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Artificial Pancreas to be tested in England
BBC ^ | Nov. 6, 2006

Posted on 11/22/2006 1:46:45 PM PST by Lizavetta

Young to test artificial pancreas

Children in the UK with type 1 diabetes are being recruited to test an artificial pancreas.

The device could allow users to more tightly control their blood glucose levels without the need for repeated jabs to test blood and give insulin.

It could give people with diabetes more flexible lifestyles and defend them better from complications.

The computerised glucose sensor will be tested in a trial run by Cambridge University scientists from January.

The artificial pancreas is made up of the sensor, a computer programme that calculates how much insulin is needed to keep blood sugar in check, and an insulin pump.

The purpose of the trial, run by Dr Roman Hovorka and backed by the Juvenile Diabetes Research Foundation, is to perfect the computer algorithm so the glucose sensor can "talk" to the insulin pump effectively and mimic the work of a normal pancreas.

Dr Hovorka hopes that after a series of clinical trials over the next two years the device could be used by children in their own homes.

He said it could be four to seven years before it is available commercially.

Many diabetics already use an insulin pump - a small device worn outside the body that pumps insulin into the body through a thin tube under the skin - to remove the need for a daily series of injections.

But they still have to test their blood many times each day to measure their blood glucose.

These finger prick tests only give a snap shot of blood glucose.

In comparison, continuous glucose sensors, the size of a credit card and worn on the skin, read glucose levels on a minute-by-minute basis using a small sensor that is inserted under the skin.

Achieving good blood glucose control dramatically lowers the risk of serious complications such as blindness, stroke and premature death.

Studies have found that even patients who aggressively manage their disease - measuring their blood glucose an average of nine times a day - spent less than 30% of the day in normal range. The rest of the time, their blood sugar levels were either too high or too low.

Daily insulin injections and finger prick blood tests are such a tremendous physical and emotional burden JDRF chief executive Karen Addington

Trials show patients using continuous glucose sensors spend 26% more time in normal glucose range, and have statistically significant improvements in a measure of longer-term blood glucose control, called HbA1c.

Cambridge is one of nine international research centres testing the artificial pancreas.

JDRF chief executive Karen Addington said: "Achieving good blood glucose control dramatically lowers the risk of serious complications, by as much as 75% for some problems.

"Once perfected and made available, the artificial pancreas will bring a huge sense of relief to children with type 1 diabetes for whom multiple daily insulin injections and finger prick blood tests are such a tremendous physical and emotional burden."

Cathy Moulton of Diabetes UK said the concept was a very exciting one.

"Achieving good blood glucose levels is essential to the management of diabetes and preventing diabetes complications such as blindness, amputation, kidney problems and heart disease."

In Type 1 diabetes the body stops making insulin and the blood glucose level goes very high. This type of diabetes usually appears before the age of 40 and accounts for between 5 and 15% of all people with diabetes.

Treatment to control the blood glucose level is with insulin injections and a healthy diet.

HOW IT WORKS:

1 - Continuous glucose sensor monitors blood sugar level
2 - Data transmitted for the computer programme to work out insulin dose
3 - Insulin pump delivers the dose


TOPICS: News/Current Events; United Kingdom
KEYWORDS: diabetes; health; medicine; pancreas
Keep your fingers crossed, folks.
1 posted on 11/22/2006 1:46:47 PM PST by Lizavetta
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To: Lizavetta

bump


2 posted on 11/22/2006 2:02:58 PM PST by Lizavetta
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To: Lizavetta
This system is available in US as the Mini-med paradigm insulin pump system. It has a continuous glucose monitor that communicates with the pump. The FDA only allows the system to suggest an insulin dose. The patient still has to push the buttons for the insulin to be released. There are many Type 1 adults who will also benefit from this advance. Problem is the insurance companies are balking at paying for the system with the continuous glucose monitoring. They feel that pricking your finger ten times a day isn't fun but the cost vs benefit has yet to be shown.
3 posted on 11/22/2006 2:03:02 PM PST by crymeariver (Good news...in a way)
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To: Lizavetta

Abbott Labs - Check out their stock price over the last six months. They have a closed loop system that is about to clear stage 4 approvals.

The monitor is placed in the upper arm and communicates with the pump, which can read GCL real time. System has a low level alarm and a bolus setting for high level threshholds.


4 posted on 11/22/2006 2:07:30 PM PST by RinaseaofDs
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To: Lizavetta

No date for the artifical balls test in France


5 posted on 11/22/2006 2:08:32 PM PST by 359Henrie
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To: 359Henrie
No date for the artifical balls test in France

Only because they couldn't find any real ones to model them on.

6 posted on 11/22/2006 2:13:11 PM PST by Lizavetta
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To: crymeariver
My Father-in-Law wears the insulin pump system.
He has had the disease for 30 years only been wearing the pump for 3

Seems to help but his glucose is everywhere it can go from over 300 to 36 in a half hour.
Basically its a mess for him and the family.
7 posted on 11/22/2006 2:17:05 PM PST by Rightly Biased (Courage is not the lack of fear it is acting in spite of it<><)
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To: Rightly Biased

bump


8 posted on 11/22/2006 2:24:00 PM PST by Lizavetta
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To: Lizavetta

bttt


9 posted on 11/22/2006 4:49:31 PM PST by Lizavetta
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To: RinaseaofDs
Check out their stock price over the last six months.

From approximately $42 to $47 a share.

10 posted on 11/22/2006 6:15:51 PM PST by Lizavetta
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To: Lizavetta; 359Henrie
No date for the artifical balls test in France

Only because they couldn't find any real ones to model them on.

Guys, guys, guys. The real reason is economic. There's no market for them in France.

11 posted on 11/22/2006 6:22:28 PM PST by Hardastarboard (Why isn't there an "NRA" for the rest of my rights?)
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To: neverdem

Ping


12 posted on 11/22/2006 8:02:08 PM PST by annie laurie (All that is gold does not glitter, not all those who wander are lost)
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To: Lizavetta

bump


13 posted on 11/27/2006 9:20:37 AM PST by Lizavetta
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