

Tried and True Tips. Common BG Patterns & Fixes 11/2/16. Tried and True Tips and New Advances in Diabetes. The Right Number of Carbs for a Low Tried and True Tips and New Advances in Diabetes San Diego Pump Club, Oct 1, 216 John Walsh PA, CDTC Tried and True Tips How Basal Rate Change Affects BG 1.7 Total Units When You Change a Basal Rate When

More information

Pumps & Sensors made easy. OPADA ALZOHAILI MD FACE Endocrinology Assistant Professor Wayne State University

Pumps & Sensors made easy. OPADA ALZOHAILI MD FACE Endocrinology Assistant Professor Wayne State University Pumps & Sensors made easy OPADA ALZOHAILI MD FACE Endocrinology Assistant Professor Wayne State University DeFronzo RA. Diabetes. 2009;58:773-795. Ominous Octet Relationship of b-cell Dysfunction and Development

More information

Artificial Pancreas Device System (APDS)

Artificial Pancreas Device System (APDS) Medical Policy Manual Durable Medical Equipment, Policy No. 77 Artificial Pancreas Device System (APDS) Next Review: October 2019 Last Review: October 2018 Effective: November 1, 2018 IMPORTANT REMINDER

More information

The Growing Future of Diabetes: Insulin Pump Therapy in Type 1 and 2 Diabetes

The Growing Future of Diabetes: Insulin Pump Therapy in Type 1 and 2 Diabetes The Growing Future of Diabetes: Insulin Pump Therapy in Type 1 and 2 Diabetes Sarah Dombrowski, PharmD, BCACP Pennsylvania Pharmacists Association 10/20/18 1 Objectives At the completion of this activity,

More information

The next five years in diabetes technology: closed-loop systems

The next five years in diabetes technology: closed-loop systems The next five years in diabetes technology: closed-loop systems J. H. (Hans) DeVries Academic Medical Center at the University of Amsterd, the Netherlands Keystone, CO, 19 July 2013 Disclosure AP@home,

More information

Update on Continuous Glucose Monitoring (CGM) Technology in Diabetes. Elena Toschi, MD November 12, 2016

Update on Continuous Glucose Monitoring (CGM) Technology in Diabetes. Elena Toschi, MD November 12, 2016 Update on Continuous Glucose Monitoring (CGM) Technology in Diabetes Elena Toschi, MD November 12, 2016 Presenter Disclosure Information Elena Toschi, MD No financial disclosure Objectives: Use of CGM

More information

INSULIN THERAY دکتر رحیم وکیلی استاد غدد ومتابولیسم کودکان دانشگاه علوم پزشکی مشهد

INSULIN THERAY دکتر رحیم وکیلی استاد غدد ومتابولیسم کودکان دانشگاه علوم پزشکی مشهد INSULIN THERAY DIABETES1 IN TYPE دکتر رحیم وکیلی استاد غدد ومتابولیسم کودکان دانشگاه علوم پزشکی مشهد Goals of management Manage symptoms Prevent acute and late complications Improve quality of life Avoid

More information

The Artificial Pancreas

The Artificial Pancreas SAGLB.DIA.15.2.87(2). Approved October 215 The Artificial Pancreas For scientific and medical purposes only The pancreas responds to changes in blood glucose by releasing insulin (β cells) to lower blood

More information

MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps

MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps POLICY: PG0177 ORIGINAL EFFECTIVE: 12/01/08 LAST REVIEW: 05/24/18 MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps GUIDELINES This policy does not certify benefits or authorization

More information

15 th Annual DAFNE collaborative meeting Tuesday 28 th June 2016

15 th Annual DAFNE collaborative meeting Tuesday 28 th June 2016 15 th Annual DAFNE collaborative meeting Tuesday 28 th June 2016 Sponsored by: Abbott Diabetes Care and Lilly Diabetes Type 1 and exercise Royal Berkshire Hospital Centre for Diabetes and Endocrinology

More information

How I use the latest technology to investigate and treat a person with Type 1 Diabetes. Dr Pratik Choudhary

How I use the latest technology to investigate and treat a person with Type 1 Diabetes. Dr Pratik Choudhary How I use the latest technology to investigate and treat a person with Type 1 Diabetes Dr Pratik Choudhary Disclosures Advisory board and speaker fees from Medtronic, Roche, Abbott and Johnson and Johnson,

More information

Ambulatory Artificial Pancreas Platform (AAPP) User Manual

Ambulatory Artificial Pancreas Platform (AAPP) User Manual Ambulatory Artificial Pancreas Platform (AAPP) User Manual Welcome to the Artificial Pancreas User Manual. This manual is intended to teach you how to use the system in your clinical trial. If questions

More information

MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps

MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps POLICY: PG0177 ORIGINAL EFFECTIVE: 12/01/08 LAST REVIEW: 02/13/18 MEDICAL POLICY Continuous Glucose Monitoring Systems and Insulin Pumps GUIDELINES This policy does not certify benefits or authorization

More information

Does Technology helps adolescents with type 1 diabetes in fasting Ramadan?

Does Technology helps adolescents with type 1 diabetes in fasting Ramadan? Does Technology helps adolescents with type 1 diabetes in fasting Ramadan? Abdulmoein Al-Agha, FRCPCH Professor of Paediatric Endocrinology, King Abdulaziz University Hospital, http://aagha.kau.edu.sa

More information

Continuous Glucose Monitoring (CGM) Dexcom G6 Training for Healthcare Professionals and Patients

Continuous Glucose Monitoring (CGM) Dexcom G6 Training for Healthcare Professionals and Patients ssociation of Children s Diabetes Continuous Glucose Monitoring (CGM) Dexcom G6 Training for Healthcare Professionals and Patients 1 ssociation of Children s Diabetes Contents Chapter Page no. Chapter

More information

People with type 1 diabetes and Do It Yourself (DIY) technology solutions ABOUT THIS POSITION STATEMENT

People with type 1 diabetes and Do It Yourself (DIY) technology solutions ABOUT THIS POSITION STATEMENT Position Statement People with type 1 diabetes and Do It Yourself (DIY) technology solutions ABOUT THIS POSITION STATEMENT Diabetes Australia believes that people with diabetes should have choice and access

More information

For Safe and Effective Diabetes Management

For Safe and Effective Diabetes Management For Safe and Effective Diabetes Management How FreeStyle Libre Works FreeStyle Libre is a system for continuous glucose monitoring (CGM) that gives you easy access to your glucose numbers. CGM has been

More information

Continuous Glucose Monitoring Devices Pharmacy Policy

Continuous Glucose Monitoring Devices Pharmacy Policy Line of Business: All Line of Business Effective date: August 16, 2017 Revision date: August 16, 2017 Continuous Glucose Monitoring Devices Pharmacy Policy This policy has been developed through review

More information

Continuous Glucose Monitoring

Continuous Glucose Monitoring Continuous Glucose Monitoring What is Continuous Glucose Monitoring? Blood glucose meters measure glucose in your blood and glucose sensors measure glucose levels in the fluid around the cells They are

More information

INSPIRED BY GIVE HER MORE. The MiniMed 670G system is the world s first insulin delivery system that automatically adapts to your child s needs.

INSPIRED BY GIVE HER MORE. The MiniMed 670G system is the world s first insulin delivery system that automatically adapts to your child s needs. INSPIRED BY GIVE HER MORE. The MiniMed 670G system is the world s first insulin delivery system that automatically adapts to your child s needs. * NOW APPROVED FOR AGES 7 AND UP. MORE TIME HERE TO USING

More information

CGM: Continuous Glucose Monitoring Making Sense of It All AW: ANCO/GEND/1016/0117

CGM: Continuous Glucose Monitoring Making Sense of It All AW: ANCO/GEND/1016/0117 CGM: Continuous Glucose Monitoring Making Sense of It All Objectives Review how to do a time effective interpretation of CGM and insulin pump download data Review how medications, lifestyle, and current

More information