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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

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


Authors

Tomás P Griffin

Geraldine Gallen

Sara Hartnell

Thomas Crabtree

Melissa Holloway

Fraser W Gibb

Alistair Lumb

Dr EMMA WILMOT Emma.Wilmot@nottingham.ac.uk
Clinical Associate Professor in Diabetes and Endocrinology

Pratik Choudhary

Sufyan Hussain



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.]

Citation

Griffin, T. P., Gallen, G., Hartnell, S., Crabtree, T., Holloway, M., Gibb, F. W., …Hussain, S. (2023). UK's Association of British Clinical Diabetologist's Diabetes Technology Network (ABCD-DTN): Best practice guide for hybrid closed-loop therapy. Diabetic Medicine, 41(3), Article e15078. https://doi.org/10.1111/dme.15078

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

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