Hands On Webinar | Troubleshooting Cheat Sheet for AID Systems in the Primary Care Setting | Recording-Troubleshooting Cheat Sheet for AID Systems in the Primary Care Setting

Video Transcription

Video Summary

The webinar "Hands-on Tips to Improve Diabetes Care" focused on troubleshooting automated insulin delivery (AID) systems in primary care. Moderated by Yangguang Zheng from NYU, experts Kelly Gaffney and Kate Haynes reviewed several insulin pump technologies, including the Islet Bionic Pancreas, Tandem insulin pumps, Omnipod 5, Medtronic 780G, and the Twist system.<br /><br />Key points about these systems:<br /><br />- Islet Bionic Pancreas automates insulin dosing relying on user meal announcements and continuous glucose monitoring (CGM) with Dexcom and Libre sensors. It requires users to identify "usual-for-me" meals early to optimize dosing and emphasizes the importance of backup plans for CGM unavailability.<br /><br />- Tandem’s ControlIQ system adjusts basal insulin every 5 minutes with predictive algorithms but does not learn from patient behavior. Users can adjust basal rates, carb ratios, and correction factors. Reports accessed via TandemSource highlight glucose trends, insulin delivery, and meal boluses.<br /><br />- Omnipod 5 is adaptive to insulin needs based on total daily insulin and predicts glucose excursions every 5 minutes. It features customizable targets and is connected through the Gluco platform. Common issues include sensor connectivity and carb dosing behaviors.<br /><br />- Medtronic 780G uses adaptive basal rates and auto-corrections, with CareLink Clinic for data access. Challenges include sensor wear, connection issues, inconsistent bolusing, and device automation exit.<br /><br />- Twist, a newer system working with Libre 3+, is iPhone-based and adaptive with unique features like entering carbs used for hypoglycemia treatment to adjust insulin delivery.<br /><br />The panel emphasized the importance of interpreting pump reports using frameworks like CARES or CASE to guide patient counseling, troubleshoot issues such as sensor connectivity or carb entry lapses, and optimize pump settings. They highlighted the need for regular follow-up to adjust for changes like GLP-1 use or weight variation. Practical tips included encouraging carb counting, timely bolusing, and maintaining consistent sensor usage. Providers were encouraged to leverage pump trainers, device reps, and certified educators as resources to support patient education and optimize diabetes management.

Keywords

Automated Insulin Delivery

Islet Bionic Pancreas

Tandem ControlIQ

Omnipod 5

Medtronic 780G

Twist insulin pump

Continuous Glucose Monitoring

Diabetes management

Insulin pump troubleshooting

Patient education