Automated Insulin Delivery Systems in Pediatric Type 1 Diabetes: A Narrative Review

Author:

Adolfsson Peter12ORCID,Hanas Ragnar13,Zaharieva Dessi P.4ORCID,Dovc Klemen56,Jendle Johan78ORCID

Affiliation:

1. Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

2. Department of Pediatrics, The Hospital of Halland Kungsbacka, Kungsbacka, Sweden

3. Department of Pediatrics, NU Hospital Group, Uddevalla, Sweden

4. Division of Endocrinology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA

5. Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

6. Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, University Children’s Hospital, Ljubljana, Slovenia

7. School of Medicine, Institute of Medical Sciences, Örebro University, Örebro, Sweden

8. Diabetes Endocrinology and Metabolism Research Centre, Örebro University, Örebro, Sweden

Abstract

This narrative review assesses the use of automated insulin delivery (AID) systems in managing persons with type 1 diabetes (PWD) in the pediatric population. It outlines current research, the differences between various AID systems currently on the market and the challenges faced, and discusses potential opportunities for further advancements within this field. Furthermore, the narrative review includes various expert opinions on how different AID systems can be used in the event of challenges with rapidly changing insulin requirements. These include examples, such as during illness with increased or decreased insulin requirements and during physical activity of different intensities or durations. Case descriptions give examples of scenarios with added user-initiated actions depending on the type of AID system used. The authors also discuss how another AID system could have been used in these situations.

Publisher

SAGE Publications

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