دورية أكاديمية

Closed-loop insulin delivery: update on the state of the field and emerging technologies.

التفاصيل البيبلوغرافية
العنوان: Closed-loop insulin delivery: update on the state of the field and emerging technologies.
المؤلفون: Ware, Julia, Hovorka, Roman
بيانات النشر: Informa UK Limited
Department of Paediatrics
//dx.doi.org/10.1080/17434440.2022.2142556
Expert Rev Med Devices
سنة النشر: 2022
المجموعة: Apollo - University of Cambridge Repository
مصطلحات موضوعية: Artificial pancreas, automated insulin delivery, continuous glucose monitoring, hybrid closed-loop, insulin pump, type 1 diabetes, Humans, Insulin, Diabetes Mellitus, Type 1, Blood Glucose, Insulin Infusion Systems, Blood Glucose Self-Monitoring
الوصف: INTRODUCTION: Over the last five years, closed-loop insulin delivery systems have transitioned from research-only to real-life use. A number of systems have been commercialized and are increasingly used in clinical practice. Given the rapidity of new developments in the field, understanding the capabilities and key similarities and differences of current systems can be challenging. This review aims to provide an update on the state of the field of closed-loop insulin delivery systems, including emerging technologies. AREAS COVERED: We summarize key clinical safety and efficacy evidence of commercial and emerging insulin-only hybrid closed-loop systems for type 1 diabetes. A literature search was conducted and clinical trials using closed-loop systems during free-living conditions were identified to report on safety and efficacy data. We comment on emerging technologies and adjuncts for closed-loop systems, as well as non-technological priorities in closed-loop insulin delivery. EXPERT OPINION: Commercial hybrid closed-loop insulin delivery systems are efficacious, consistently improving glycemic control when compared to standard therapy. Challenges remain in widespread adoption due to clinical inertia and the lack of resources to embrace technological developments by health care professionals.
نوع الوثيقة: article in journal/newspaper
وصف الملف: Print-Electronic; application/pdf
اللغة: English
العلاقة: https://www.repository.cam.ac.uk/handle/1810/343602Test
DOI: 10.17863/CAM.91028
الإتاحة: https://doi.org/10.17863/CAM.91028Test
https://www.repository.cam.ac.uk/handle/1810/343602Test
حقوق: Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.D68FADD9
قاعدة البيانات: BASE