Current Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence

Since Banting and Best isolated insulin in the 1920s, dramatic progress has been made in the treatment of type 1 diabetes mellitus (T1DM). However, dose titration and timely injection to maintain optimal glycemic control are often challenging for T1DM patients and their families because they require...

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Autores principales: Sun Joon Moon, Inha Jung, Cheol-Young Park
Formato: article
Lenguaje:EN
Publicado: Korean Diabetes Association 2021
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Acceso en línea:https://doaj.org/article/5d7d1bb4460740ed8982101ff13b0d9e
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spelling oai:doaj.org-article:5d7d1bb4460740ed8982101ff13b0d9e2021-12-01T05:07:51ZCurrent Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence2233-60792233-608710.4093/dmj.2021.0177https://doaj.org/article/5d7d1bb4460740ed8982101ff13b0d9e2021-11-01T00:00:00Zhttp://www.e-dmj.org/upload/pdf/dmj-2021-0177.pdfhttps://doaj.org/toc/2233-6079https://doaj.org/toc/2233-6087Since Banting and Best isolated insulin in the 1920s, dramatic progress has been made in the treatment of type 1 diabetes mellitus (T1DM). However, dose titration and timely injection to maintain optimal glycemic control are often challenging for T1DM patients and their families because they require frequent blood glucose checks. In recent years, technological advances in insulin pumps and continuous glucose monitoring systems have created paradigm shifts in T1DM care that are being extended to develop artificial pancreas systems (APSs). Numerous studies that demonstrate the superiority of glycemic control offered by APSs over those offered by conventional treatment are still being published, and rapid commercialization and use in actual practice have already begun. Given this rapid development, keeping up with the latest knowledge in an organized way is confusing for both patients and medical staff. Herein, we explore the history, clinical evidence, and current state of APSs, focusing on various development groups and the commercialization status. We also discuss APS development in groups outside the usual T1DM patients and the administration of adjunct agents, such as amylin analogues, in APSs.Sun Joon MoonInha JungCheol-Young ParkKorean Diabetes Associationarticleblood glucose self-monitoringdiabetes mellitus, type 1hypoglycemiainsulin infusion systemspancreas, artificialwearable electronic devicesDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENDiabetes & Metabolism Journal, Vol 45, Iss 6, Pp 813-839 (2021)
institution DOAJ
collection DOAJ
language EN
topic blood glucose self-monitoring
diabetes mellitus, type 1
hypoglycemia
insulin infusion systems
pancreas, artificial
wearable electronic devices
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle blood glucose self-monitoring
diabetes mellitus, type 1
hypoglycemia
insulin infusion systems
pancreas, artificial
wearable electronic devices
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Sun Joon Moon
Inha Jung
Cheol-Young Park
Current Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence
description Since Banting and Best isolated insulin in the 1920s, dramatic progress has been made in the treatment of type 1 diabetes mellitus (T1DM). However, dose titration and timely injection to maintain optimal glycemic control are often challenging for T1DM patients and their families because they require frequent blood glucose checks. In recent years, technological advances in insulin pumps and continuous glucose monitoring systems have created paradigm shifts in T1DM care that are being extended to develop artificial pancreas systems (APSs). Numerous studies that demonstrate the superiority of glycemic control offered by APSs over those offered by conventional treatment are still being published, and rapid commercialization and use in actual practice have already begun. Given this rapid development, keeping up with the latest knowledge in an organized way is confusing for both patients and medical staff. Herein, we explore the history, clinical evidence, and current state of APSs, focusing on various development groups and the commercialization status. We also discuss APS development in groups outside the usual T1DM patients and the administration of adjunct agents, such as amylin analogues, in APSs.
format article
author Sun Joon Moon
Inha Jung
Cheol-Young Park
author_facet Sun Joon Moon
Inha Jung
Cheol-Young Park
author_sort Sun Joon Moon
title Current Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence
title_short Current Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence
title_full Current Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence
title_fullStr Current Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence
title_full_unstemmed Current Advances of Artificial Pancreas Systems: A Comprehensive Review of the Clinical Evidence
title_sort current advances of artificial pancreas systems: a comprehensive review of the clinical evidence
publisher Korean Diabetes Association
publishDate 2021
url https://doaj.org/article/5d7d1bb4460740ed8982101ff13b0d9e
work_keys_str_mv AT sunjoonmoon currentadvancesofartificialpancreassystemsacomprehensivereviewoftheclinicalevidence
AT inhajung currentadvancesofartificialpancreassystemsacomprehensivereviewoftheclinicalevidence
AT cheolyoungpark currentadvancesofartificialpancreassystemsacomprehensivereviewoftheclinicalevidence
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