Journal
DIABETES CARE
Volume 36, Issue 7, Pages 1851-1858Publisher
AMER DIABETES ASSOC
DOI: 10.2337/dc12-1965
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Funding
- Animas
- Abbott
- DexCom
- Insulet
- LifeScan
- Tandem
- Sanofi
- Roche Diagnostics
- Eli Lilly
- GluMetrics
- Medtronic
- Novo Nordisk
- Roche
- Beckton
- Dickinson and Company
- JDRF [22-2011-649]
- National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Diseases [RO1 DK 085623]
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OBJECTIVE-To evaluate the feasibility of a wearable artificial pancreas system, the Diabetes Assistant (DiAs), which uses a smart phone as a closed-loop control platform. RESEARCH DESIGN AHD METHODS-Twenty patients with type 1 diabetes were enrolled at the Universities of Padova, Montpellier, and Virginia and at Sansum Diabetes Research Institute. Each trial continued for 42 h. The United States studies were conducted entirely in outpatient setting (e.g., hotel or guest house); studies in Italy and France were hybrid hospital hotel admissions. A continuous glucose monitoring/pump system (Dexcom Seven Plus/Omnipod) was placed on the subject and was connected to DiAs. The patient operated the system via the DiAs user interface in open-loop mode (first 14 h of study), switching to closed-loop for the remaining 28 h. Study personnel monitored remotely via 3G or WiFi connection to DiAs and were available on site for assistance. RESULTS-The total duration of proper system communication functioning was 807.5 h (274 h in open-loop and 533.5 h in closed-loop), which represented 97.7% of the total possible time from admission to discharge. This exceeded the predetermined primary end point of 80% system functionality. CONCLUSIONS-This study demonstrated that a contemporary smart phone is capable of running outpatient closed-loop control and introduced a prototype system (DiAs) for further investigation. Following this proof of concept, future steps should include equipping insulin pumps and sensors with wireless capabilities, as well as studies focusing on control efficacy and patient-oriented clinical outcomes.
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