Chapter

The future of pumps and sensors: research and development

Lutz Heinemann

in Insulin Pump Therapy and Continuous Glucose Monitoring

Published on behalf of Oxford University Press

ISBN: 9780199568604
Published online May 2011 | e-ISBN: 9780199607440 | DOI: http://dx.doi.org/10.1093/med/9780199568604.003.0009

Series: Oxford Diabetes Library

The future of pumps and sensors: research and development

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• Current pumps are already highly technical and are expected to develop further • Pumps that receive information from continuous glucose monitoring (CGM) systems are likely to be in increasing use in the coming years. The first type is a version that automatically suspends insulin delivery in the event of hypoglycaemia, the first step towards an artificial pancreas • A fully closed-loop insulin delivery device with a glucose sensor coupled to a computer-controlled insulin infusion pump is being actively researched. It is a complex problem that may require some years of development. A hybrid system with patient-activated meal-time insulin and closing-the-loop only in the basal state is a likely first development for clinical use • Smaller, simpler patch pumps with integrated cannulae and novel pumping mechanisms are under development. Some may be used in type 2 diabetes • Fully implantable insulin pumps have been in the research phase for some decades and, as yet, have significant problems for transfer to widespread routine clinical use

Chapter.  4975 words. 

Subjects: Endocrinology and Diabetes

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