How are they going to improve insulin bombs in the future?

I have been using an insulin bomb for some time and every day I am surprised more about the technological advances that we are living in the management of diabetes.Recently, I read an interview with Professor Ali Cinar del Illinois Institute of Technology, a true reference in the development of automatic systems for glucose control.His ideas about the artificial pancreas and the use of Model Predicive Control (MPC) have made me reflect on the path we are touring.

According to Cinar, the secret for a better glycemic control lies in real -time customization and prediction.This seems fundamental to me, because each of us has a different body, and what works one day, may not work the following.The predictive models that he proposes, adjusted to our daily data, could help us anticipate the ups and downs of glucose before they occur.

In my personal experience, using insulin pump, I have noticed that factors such as stress, sleep or even unexpected food can affect my control significantly, and that these are not taken into account in the calculations that the pump makes for corrections or the control of glucémia.

Cinar's vision of integrating data from physical activity sensors, sleep and stress in these systems seems to me a giant step.Imagining a device that not only manages insulin, but also understands if you have slept badly, you have had a complicated day or have exercised more than usual, it sounds like a dream come true.

However, the teacher also talks about the challenges we still face: the cost of these technologies and the confidence of health professionals.In my case, the decision to opt for a bomb was complicated, but once you get used to it, you understand that this technology can change your life.The cost remains an obstacle to many, and I think that this is where all, governments and insurers, should bet on facilitating access to these solutions.

As an insulin bomb user, I would like to know what you think about these advances.

Do you think it is possible to reach that 90% of time in the rank that Cinar mentions?

I read you in the comments 😊

I am DM1, without any insulin reserves.I am currently in a range between 84-86%.With insulin pens.

Where I have noticed improvements in the control of diabetes, it is in the use of faster and more slow insulins that almost arrive at 24 hours.

In my case, I would not put a bomb because I am not going to improve significantly.But this is my particular case.A child who starts now, with the little training that is being given in hospitals.It has no more alternatives than putting a pump, whether better or worse.

I am afraid, the dependence we have of the technology and the null confidentiality of our medical data.

With a first insulin bomb that I had.I had some improvement.Not like throwing rockets but I notice something.With the second a total lack of control and the worst, a loss of freedom we know of the amount of
daily decisions that the treatment entails and therefore the tiredness that supposes, being all day indicating those variables to the bomb, every two by three (total loss of freedom, as I say. All day the pending day of it, when it is an advantage, the first thing, is that I should forget about it while she does her job) because in my work I have a lotI write down and at half an hour is that no, or it is changed to priority and again a bomb in hand to change parameters) so that I did not start with annoying beeps, for nonsense of most of the time, that, even if they said no, notice that many colleagues did not want to work with me or to my side, if they caught them the brown that something will happen to me.Salu2

fer said:
@fer said:

I have been using an insulin pump for some time and every day I am more surprised by the technological advances we are experiencing in the management of diabetes.Recently, I read an interview with Professor Ali Cinar from the Illinois Institute of Technology, a true reference in the development of automatic systems for glucose control.His ideas about the artificial pancreas and the use of Model Predictive Control (MPC) have made me reflect on the path we are traveling.

As Cinar explains, the secret to better glycemic control lies in personalization and real-time prediction.This seems fundamental to me, because each of us has a different body, and what works one day may not work the same the next.The predictive models he proposes, adjusted to our daily data, could help us anticipate glucose spikes and drops before they occur.

In my personal experience, using the insulin pump, I have noticed that factors such as stress, sleep or even an unexpected meal can significantly affect my control, and that these are not taken into account in the calculations made by the pump for corrections or glycemic control.

Cinar's vision of integrating data from physical activity, sleep and stress sensors into these systems seems like a giant step to me.Imagining a device that not only delivers insulin, but also understands if you've slept poorly, had a rough day, or exercised more than usual sounds like a dream come true.

However, the professor also talks about the challenges we still face: the cost of these technologies and the trust of health professionals.In my case, the decision to opt for a pump was complicated, but once you get used to it, you understand that this technology can change your life.Cost continues to be an obstacle for many, and I believe that this is where everyone, governments and insurers, should focus on facilitating access to these solutions.

As an insulin pump user, I would like to know what you think about these advances.

Do you think it is possible to reach that 90% time in range that Cinar mentions?

I read you in the comments 😊

Hello Fer, if possible, I have been pumping for approximately two years, so as not to dwell on this question, I will tell you that my time in range this last week is 93% and for the month it is 91%, there are many days when I am at 100%, I do high-intensity sports during the week and cycling on the weekends, I work 12 hours a day and in the meantime I am PapiFy.I use a ypsopump closed loop pump with CamAPS FX and MCG FREESTYLE Libre 3+ control software.Believe me it can be done.So take heart and don't get carried away by negative comments, especially if they come from people who have not had this type of Bombas, or who have had things go badly for them, each person is different.Greetings

fer said:
@fer said:

I have been using an insulin pump for some time and every day I am more surprised by the technological advances we are experiencing in the management of diabetes.Recently, I read an interview with Professor Ali Cinar from the Illinois Institute of Technology, a true reference in the development of automatic systems for glucose control.His ideas about the artificial pancreas and the use of Model Predictive Control (MPC) have made me reflect on the path we are traveling.

As Cinar explains, the secret to better glycemic control lies in personalization and real-time prediction.This seems fundamental to me, because each of us has a different body, and what works one day may not work the same the next.The predictive models he proposes, adjusted to our daily data, could help us anticipate glucose spikes and drops before they occur.

In my personal experience, using the insulin pump, I have noticed that factors such as stress, sleep or even an unexpected meal can significantly affect my control, and that these are not taken into account in the calculations made by the pump for corrections or glycemic control.

Cinar's vision of integrating data from physical activity, sleep and stress sensors into these systems seems like a giant step to me.Imagining a device that not only delivers insulin, but also understands if you've slept poorly, had a rough day, or exercised more than usual sounds like a dream come true.

However, the professor also talks about the challenges we still face: the cost of these technologies and the trust of health professionals.In my case, the decision to opt for a pump was complicated, but once you get used to it, you understand that this technology can change your life.Cost continues to be an obstacle for many, and I believe that this is where everyone, governments and insurers, should focus on facilitating access to these solutions.

As an insulin pump user, I would like to know what you think about these advances.

Do you think it is possible to reach that 90% time in range that Cinar mentions?

I read you in the comments 😊

Hello, I am in the similar case of Ypso. I sport every day, work, father and so on. I wear a tandem with IQ control and a G6. I don't have to scan myself, or calculate the insulin units for carbohydrate intake because it calculates it for me. At 45 years of diabetes that I have, the pump is the only thing that has helped me regulate my blood glucose and has given me less worries.

@meginer said:

Fer, what pump do you have and with what sensor?Are you happy?

I carry the YpsoPump with CamAPS FX and the FreeStyle 3 Plus.My experience is very good in general, it has its things, but I can say that I feel more controlled than with the pens, and much calmer.

@fer said:

@meginersaid:
Fer, what pump do you have and with what sensor?Are you happy?

I usually have it updated in my signature... 😋

I carry the YpsoPump with CamAPS FX and the FreeStyle 3 Plus.My experience is very good in general, it has its things, but I can say that I feel more controlled than with the pens, and much calmer.

I have heard that if you move away from the cell phone you go to manual and the automatic system is lost, is that correct?

I don't have a pump but I'm thinking about it.

Thank you

It's really not how you explain it, if you go away for a while and come back a few minutes later, absolutely nothing happens.

The pump has a 30 minute counter and keeps you with the supply you were with, if you exceed that time then it does go into manual mode, but it makes perfect sense.

Imagine that you are delivering a high level of insulin. If you do not control the sensor readings during that time, it is better to switch to manual to avoid scares. In manual, the insulin infusion is minimal.

Regarding the choice, yes I could choose, but I had to wait 1 year.

And about the result, I was not at all clear before switching from the pens to the pump, but today I see the advantages and I tell you clearly not to even think about it, if they offer it to you, do not hesitate, for me the advantages easily compensate for the few problems that getting used to the pump has.