Closed-loops could benefit people with type-2

[Bruce Stephens]

This is fully closed-loop (no need to bolus for food) with people using insulin and an HbA1c over 9% (75) at the start.

(I really wish everyone would use the now standard units for such things. Or at least include the values in standard units in press releases!)

They note a number of caveats and there's no suggestion that the technology might be cost effective (or for who).

Closed-loop technology could benefit people with type 2 diabetes

The results from a world-first trial testing closed-loop technology for the management of type 2 diabetes have been announced by scientists at the University of Cambridge.

www.diabetes.org.uk

 

[Lucyr]

Can’t even get libre here so can’t imagine closed loop ever being available for t2!!

 

[Bruce Stephens]

Can’t even get libre here so can’t imagine closed loop ever being available for t2!!

The article suggests that it might be that most of the benefit could be obtained just with CGMs (or just with pumps): that trial just can't tell.

 

[everydayupsanddowns]

Hope access to technology for those with T2 who would benefit (and want it) becomes far more equable.

It’s such a skewed playing field

 

[Lucyr]

Hope access to technology for those with T2 who would benefit (and want it) becomes far more equable.

It’s such a skewed playing field

It’s so annoying, I read the local libre guidelines for T2 on MDI testing 8+ times a day today, because I have another appointment coming up and I easily meet 8+ times a day now I’m trying to take up more exercise and improve bgs generally.

It’s nearly a year since NICE guidelines said T2 on MDI testing 8+ times a day could have libre. Local decision at end of 2022 is that T2 can only have libre if they’re on MDI and have a learning disability, and that this will be reviewed again at the end of 2024.

Can’t remember how to do the faces so imagine a grumpy one.

 

[Bruce Stephens]

Local decision at end of 2022 is that T2 can only have libre if they’re on MDI and have a learning disability, and that this will be reviewed again at the end of 2024.

So stupid! We all know what Partha Kar's response would be: NICE recommends it so it's the standard of care, and GPs and other prescribers should prescribe appropriately regardless of attempts to prevent it.

 

[Lucyr]

So stupid! We all know what Partha Kar's response would be: NICE recommends it so it's the standard of care, and GPs and other prescribers should prescribe appropriately regardless of attempts to prevent it.

Don’t think he’s that invested in T2 really, for T1 libre there were all the maps and pressure to rollout in all areas. For T2, no one seems to be interested in making sure that areas are following the guidance.

 

[Bruce Stephens]

Don’t think he’s that invested in T2 really, for T1 libre there were all the maps and pressure to rollout in all areas. For T2, no one seems to be interested in making sure that areas are following the guidance.

Perhaps. He has seemed (to me) to concentrate on T1 things, because (I think) he saw the opportunities for improvement. But his position (as consultant or as national specialty advisor in NHS England) isn't T1 specific. I suspect he's just as interested in the NICE guidelines for T2 being followed. The guidelines are more conditional so it's presumably less easy to produce maps and things.