Do-it-yourself artificial pancreas systems: a review of the emerging evidence and insights for healthcare professionals

Jennings, P. ORCID: 0000-0001-9407-4489 and Hussain, S., 2020. Do-it-yourself artificial pancreas systems: a review of the emerging evidence and insights for healthcare professionals. Journal of Diabetes Science and Technology, 14 (5), pp. 868-877. ISSN 1932-2968

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Abstract

Application of artificial pancreas systems in type 1 diabetes (T1D) represents a change in approach to managing complex glucose and insulin dynamics using automated features with higher levels of safety, precision, and reliability than those afforded by manual adjustments. To date, limited commercial systems and more widely used open-source, hybrid closed loop, Do-It-Yourself Artificial Pancreas Systems (DIY APS) have been used in nontrial real-world management of T1D. The aims of this article are twofold. First, itsynthesizes the emerging literature on DIY APS and identifies a range of evidence including research, reviews, commentaries, and opinion pieces written by DIY APS users, healthcare professionals (HCPs), and researchers. It summarizes the emerging clinical evidence for DIY APS and provide insight into how the DIY APS movement began, has been disseminated throughout diabetes online communities, and is reshaping self-management of T1D in real-world settings. Second, the article provides commentaries that explore implications of DIY APS to healthcare practice. DIY APS are radically changing T1D management. Automating the process of frequently analyzing glucose readings and appropriately titrating insulin delivery is liberating people with T1D (PWD) from some of the demands of intensive management. Within this super-specialized area of T1D management, the expertise of DIY APS users has outstripped that of many HCPs. While educational, ethical, and legal constraints need to be resolved, HCPs still need to stay abreast of this rapidly developing area. Further research is needed to inform policy and practice relating to DIY APS. Meanwhile, HCPs continue to learn from PWD’s real-world experiences of building and using DIY APS to improve metabolic and psychological outcomes.

Item Type: Journal article
Publication Title: Journal of Diabetes Science and Technology
Creators: Jennings, P. and Hussain, S.
Publisher: SAGE Publications
Date: 1 September 2020
Volume: 14
Number: 5
ISSN: 1932-2968
Identifiers:
NumberType
10.1177/1932296819894296DOI
1296697Other
Rights: Copyright © 2019 Peter Jennings & Sufyan Hussain.
Divisions: Schools > School of Social Sciences
Record created by: Linda Sullivan
Date Added: 27 Nov 2020 13:25
Last Modified: 27 Nov 2020 13:25
URI: http://irep.ntu.ac.uk/id/eprint/41706

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