Review of automated insulin delivery systems for individuals with type 1 diabetes: tailored solutions for subpopulations
Eleonora M. Aiello, Sunil Deshpande, Başak Özaslan, Kelilah L. Wolkowicz, Eyal Dassau, Jordan E. Pinsker, Francis J. Doyle
Abstract
Automated insulin delivery (AID) systems have proven safe and effective in improving glycemic outcomes in individuals with type 1 diabetes (T1D). Clinical evaluation of this technology has progressed to large randomized, controlled outpatient studies and recent commercial approval of AID systems for children and adults. However, several challenges remain in improving these systems for different subpopulations (e.g., young children, athletes, pregnant women, seniors and those with hypoglycemia unawareness). In this review, we highlight the requirements and challenges in AID design for selected subpopulations, and discuss current advances from recent clinical studies.