Consensus recommendations for the use of automated insulin delivery technologies in clinical practice

Abstract

The significant and growing global prevalence of diabetes continues to challenge people with diabetes (PwD), healthcare providers, and payers. While maintaining near-normal glucose levels has been shown to prevent or delay the progression of the long-term complications of diabetes, a significant proportion of PwD are not attaining their glycemic goals. During the past 6 years, we have seen tremendous advances in automated insulin delivery (AID) technologies. Numerous randomized controlled trials and real-world studies have shown that the use of AID systems is safe and effective in helping PwD achieve their long-term glycemic goals while reducing hypoglycemia risk. Thus, AID systems have recently become an integral part of diabetes management. However, recommendations for using AID systems in clinical settings have been lacking. Such guided recommendations are critical for AID success and acceptance. All clinicians working with PwD need to become familiar with the available systems in order to eliminate disparities in diabetes quality of care. This report provides much-needed guidance for clinicians who are interested in utilizing AIDs and presents a comprehensive listing of the evidence payers should consider when determining eligibility criteria for AID insurance coverage.

Metadata

Item Type:	Article
Authors/Creators:	Phillip, M. https://orcid.org/0000-0002-6616-5612 Nimri, R. https://orcid.org/0000-0003-3571-4938 Bergenstal, R.M. https://orcid.org/0000-0002-9050-5584 Barnard-Kelly, K. https://orcid.org/0000-0002-3888-3123 Danne, T. https://orcid.org/0000-0002-8424-3944 Hovorka, R. https://orcid.org/0000-0003-2901-461X Kovatchev, B.P. https://orcid.org/0000-0003-0495-3901 Messer, L.H. https://orcid.org/0000-0001-7493-0989 Parkin, C.G. https://orcid.org/0000-0001-6838-5355 Ambler-Osborn, L. Amiel, S.A. https://orcid.org/0000-0003-2686-5531 Bally, L. https://orcid.org/0000-0003-1993-7672 Beck, R.W. https://orcid.org/0000-0002-5194-8446 Biester, S. Biester, T. https://orcid.org/0000-0001-8051-5562 Blanchette, J.E. https://orcid.org/0000-0002-6714-4792 Bosi, E. Boughton, C.K. https://orcid.org/0000-0003-3272-9544 Breton, M.D. https://orcid.org/0000-0001-7645-2693 Brown, S.A. https://orcid.org/0000-0002-8658-6270 Buckingham, B.A. https://orcid.org/0000-0003-4581-4887 Cai, A. Carlson, A.L. https://orcid.org/0000-0002-5738-2818 Castle, J.R. https://orcid.org/0000-0003-1179-5374 Choudhary, P. https://orcid.org/0000-0001-7635-4735 Close, K.L. Cobelli, C. https://orcid.org/0000-0002-0169-6682 Criego, A.B. Davis, E. https://orcid.org/0000-0003-4244-5473 de Beaufort, C. https://orcid.org/0000-0003-4310-6799 de Bock, M.I. https://orcid.org/0000-0003-0454-6679 DeSalvo, D.J. https://orcid.org/0000-0002-0440-3339 DeVries, J.H. https://orcid.org/0000-0001-9196-9906 Dovc, K. https://orcid.org/0000-0001-9201-2145 Doyle, F.J. Ekhlaspour, L. https://orcid.org/0000-0002-3263-1419 Shvalb, N.F. https://orcid.org/0000-0001-9612-6983 Forlenza, G.P. Gallen, G. Garg, S.K. Gershenoff, D.C. Gonder-Frederick, L.A. https://orcid.org/0000-0002-3009-2626 Haidar, A. Hartnell, S. Heinemann, L. https://orcid.org/0000-0003-2493-1304 Heller, S. https://orcid.org/0000-0002-2425-9565 Hirsch, I.B. https://orcid.org/0000-0003-1675-8417 Hood, K.K. https://orcid.org/0000-0001-5730-7749 Isaacs, D. https://orcid.org/0000-0002-5743-9458 Klonoff, D.C. Kordonouri, O. Kowalski, A. Laffel, L. https://orcid.org/0000-0002-9675-3001 Lawton, J. Lal, R.A. https://orcid.org/0000-0002-8055-944X Leelarathna, L. https://orcid.org/0000-0001-9602-1962 Maahs, D.M. https://orcid.org/0000-0002-4602-7909 Murphy, H.R. Nørgaard, K. O’Neal, D. Oser, S. https://orcid.org/0000-0002-9640-3087 Oser, T. https://orcid.org/0000-0002-0405-3420 Renard, E. https://orcid.org/0000-0002-3407-7263 Riddell, M.C. https://orcid.org/0000-0001-6556-7559 Rodbard, D. https://orcid.org/0000-0002-5547-3564 Russell, S.J. Schatz, D.A. https://orcid.org/0000-0002-1044-5762 Shah, V.N. https://orcid.org/0000-0002-3827-7107 Sherr, J.L. https://orcid.org/0000-0001-9301-3043 Simonson, G.D. https://orcid.org/0000-0001-5561-2547 Wadwa, R.P. https://orcid.org/0000-0002-4139-2122 Ward, C. Weinzimer, S.A. https://orcid.org/0000-0002-7768-5189 Wilmot, E.G. https://orcid.org/0000-0002-8698-6207 Battelino, T. https://orcid.org/0000-0002-0273-4732
Copyright, Publisher and Additional Information:	© The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Keywords:	automated insulin delivery; closed-loop; consensus recommendations; type 1 diabetes; Humans; Insulin; Hypoglycemic Agents; Diabetes Mellitus, Type 1; Consensus; Blood Glucose; Blood Glucose Self-Monitoring
Dates:	Published: April 2023 Published (online): 6 September 2022 Accepted: 4 August 2022
Institution:	The University of Sheffield
Academic Units:	The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Medicine and Population Health
Depositing User:	Symplectic Sheffield
Date Deposited:	23 Jan 2024 16:48
Last Modified:	23 Jan 2024 16:48
Published Version:	http://dx.doi.org/10.1210/endrev/bnac022
Status:	Published
Publisher:	The Endocrine Society
Refereed:	Yes
Identification Number:	10.1210/endrev/bnac022
Related URLs:	PubMed URL
Open Archives Initiative ID (OAI ID):	oai:eprints.whiterose.ac.uk:207757

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Consensus recommendations for the use of automated insulin delivery technologies in clinical practice

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