Language

English

Publication Date

3-4-2023

Journal

Endocrine Reviews

DOI

10.1210/endrev/bnac022

PMID

36066457

PMCID

PMC9985411

PubMedCentral® Posted Date

9-6-2022

PubMedCentral® Full Text Version

Post-print

Abstract

The significant and growing global prevalence of diabetes continues to challenge people with diabetes (PwD), healthcare providers, and payers. While maintaining near-normal glucose levels has been shown to prevent or delay the progression of the long-term complications of diabetes, a significant proportion of PwD are not attaining their glycemic goals. During the past 6 years, we have seen tremendous advances in automated insulin delivery (AID) technologies. Numerous randomized controlled trials and real-world studies have shown that the use of AID systems is safe and effective in helping PwD achieve their long-term glycemic goals while reducing hypoglycemia risk. Thus, AID systems have recently become an integral part of diabetes management. However, recommendations for using AID systems in clinical settings have been lacking. Such guided recommendations are critical for AID success and acceptance. All clinicians working with PwD need to become familiar with the available systems in order to eliminate disparities in diabetes quality of care. This report provides much-needed guidance for clinicians who are interested in utilizing AIDs and presents a comprehensive listing of the evidence payers should consider when determining eligibility criteria for AID insurance coverage.

Keywords

Humans, Insulin, Hypoglycemic Agents, Diabetes Mellitus, Type 1, Consensus, Blood Glucose, Blood Glucose Self-Monitoring, automated insulin delivery, closed-loop, type 1 diabetes, consensus recommendations

Published Open-Access

yes

Additional Files
bnac022_ga1.jpg (116 kB)
Graphical Abstract
Download

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.