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

Griffin, Tomás P; Gallen, Geraldine; Hartnell, Sara; Crabtree, Thomas; Holloway, Melissa; Gibb, Fraser W; Lumb, Alistair; Willmot, Emma G; Choudhary, Pratik; Hussain, Sufyan

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 are 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 HCL pilot, this guide is intended to provide healthcare professionals (HCPs) with UK expert consensus on the best practice for initiation, optimization and ongoing management of HCL therapy. [Abstract copyright: This article is protected by copyright. All rights reserved.]

• Journal Article Type: Article
• Acceptance Date: Feb 28, 2023
• Online Publication Date: Mar 18, 2023
• Publication Date: 2023-07
• Deposit Date: Feb 14, 2024
• Publicly Available Date: Feb 16, 2024
• Print ISSN: 0742-3071
• Electronic ISSN: 1464-5491
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 41
• Issue: 3
• Article Number: e15078
• DOI: https://doi.org/10.1111/dme.15078
• Keywords: artificial pancreas, insulin pumps, automated insulin delivery systems, Hybrid Closed-Loop, Type 1 diabetes, continuous glucose monitoring
• Public URL: https://nottingham-repository.worktribe.com/output/19287148
• Publisher URL: https://onlinelibrary.wiley.com/doi/10.1111/dme.15078