A Day in the Loop Children with Diabetes Focus on Technology September, 2015
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A Day in the LoopChildren with Diabetes
Focus on TechnologySeptember, 2015
A Day in the Loopwith
Children with Diabetes, Focus on Technology, September 2015
Jason Calabrese@jasoncalabrese
Ali Mazaheri@AliMazaheri
Ben West@bewestisdoing
What if… ● You could be notified of a Low or High
before it happened● More time was spent in range and lower
A1C’s became normal● Communication between everyone providing
care was optimized● All your DData was analyzed in real-time, and
customized notifications and alarms were reliably pushed to all your devices
Easy as 123? not really…
we need to feed the system… lots of DData
A “few” of the available features…
One treatment at a time…
… until we all have devices we can monitor and control
First save of the school year
I saw it coming, but I didn’t have to do anything
Pushover Notifications & Alarms
Dev goes internationalSulka HaroBolus Wizard Preview, Cannula AgeHelsinki, Finland
Milos KozakTranslations, Reports, Profile Editor, Bolus Calculator (soon)Prague, Czech Republic
… and the many translators that added support for all 15 languages, and learned to use GitHub in the process
Bolus Wizard Preview
Sulka Haro: “The original motivation for BWP came from - my wife told me at some point that she'd started to enter the CGM value into the pump to get the bolus calculation from the pump, to get data on how to act. Which sounded smart but awkward.”
Reports
Treatment Editing
Profile Editor
● Insulin Duration
● Insulin to Carb ratios
● Insulin Sensitivity factors
● Carb Absorption rates
● Basal rates
● Correction Targets
Nightscout is part of an “Open Loop”, but so are You ● It’s not always easy being in the loop● Spend time adjusting the settings to fit your
needs, for example adjusting night time correction targets.
● You can offload some work to the machines, but you have to provide the data and configure the system
● Don’t blame the Alarms, blame Diabetes, then adjust your settings…
Monitor
Remote CGM, Device Status, Care Portal
Treatments
Predict
AR2 & IOB-COB Forecasting, Bolus
Wizard Preview, Tuning Basals
Control
Decocare, RileyLink, CareLink, Raspberry Pi
#OpenAPS
openaps: open source toolkit● Understands Medtronic and Dexcom● Reproducibility: can automate getting data
from Medtronic and Dexcom every 5 minutes
● Provenance: tracks all changes made to data, including software used
● Configurability: only does what user tells it, no black boxes.
openaps: What does it look like?
● Dexcom
● Medtronic
● Raspberrypi
● Pebble
● Nightscout
openaps: Looping with pizza
openaps: design inputsNecessity is the mother of invention.
openaps: Do we want more?
What are the financial, emotional, social, political costs of these projects to the people who undertake them?
What is the equivalency of control and ownership of new devices compared to the old ones?
Therapy: a power reserved for people.
RileyLinkConnects your phone to your pump using Bluetooth Low-Energy.
Now: Get Medtronic & Enlite data (BG, IOB, Meter) into NS.Soon: OpenAPS gets increased range and shrinks in size.
#OpenAPS &even better together
#OpenAPS &even better together
#OpenAPS &even better together
#OpenAPS &even better together
#OpenAPS &even better together
Children with DiabetesFocus on Technology
September, 2015
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