Advances in Closed-Loop Insulin Delivery Systems in Patients with Type 1 Diabetes

Vikash Dadlani, Jordan E. Pinsker, Eyal Dassau, Yogish C Kudva

Research output: Contribution to journalReview article

9 Scopus citations

Abstract

Purpose of Review: To provide a current review of closed-loop insulin delivery or artificial pancreas (AP) as therapy for people with type 1 diabetes mellitus (T1D) Recent Findings: The Medtronic Minimed 670G AP system has been in use in clinical practice since March 2017. Currently, Medtronic is conducting a large randomized clinical trial to evaluate its efficacy further in T1D. Simultaneously, the NIH has funded four research consortia to accelerate progress to approval of other AP and decision support systems. Several research groups are currently developing next-generation AP systems, with a number of companies moving toward releasing closed-loop systems in the future. AP systems are also being tested in select populations such as hypoglycemia-unaware T1D and pregnant T1D. Summary: AP research is rapidly advancing. The clinical range of AP will be expanded in the next decade.

Original languageEnglish (US)
Article number88
JournalCurrent Diabetes Reports
Volume18
Issue number10
DOIs
StatePublished - Oct 1 2018

Keywords

  • Artificial pancreas
  • Closed loop
  • Glycemic variability
  • Hypoglycemia
  • Type 1 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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