UK's Association of British Clinical Diabetologist's Diabetes Technology Network (ABCD-DTN): Best practice guide for hybrid closed-loop therapy.


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Authors
Gallen, Geraldine 
Hartnell, Sara 
Crabtree, Thomas 
Holloway, Melissa 
Abstract

This best practice guide is written with the aim of providing an overview of current hybrid closed-loop (HCL) systems in use within the United Kingdom's (UK) National Health Service (NHS) and to provide education and advice for their management on both an individual and clinical service level. The environment of diabetes technology, and particularly HCL systems, is rapidly evolving. The past decade has seen unprecedented advances in the development of HCL systems. These systems improve glycaemic outcomes and reduce the burden of treatment for people with type 1 diabetes (pwT1D). It is anticipated that access to these systems will increase in England as a result of updates in National Institute of Health and Care Excellence (NICE) guidance providing broader support for the use of real-time continuous glucose monitoring (CGM) for pwT1D. NICE is currently undertaking multiple-technology appraisal into HCL systems. Based on experience from centres involved in supporting advanced technologies as well as from the recent NHS England HCL pilot, this guide is intended to provide healthcare professionals with UK expert consensus on the best practice for initiation, optimisation and ongoing management of HCL therapy.

Description
Keywords
artificial pancreas, automated insulin delivery systems, continuous glucose monitoring, hybrid closed loop, insulin pumps, type 1 diabetes, Humans, Blood Glucose, Blood Glucose Self-Monitoring, Diabetes Mellitus, Type 1, England, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, State Medicine, Technology
Journal Title
Diabet Med
Conference Name
Journal ISSN
0742-3071
1464-5491
Volume Title
Publisher
Wiley