keyword
https://read.qxmd.com/read/38557128/comparative-effectiveness-of-hybrid-closed-loop-automated-insulin-delivery-systems-among-patients-with-type-1-diabetes
#1
JOURNAL ARTICLE
Sara Folk, Janet Zappe, Kathleen Wyne, Kathleen M Dungan
BACKGROUND: Clinical trials have demonstrated the efficacy and safety of hybrid closed-loop (HCL) systems, yet few studies have compared outcomes in the real-world setting. METHOD: This retrospective study analyzed patients from an academic endocrinology practice between January 1, 2018, and November 18, 2022. The inclusion criteria were diagnosis code for type I diabetes (T1D), >18 years of age, new to any HCL system [Medtronic 670G/770G (MT), Tandem Control IQ (CIQ), or Omnipod 5 (OP5)], and availability of a pump download within three months...
April 1, 2024: Journal of Diabetes Science and Technology
https://read.qxmd.com/read/38536664/pharmacokinetics-of-subcutaneous-ketamine-administration-via-the-omnipod%C3%A2-system-in-dogs
#2
JOURNAL ARTICLE
Claudia Colón, Peter Early, Karen Muñana, Natasha Olby, Christopher Mariani, Shelby Mancini, Gilad Fefer, Zhong Li, Jessica Briley, Kate Bailey, Duncan Lascelles, Kristen Messenger
Ketamine is an injectable anesthetic agent with analgesic and antidepressant effects that can prevent maladaptive pain. Ketamine is metabolized by the liver into norketamine, an active metabolite. Prior rodent studies have suggested that norketamine is thought to contribute up to 30% of ketamine's analgesic effect. Ketamine is usually administered as an intravenous (IV) bolus injection or continuous rate infusion (CRI) but can be administered subcutaneously (SC) and intramuscularly (IM). The Omnipod® is a wireless, subcutaneous insulin delivery device that adheres to the skin and delivers insulin as an SC CRI...
March 27, 2024: Journal of Veterinary Pharmacology and Therapeutics
https://read.qxmd.com/read/38456441/a-three-arm-randomized-controlled-study-comparing-patient-reported-outcomes-in-people-with-type-1-diabetes-using-continuous-subcutaneous-insulin-infusion-or-multiple-daily-injections
#3
JOURNAL ARTICLE
Katharine Barnard-Kelly, Florian Thienel, Julia K Mader, Nick Oliver, Edward Franek, Iris Vesper, Nicole Dagenbach, Gerhard Vogt, Tobias Etter, Thomas Künsting
BACKGROUND: The aim of this study was to compare patient-reported outcomes (PROs) in people with type 1 diabetes using either continuous subcutaneous insulin infusion (CSII) with two different insulin patch pumps or multiple daily injections (MDIs). MATERIALS AND METHODS: In this randomized three-arm study, people with type 1 diabetes on MDI therapy were included and used either MDI, the Accu-Chek Solo micropump system (Solo) or Omnipod for 26 weeks. From weeks 26 to 39, all participants used CSII with Solo...
March 8, 2024: Journal of Diabetes Science and Technology
https://read.qxmd.com/read/38417535/real-world-outcomes-of-omnipod-dash-system-use-in-people-with-type-1-diabetes-evidence-from-the-association-of-british-clinical-diabetologists-abcd-study
#4
JOURNAL ARTICLE
Alexandros L Liarakos, Nebras Hasan, Thomas S J Crabtree, Lalantha Leelarathna, Peter Hammond, Sufyan Hussain, Masud Haq, Aisha Aslam, Erneda Gatdula, Fraser W Gibb, Alistair Lumb, Kirsty Bull, Eswari Chinnasamy, Giorgio Carrieri, David M Williams, Pratik Choudhary, Robert E J Ryder, Emma G Wilmot
AIMS: To evaluate real-world outcomes in people with Type 1 Diabetes (PwT1D) initiated on Omnipod DASH® Insulin Management System. METHODS: Anonymized clinical data were submitted to a secure web-based tool within the National Health Service network. Hemoglobin A1c (HbA1c), sensor-derived glucometrics, total daily dose of insulin (TDD), and patient-reported outcome changes between baseline and follow-up were assessed. Individuals were classified to "new-to-pump" (switched from multiple daily injections) and "established-on-pump" (switched from a tethered insulin pump) groups...
February 26, 2024: Diabetes Research and Clinical Practice
https://read.qxmd.com/read/38375861/real-world-evidence-of-omnipod-%C3%A2-5-automated-insulin-delivery-system-use-in-69-902-people-with-type-1-diabetes
#5
JOURNAL ARTICLE
Gregory P Forlenza, Daniel J DeSalvo, Grazia Aleppo, Emma G Wilmot, Cari Berget, Lauren M Huyett, Irene Hadjiyianni, José J Méndez, Lindsey R Conroy, Trang T Ly, Jennifer L Sherr
Background: The Omnipod® 5 Automated Insulin Delivery System was associated with favorable glycemic outcomes for people with type 1 diabetes (T1D) in two pivotal clinical trials. Real-world evidence is needed to explore effectiveness in nonstudy conditions. Methods: A retrospective analysis of the United States Omnipod 5 System users (aged ≥2 years) with T1D and sufficient data (≥90 days of data; ≥75% of days with ≥220 continuous glucose monitor readings/day) available in Insulet Corporation's device and person-reported datasets as of July 2023 was performed...
February 16, 2024: Diabetes Technology & Therapeutics
https://read.qxmd.com/read/38373265/treatment-satisfaction-with-omnipod-dash-in-adults-with-type-1-diabetes-a-non-blinded-1-1-randomized-controlled-trial
#6
JOURNAL ARTICLE
Yee Wen Kong, Cheng Yi Yuan, Katerina Kiburg, Katrin Brown, Steven Trawley, Andi Partovi, Kerryn Roem, Cecilia Pham, Natalie Harrison, Spiros Fourlanos, Elif I Ekinci, David N O'Neal
OBJECTIVE: We compared treatment satisfaction with a tubeless insulin pump (Omnipod DASH® Insulin Management System) to usual care (multiple daily injections [MDI] or tubed insulin pump therapy [IPT]) in adults with type 1 diabetes using self-monitoring blood glucose (SMBG). RESEARCH DESIGN AND METHODS: Adults with type 1 diabetes on MDI (n = 40) or IPT (n = 25) from four diabetes centers in Australia were randomized in a 1:1 non-blinded manner to Omnipod DASH System (Omnipod group) or continue usual care (Usual Care group) for 12 weeks, followed by a further 12-week extension where all participants used the device...
February 19, 2024: Journal of Clinical Endocrinology and Metabolism
https://read.qxmd.com/read/38309532/-you-can-hide-it-if-you-want-to-you-can-let-it-be-seen-if-you-want-to-a-qualitative-study-of-the-lived-experiences-of-australian-adults-with-type-1-diabetes-using-the-omnipod-dash%C3%A2-system
#7
JOURNAL ARTICLE
Amber Stocco, Steven Trawley, Yee Wen Kong, Cheng Yi Yuan, Katerina Kiburg, Cecilia Pham, Katrin Brown, Andi Partovi, Kerryn Roem, Natalie Harrison, Spiros Fourlanos, Elif I Ekinci, David N O'Neal
AIMS: Understanding the lived experience of using a tubeless insulin pump and how this differs compared to usual care (tubed insulin pump therapy (IPT) vs multiple daily injections (MDI)). METHODS: Interviews were conducted after 12-weeks of using the Omnipod DASH Insulin Management System (Insulet, Acton, MA) and analysed using thematic analysis. RESULTS: Fifty-eight adults (35 female; mean age 42;SD 13 years; 35 previous MDI) were interviewed...
February 1, 2024: Diabetes Research and Clinical Practice
https://read.qxmd.com/read/38277156/glycemic-outcomes-persist-for-up-to-2-years-in-very-young-children-with-the-omnipod%C3%A2-5-automated-insulin-delivery-system
#8
JOURNAL ARTICLE
Daniel J DeSalvo, Bruce Bode, Gregory P Forlenza, Lori Mb Laffel, Bruce A Buckingham, Amy Criego, Melissa Schoelwer, Sarah A MacLeish, Jennifer L Sherr, David Hansen, Trang T Ly
BACKGROUND: To evaluate the long-term safety and effectiveness of the Omnipod® 5 Automated Insulin Delivery (AID) System in very young children with type 1 diabetes with up to 2 years of use. METHODS: Following a 13-week single-arm, multicenter, pivotal trial that took place after 14 days of standard therapy data collection, participating children (aged 2-5.9 years at study enrollment) were provided the option to continue use of the AID system in an extension phase...
January 26, 2024: Diabetes Technology & Therapeutics
https://read.qxmd.com/read/37960845/privacy-concerns-related-to-data-sharing-for-european-diabetes-devices
#9
JOURNAL ARTICLE
Pietro Randine, Matthias Pocs, John Graham Cooper, Dimitrios Tsolovos, Miroslav Muzny, Rouven Besters, Eirik Årsand
BACKGROUND: Individuals with diabetes rely on medical equipment (eg, continuous glucose monitoring (CGM), hybrid closed-loop systems) and mobile applications to manage their condition, providing valuable data to health care providers. Data sharing from this equipment is regulated via Terms of Service (ToS) and Privacy Policy documents. The introduction of the Medical Devices Regulation (MDR) and In Vitro Diagnostic Medical Devices Regulation (IVDR) in the European Union has established updated rules for medical devices, including software...
November 13, 2023: Journal of Diabetes Science and Technology
https://read.qxmd.com/read/37850941/two-years-with-a-tubeless-aid-system-a-single-arm-multicenter-trial-in-children-adolescents-and-adults-with-type-1-diabetes
#10
JOURNAL ARTICLE
Amy Criego, Anders L Carlson, Sue Brown, Gregory P Forlenza, Bruce Bode, Carol Levy, David Hansen, Irl B Hirsch, Richard M Bergenstal, Jennifer L Sherr, Sanjeev Mehta, Lori Mb Laffel, Viral N Shah, Anuj Bhargava, Ruth S Weinstock, Sarah A MacLeish, Daniel J DeSalvo, Thomas C Jones, Grazia Aleppo, Bruce A Buckingham, Trang T Ly
BACKGROUND: The Omnipod® 5 Automated Insulin Delivery (AID) System was shown to be safe and effective following 3 months of use in people with type 1 diabetes (T1D); however, data on the durability of these results are limited. This study evaluated the long-term safety and effectiveness of Omnipod 5 use in people with T1D during up to 2 years of use. METHODS: After a 3-month single-arm, multicenter, pivotal trial in children (6-13.9y) and adolescents/adults (14-70y), participants could continue system use in an extension phase...
October 18, 2023: Diabetes Technology & Therapeutics
https://read.qxmd.com/read/37814352/a-pilot-randomised-controlled-parallel-arm-trial-evaluating-treatment-satisfaction-with-the-omnipod-dash-%C3%A2-insulin-management-system-compared-with-usual-care-in-adults-with-type-1-diabetes-in-australia-rationale-study-design-and-methodologies
#11
JOURNAL ARTICLE
Yee Wen Kong, Cheng Yi Yuan, Katerina Kiburg, Katrin Brown, Steven Trawley, Andi Partovi, Kerryn Roem, Natalie Harrison, Spiros Fourlanos, Elif I Ekinci, David N O'Neal
BACKGROUND: Insulin pump therapy (IPT) improves glucose control in people with type 1 diabetes (T1D) compared with multiple daily injections (MDI). However, their size, the tethered insulin infusion set, intrusiveness when operating the device and the need to disconnect during showering limit their acceptance to many who may benefit. The Omnipod DASH® Insulin Management System is a small waterproof tubeless device which is wirelessly controlled by a handheld device which may be an acceptable alternative...
October 9, 2023: Pilot and Feasibility Studies
https://read.qxmd.com/read/37667482/psychosocial-and-glycemic-benefits-for-insulin-using-adults-with-type-2-diabetes-after-six-months-of-pump-therapy-a-quasi-experimental-approach
#12
JOURNAL ARTICLE
William H Polonsky, Emily C Soriano
BACKGROUND: Continuous subcutaneous insulin infusion (CSII) use in adults with type 1 diabetes offers psychosocial and clinical benefits, but little is known about its impact on such outcomes in the type 2 diabetes (T2D) population. To address this gap, we conducted a quasi-experimental prospective study to assess psychosocial, glycemic, and behavioral changes over six months in T2D adults on multiple daily injections (MDI) who were interested in starting Omnipod DASH, comparing those who did versus did not start on it...
September 4, 2023: Journal of Diabetes Science and Technology
https://read.qxmd.com/read/37646634/real-world-glycemic-outcomes-with-early-omnipod5-use-in-youth-with-type-1-diabetes
#13
JOURNAL ARTICLE
Brynn E Marks, Seema Meighan, Anum Zehra, Julia L Douvas, Andrew Rearson, Reshma Suresh, Elizabeth A Brown, Risa Wolf
BACKGROUND: Pivotal trials of diabetes technologies have demonstrated glycemic improvements, however these trials include patients of limited diversity and ranges of glycemic control. We assessed changes in glycemic control during the first 90 days of Omnipod 5 use in a real-world cohort of youth with type 1 diabetes (T1D). METHODS: Youth 2-21 years with T1D initiating Omnipod 5 at two pediatric academic centers were included. 14 days of baseline CGM data were compared against data from the first 90 days of Omnipod 5 use...
August 30, 2023: Diabetes Technology & Therapeutics
https://read.qxmd.com/read/37616289/performance-and-patients-satisfaction-with-the-a7-touchcare-insulin-patch-pump-system-a-randomized-controlled-non-inferiority-study
#14
JOURNAL ARTICLE
Coralie Amadou, Vincent Melki, Jennifer Allain, Sylvaine Clavel, Didier Gouet, Lucy Chaillous, Bogdan Catargi, Pauline Schaeplynck-Belicard, Catherine Petit, Charles Thivolet, Alfred Penfornis
BACKGROUND: We assessed the performance and patient satisfaction of a new insulin patch pump, the A7+TouchCare (Medtrum), compared with the Omnipod system. METHODS: This multicenter, randomized, open-label, controlled study enrolled 100 adult patients with type 1 or type 2 diabetes mellitus (A1C ≥ 6.5% and ≤ 9.5%, i.e., 48 to 80 mmol/mol) who were assigned with the Omnipod or with the A7+TouchCare pump for 3 months. The primary study outcome was the glucose management indicator (GMI) calculated with continuous glucose monitoring (CGM)...
2023: PloS One
https://read.qxmd.com/read/37578778/automated-insulin-delivery-with-remote-real-time-continuous-glucose-monitoring-for-hospitalized-patients-with-diabetes-a-multi-center-single-arm-feasibility-trial
#15
JOURNAL ARTICLE
Georgia M Davis, Michael S Hughes, Sue Brown, Judy Sibayan, M Citlalli Perez-Guzman, Meaghan Stumpf, Zachary Thompson, Marina Basina, Ronak Patel, Joi Hester, Amalia Abraham, Trang T Ly, Cherie Chaney, Marilyn Tan, Liana J Hsu, Craig Kollman, Roy W Beck, Rayhan Adi Lal, Bruce A Buckingham, Francisco Pasquel
Introduction Multiple daily injection (MDI) insulin therapy frequently fails to meet hospital glycemic goals and is prone to hypoglycemia. Automated insulin delivery (AID) with remote glucose monitoring offers a solution to these shortcomings. Research Design and Methods In a single-arm multicenter pilot trial, we tested the feasibility, safety, and effectiveness of the Omnipod 5 AID System with real-time continuous glucose monitoring (CGM) for up to 10 days in hospitalized patients with insulin-requiring requiring diabetes on non-ICU medical-surgical units...
August 14, 2023: Diabetes Technology & Therapeutics
https://read.qxmd.com/read/37311429/swimming-with-the-omnipod-5-automated-insulin-delivery-system-connectivity-in-the-water
#16
LETTER
Michael S Hughes, Ryan S Kingman, Liana Hsu, Rayhan A Lal, Bruce A Buckingham, Dessi P Zaharieva
No abstract text is available yet for this article.
August 1, 2023: Diabetes Care
https://read.qxmd.com/read/37133431/cost-effectiveness-of-the-tubeless-automated-insulin-delivery-system-vs-standard-of-care-in-the-management-of-type-1-diabetes-in-the-united-states
#17
JOURNAL ARTICLE
Joseph E Biskupiak, Mafalda Ramos, Carol J Levy, Greg Forlenza, Colin Hopley, Jennifer Boyd, Dan Swift, Mark Lamotte, Diana I Brixner
BACKGROUND: A tubeless, on-body automated insulin delivery (AID) system (Omnipod 5 Automated Insulin Delivery System) demonstrated improved glycated hemoglobin A1c levels and increased time in range (70 mg/dL to 180 mg/dL) for both adults and children with type 1 diabetes in a 13-week multicenter, single-arm study. OBJECTIVE: To assess the cost-effectiveness of the tubeless AID system compared with standard of care (SoC) in the management of type 1 diabetes (T1D) in the United States. METHODS: Cost-effectiveness analyses were conducted from a US payer's perspective, using the IQVIA Core Diabetes Model (version 9...
May 3, 2023: Journal of Managed Care & Specialty Pharmacy
https://read.qxmd.com/read/37098714/impact-of-x-ray-exposure-from-computed-tomography-on-wearable-insulin-delivery-devices
#18
JOURNAL ARTICLE
Frank Dong, Paul Johnson, Grant Fong, Alex Nguyen, Felipe Lauand, Todd Vienneau
BACKGROUND: To investigate the impact of radiation exposure from a computed tomography (CT) scanner on the functional integrity of a wearable insulin delivery system. METHODS: A total of 160 Omnipods and four personal diabetes managers (PDMs) were evenly divided into four groups: (1) control group (no radiation exposure), (2) typical radiation exposure group, (3) 4× typical radiation exposure group, and (4) scatter radiation group. Pods were attached to an anthropomorphic torso phantom on the abdomen (direct irradiation) or shoulder (scatter radiation) region...
April 26, 2023: Journal of Diabetes Science and Technology
https://read.qxmd.com/read/37017916/a-systematic-review-of-commercial-hybrid-closed-loop-automated-insulin-delivery-systems
#19
REVIEW
Sofia Peacock, Isolda Frizelle, Sufyan Hussain
INTRODUCTION: Several different forms of automated insulin delivery systems (AID systems) have recently been developed and are now licensed for type 1 diabetes (T1D). We undertook a systematic review of reported trials and real-world studies for commercial hybrid closed-loop (HCL) systems. METHODS: Pivotal, phase III and real-world studies using commercial HCL systems that are currently approved for use in type 1 diabetes were reviewed with a devised protocol using the Medline database...
May 2023: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://read.qxmd.com/read/36787903/safety-and-efficacy-of-the-omnipod-5-automated-insulin-delivery-system-in-adults-with-type-2-diabetes-from-injections-to-hybrid-closed-loop-therapy
#20
MULTICENTER STUDY
Georgia M Davis, Anne L Peters, Bruce W Bode, Anders L Carlson, Bonnie Dumais, Todd E Vienneau, Lauren M Huyett, Trang T Ly
OBJECTIVE: Automated insulin delivery (AID) has rarely been studied in adults with type 2 diabetes. We tested the feasibility of using AID for type 2 diabetes with the Omnipod 5 System in a multicenter outpatient trial. RESEARCH DESIGN AND METHODS: Participants previously were using either basal-only or basal-bolus insulin injections, with or without the use of a continuous glucose monitor (CGM), and had a baseline HbA1c ≥8% (≥64 mmol/mol). Participants completed 2 weeks of CGM sensor data collection (blinded for those not previously using CGM) with their standard therapy (ST), then transitioned to 8 weeks of AID...
April 1, 2023: Diabetes Care
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