Diabetes at Camp: Basics-Diabetes at Camp: Automated Insulin Delivery Systems (AID)

Diabetes at Camp: Automated Insulin Delivery Systems (AID)

Pdf Summary

The document discusses automated insulin delivery (AID) systems used for diabetes management at camps. It covers various AID components, FDA-approved systems like Medtronic and Omnipod, and differences in pump settings and insulin adjustments. Key similarities among AID pumps include CGM requirement for auto mode and insulin delivery adjustments based on glucose data. Major differences lie in pump settings, auto adjustments, and target glucose levels. The Medtronic 670G/770G respond every 5 minutes, automatically adjusting basal rates to maintain glucose targets. The Medtronic 780G anticipates glucose changes and provides autocorrections, while the Tandem Control IQ suspends insulin before lows and adjusts basal rates. The Omnipod 5 calculates adaptive basal insulin delivery, suspends for predictive lows, and has activity features. The iLet focuses on carb intake, mild hypoglycemia, and no correction boluses. Open source (DIY) systems, like Loop and Open APS, adjust for future glucose levels and operate as open or closed loops. Recommendations include bolusing before meals, addressing alarms promptly, and optimizing AID systems for exercise. Campers can benefit from increased activity before camp to optimize basal adaptive systems. The document emphasizes understanding each system's unique algorithm and adjusting as needed, with the exception of the iLet system.

Keywords

automated insulin delivery systems

diabetes management

AID components

FDA-approved systems

Medtronic

Omnipod

pump settings

insulin adjustments

CGM requirement

glucose data