“Evidence on User-Led Innovation in Diabetes Technology
(The OPEN Project): Protocol for a Mixed Method Study”
The OPEN consortium published their paper in JMIR Res Protoc on November, 19th, 2019. The JMIR (Journal of Medical Internet Research) is the top #1 journal in digital health. Scientific articles are published online and openly accessible to all free of charge.
The main points are:
Type 1 diabetes (T1D) is a chronic condition that is hard to manage. Only 17 / 21% (youth/adults) of people with type 1 diabetes (PwD) achieve the recommended HbA1c level below 7,0%.
Closed-loop insulin delivery systems / artificial pancreas systems (APS) / automated insulin delivery systems (AID) combine insulin pumps and sensors for continuous glucose monitoring (CGM) with an automated control algorithm.
The algorithm predicts future glucose values, uses the predictions for calculating and then automatically doses the amount of insulin needed to keep the glucose values within a certain healthy range. Commercially developed closed-loop systems have indicated to be safe and effective and have shown further improvements, they are considered the gold standard of future diabetes therapy. But commercial closed-loop systems are not universally available, accessible or affordable.
So far, patients had a passive role in digital innovations in healthcare. But more and more patients are not willing to wait until manufactures went through long regulatory processes. Under the hashtag #WeAreNotWaiting, people with diabetes and their families have co-created new tools and systems to help PwD benefit better from their devices and data. Instructions and code for the tools and systems are freely accessible on open-source platforms (software code is publicly available) and anybody can use them at their own risk.Read more All about `The OPEN Project´