History and Perspective on DIY Closed Looping.
History and Perspective on DIY Closed Looping.
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DOI：
10.1177/1932296818808307
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发表时间：
2019-07-01
影响因子：
5
通讯作者：
Lewis, Dana
中科院分区：
文献类型：
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作者：
Lewis, Dana
几十年来，糖尿病患者一直在试验和自我修改糖尿病设备和技术，以实现最佳的生活质量并改善其长期结果。现在全球有数百人使用DIY闭环系统。它们在基本层面上与商业系统类似，自动调节和控制胰岛素剂量，但在透明度，访问，定制和可用性方面有所不同。DIY闭环的潜在缺点包括个人HCP的不同反应，他们可能担心自己的责任。然而，这个自我选择的社区（包括全球成人和儿科人群）的初步结果是积极的。现在已经有几项研究记录了A1c的改善，范围内的时间和其他结果，如生活质量的好处。建议开展更多关于改善生活质量的研究，并加强公司与社区之间的合作。
People with diabetes have been experimenting and self-modifying diabetes devices and technologies for many decades, in order to achieve the best possible quality of life and improving their long-term outcomes. There are now hundreds of individuals using DIY closed loop systems globally. They work similarly to commercial systems at a basic level, automatically adjusting and controlling insulin dosing, but are different in terms of transparency, access, customization, and usability. The potential downsides to DIY closed looping include varying responses from individual HCPs, who may be concerned about their own liability. However, initial outcomes from this self-selected community (including adult and pediatric populations globally) have been positive. There have now been several studies documenting improvements in A1c, time in range, and other outcomes such as quality-of-life benefits. More studies on quality-of-life improvements and more collaboration between companies and the community are recommended.