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- Also known as automated insulin delivery systems, hybrid closed-loop systems, or smart pumps and sensors
- An artificial pancreas system has three main components, two of which you have to wear at all times: an insulin pump, a continuous glucose monitor (CGM), and an algorithm (the “brain” that determines the best insulin dose to help keep you in range”)
- Measures glucose and adjusts insulin automatically; gives less insulin when blood sugar is low and more insulin when blood sugar is high
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- Requires fewer decisions/calculations as the system does much of it for you
- More time in range with fewer highs and lows
- Fewer finger sticks and injections
- Has been shown to improve time-in-range, even during sleep
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- Requires wearing two devices at all times
- Daily T1D management still required (count carbs, boluses, adjust for exercise, etc.)
- More alerts and alarms, can cause “alarm fatigue” for some
Artificial Pancreas/ Automated Insulin Delivery Systems Available in the US
|
|
Insulet Omnipod® 5 |
Medtronic MiniMed™ 630G System |
Medtronic MiniMed™ 770G System |
Medtronic MiniMed™ 780G System |
Tandem Diabetes t:slim X2™ with Basal-IQ/Control-IQ Technology |
DIY |
|
FDA Approved? |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
|
Ages |
2+ |
14+ when used with Guardian™ Sensor 3, |
2+ |
7+ |
6+ |
n/a |
|
CGM Pairing |
Dexcom® G6 |
Medtronic |
Medtronic |
Medtronic |
Dexcom® G6 |
n/a |
|
Basal automation? |
Automated basal insulin delivery calculated from total daily insulin, which is updated with each pod change |
Automated basal suspension to respond to hypoglycemia |
Automated basal insulin delivery calculated based on total daily insulin from past 2-6 days (“auto basal”) |
Automated adjustment of basal insulin delivery. |
Automated basal insulin delivery that increases or decreases programmed basal rates (Basal-IQ and Control-IQ) |
Yes (OpenAPS and Loop) |
|
Bolus automation? |
No (adaptive basal only to respond to hyperglycemia) |
No |
No (adaptive basal only to respond to hyperglycemia). When a BG over 150 mg/dL is entered, Auto Mode may recommend a correction bolus. |
Yes, auto-correction bolus |
Yes, auto-correction bolus (max 1/hour) if glucose predicted to be >180 mg/dL, delivers 60% of calculated dose (Control-IQ only) |
n/a |
|
High/Low Blood Glucose Alerts |
Yes |
Yes |
Yes |
Yes |
Yes |
n/a |
|
Smartphone Enabled? |
Yes |
No |
Yes |
Yes |
Yes |
Yes (OpenAPS and Loop) |
|
Software Updates? |
Yes |
No |
Yes |
Yes |
Yes |
n/a |
|
More Information |
n/a |
Getting an artificial pancreas system
If you think an artificial pancreas system might be right for you, consult with your physician.
Visit DiabetesWise.org for information about:
- Other people’s experiences using insulin pumps
- Key questions to ask your diabetes care team
- Support resources
Other Resources
Consult other JDRF and Med-IQ T1D resources for healthcare professionals.
Original content developed by Med-IQ in collaboration with JDRF.