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.