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