Open-source automated insulin delivery: international consensus statement and practical guidance for health-care professionals

Association of British Clinical Diabetologists, Diabetes Technology Network UK and Association of Children’s Diabetes Clinicians Survey of UK Healthcare Professional Attitudes Towards Open-Source Automated Insulin Delivery Systems

“…More recent works have highlighted a potential ethical duty to discuss OS-AID as an option with patients who may benefit, although without clear guidance this would go beyond what many HCPs would find comfortable [ 14 , 15 ]. Formal guidance and consensus, endorsed by an international body of HCPs and professional societies including International Diabetes Federation, ISPAD as well as ABCD DTN-UK, has just been published [ 16 ].…”

Re‐framing type 1 diabetes care through open‐source automated insulin delivery: ‘The (expert) patient will see you now, doctor’

“…In the same month as the most recent update to the ADA Standards of Care (January 2022), the Lancet published a paper entitled, 'Open-source automated insulin delivery: international consensus statement and practical guidance for healthcare professionals'. 2 This remarkable paper is co-authored by 12 individuals, eight of whom have personal experience of using open-source AID systems. It describes the technology (in some detail), covers the (mainly real word) evidence for its use and provides guidance not just for clinicians but also for regulators and medico-legal/ethical experts tasked with deliberating on this disruptive technology and its place in clinical practice.…”

Systeme zur automatisierten Insulinabgabe (AID-Systeme)

“…Schließlich trugen auch die sogenannten „Looper“ zu dem gesteigerten Interesse bei. Das ist eine Community von ausgesprochen kompetenten Patienten mit Typ-1-Diabetes, welche die verfügbaren CGM-Systeme an Insulinpumpen koppeln (diese zum Teil dafür auch „hackten“) und den Abgabealgorithmus selbst programmieren und implementieren [ 2 ]. Weil eine solche Anwendung praktisch einen Selbstversuch darstellt und die verwendeten Insulinpumpen teilweise außerhalb ihrer Zulassungsbestimmungen eingesetzt werden, besitzen solche selbstgebauten AID-Systeme jedoch keine Zulassung.…”