Artificial pancreas effectively controls type 1 diabetes in children age 6 and up

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Northerner

Northerner

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A clinical trial at four pediatric diabetes centers in the United States has found that a new artificial pancreas system -- which automatically monitors and regulates blood glucose levels -- is safe and effective at managing blood glucose levels in children as young as age six with type 1 diabetes. The trial was funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. Results from the trial were published August 26 in the New England Journal of Medicine.

"Fewer than 1 in 5 children with type 1 diabetes are able to successfully keep their blood glucose in a healthy range with current treatment, which may have serious consequences on their long-term health and quality of life," said Guillermo Arreaza-Rubín, M.D., director of NIDDK's Diabetes Technology Program and project scientist for the study. "Earlier research showed that the system tested in this study was safe and effective for people ages 14 and older. This trial now shows us this system works in a real-world setting with younger children."

www.sciencedaily.com

Artificial pancreas effectively controls type 1 diabetes in children age 6 and up

A clinical trial at four pediatric diabetes centers in the United States has found that a new artificial pancreas system -- which automatically monitors and regulates blood glucose levels -- is safe and effective at managing blood glucose levels in children as young as age six with type 1 diabetes.
www.sciencedaily.com
 
Presumably a fully artificial pancreas deals with meals as well as basal automatically? That would be incredible! I notice it mentions Tandem and Dexcom as being involved - we’ve got those now!
Got the Dexcoms yesterday and are now running on Basal IQ which will deal with low glucose events automatically but not highs. We should eventually be able to get Control IQ which will deal with highs also and run the basal completely automatically, daughter will still have to input meal boluses herself though, can’t imagine not having to do those any more! Technology is really improving isn’t it.

Just basal IQ alone is amazing though. We've been using it less than 12 hours so far. I used to check daughter once in the night, now I don’t have to. Just over half an hour ago my phone woke me up alerting me to the fact that daughter's blood sugar was 3.6. I've got into the habit of just setting a temp basal of 10% for an hour or two to bring her up again if she drops low at night, easier than trying to wake her up and feed her. No point doing that now, pump will have switched the basal off already, let's see what happens. 5mins later she was 4.4, now sitting comfortably at 5.8. And I haven’t even had to move! 🙂🙂🙂
 
Sally71 said:
Presumably a fully artificial pancreas deals with meals as well as basal automatically? That would be incredible! I notice it mentions Tandem and Dexcom as being involved - we’ve got those now!
Got the Dexcoms yesterday and are now running on Basal IQ which will deal with low glucose events automatically but not highs. We should eventually be able to get Control IQ which will deal with highs also and run the basal completely automatically, daughter will still have to input meal boluses herself though, can’t imagine not having to do those any more! Technology is really improving isn’t it.

Just basal IQ alone is amazing though. We've been using it less than 12 hours so far. I used to check daughter once in the night, now I don’t have to. Just over half an hour ago my phone woke me up alerting me to the fact that daughter's blood sugar was 3.6. I've got into the habit of just setting a temp basal of 10% for an hour or two to bring her up again if she drops low at night, easier than trying to wake her up and feed her. No point doing that now, pump will have switched the basal off already, let's see what happens. 5mins later she was 4.4, now sitting comfortably at 5.8. And I haven’t even had to move! 🙂🙂🙂
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That's fantastic @Sally71 ! 🙂
 
A fully artificial pancreas requires more than insulin control, even with control IQ you can still have serious hypos which should require the pancreas / liver to kick in and give you a shot of glucogen in addition to your own manual intervention of jelly babies, orange juice.... Having a second reservoir holding glucose to correct a hypo would be fantastic. Stopping basal delivery is not the full solution - suspending basal and delivering glucose.....
 
Oh yes I forgot about the glucose part of the artificial pancreas, thank you
 
Opposite problem last night, she went really high for some reason, so we had pump and all 3 mobile phones bonging in the middle of the night to alert us. I went into her room, she was still asleep so I wrestled the pump off her and did a correction dose. Then went and kept an eye on my phone to make sure she went back down. She dropped a bit, then sat at 14.3 for what felt like ages (high alarm is set to 14.0) and then dropped further and levelled off at about 9 for the rest of the night. Phones didn’t alarm again but the pump did every few minutes, she however slept peacefully on, we were wide awake though and had to wait nearly an hour before she dropped low enough for the alarm to stop!
 
I have 2 mobile phones that alarm, with Dexcom and Sugarmate Apps on one and both set to alarm. I actually think the vibrating pump and watch are more effective at getting my attention that the alarms.
 
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