Discover and read the best of Twitter Threads about #dedoc

Most recents (19)

Advanced Therapeutic Approaches In Type 2 Diabetes is exploring the mystery of how gastric surgery puts Type 2 into remission (note that insulin requirement can disappear in a week after surgery before any weight is actually lost) @ATTDconf #ATTD2021 #dedoc°
The suggestion by Dr. Pories is broken gut signalling breaks the glucose processing leading to poor energy production, excess glucose and insulin. #ATTD2021 #dedoc°
If this is the case, this offers new avenues of research to fix/disrupt the broken signal and restoring normality in a way similar to what is seen with gastric surgery. It also suggests obesity does not cause Type 2 but rather Type 2 causes obesity. #ATTD2021 #dedoc°
Read 4 tweets
Advances in Closed Loop conclusions:
- A more aggressive target improves Time in Range (79% achievable) but does not increase Time Below Range
- Improvements, especially in younger adults when compared to open systems
- Closed Loop is safe.
@ATTDconf #ATTD2021 #dedoc°
Moreover, it is as safe for children as adults. #ATTD2021 #dedoc°
Results not exclusive to Medtronic. Omnipod shows similar results in terms of improvements over open systems #ATTD2021 #dedoc°
Read 6 tweets
The next presentation I'm in is "Artificial intelligence (AI): Tangible Applications to Improve Diabetes Care". AI has come far in the last few years and the poster I mentioned yesterday shows how it can tailor closed loop systems. What else I wonder? @ATTDconf #ATTD2021 #dedoc°
Stephane Bidet is saying with as little as 10 days of data, the AI can be trained effectively to smartly manage the user's BGLs. I believe it. Microsoft's Azure AI can effectively read forms with just 5 examples and images with 15 examples. #ATTD2021 #dedoc°
Knowing the likely error in the predictions made, this variance is then used to ensure safe recommendations are made. This is smart. It will slightly hamper accuracy but ensure super-high or super-low BGLs do not happen. #ATTD2021 #dedoc°
Read 6 tweets
With Dexcom being at the forefront of pumps and CGMs I'm hoping for something special in this one. @ATTDconf #ATTD2021 #dedoc°
Control IQ gave users 2.6 hours additional Time in Range over "Sensor Augmented Pumps" (open loop pump therapy) #ATTD2021 #dedoc°
The number of people getting a Time in Range over 70% tripled with Control-IQ over the open loop therapy group. For long term complication management, this is a great result. #ATTD2021 #dedoc°
Read 10 tweets
Next is a presentation on Smart Pens for diabetes management @ATTDconf #ATTD2021 #dedoc°
The research specifically refers to the Novo Nordisk NovoPen 6 but I'll try to keep it general. #ATTD2021 #dedoc°
The NovoPen has a five year battery which is impressive in comparison to the Medtronic InPen which only lasts 1 year and the battery cannot be replaced.
#ATTD2021 #dedoc°
Read 6 tweets
Next is Medtronic talking about the outcomes for the first 4,000 users of the MiniMed 780G and the future for this commercial looping system. It will be interesting to see how it stacks up to the homegrown systems. @ATTDconf #ATTD2021 #dedoc°
Dr Chantal Mathieu makes the point that the patient living with diabetes gets a few more hours with the disease than their health care team ;) #ATTD2021 #dedoc° Image
Time in Range for the 780G was similar across the multiple countries involved in the analysis suggesting there was no bias from country-specific factors. #ATTD2021 #dedoc°
Read 7 tweets
First session at #ATTD2021. As a honeymooning T1D LADA who takes a GLP-1RA to help preserve my beta cells, I'm interested to see what's new with these "Great Little Peptides" #dedoc° @ATTDconf Image
If you are unfamiliar with GLP-1RAs, get the cliff notes here: practicaldiabetic.com/2020/10/10/the… #dedoc° #ATTD2021
The talk is about the oral version of Semaglutide which was also discussed at the EASD2020 conference last year. Many may be familiar with the injectable form which is sold under the name Ozempic. #dedoc° #ATTD2021
Read 8 tweets
#ControlIQ Tandem T:slim #closedloop's aim at improving #TIR. To activate Control IQ, are required:
▶️ current weight
▶️ total daily #Insulin
▶️ carb ratio
▶️ ISF
▶️ correction factors
▶️ meal bolus still required

#dedoc° #dedocvoices #EASD2020 @EASDnews #NothingAboutUsWithoutUs Image
36 wk-trial #ControlIQ in teens and adults in 2019:
▶️ #TIR +11% from 61 to 71%
▶️ major #BG improvement at night 2 to 8am
▶️ average #A1c 7% (#PwD witth A1c >6.5% improved too)
▶️ less #hypos
- Dr Marc Breton, University of Virginia

#dedoc° #dedocvoices #EASD2020 @EASDnews Image
#ControlIQ in real life for 6086 users, average age 42yo, for 6 months:
▶️ #TIR 74.9% for 180 days
▶️ consistent improvement in #BG control
- Dr Marc Breton, University of Virginia

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs Image
Read 5 tweets
The implication of the wider spread of #DIYAPS on out-of-pocket expenses for people with #T1D- Timothée Froment on the conomic burden associated with #diabetes technologies

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs Image
The amount of out-of-pocket expenses for people with #T1D depends on the limited health coverage of #diabetes technologies & supplies in most countries
- Timothée Froment

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs Image
Strong link between health coverage and out of pocket #diabetes expenses. The monthly average cost is:
▶️ $39 in Germany
▶️ $502 in the US
- Timothée Froment

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs Image
Read 5 tweets
Evaluation of the #OmnipodHorizon™ automated glucose control system in children with type 1 diabetes:
* Connected to #DexcomG6
* Algorithm built into the pod
* Phone controller or PDM
- Dr Gregory Forlenza

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs ImageImageImageImage
Evaluation of the #OmnipodHorizon™ in children with #type1diabetes: usual drop in #TIR during the winter holidays. Study started during a challenging time - Dr Gregory Forlenza

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs Image
Evaluation of the #OmnipodHorizon™ in children with #type1diabetes:
* reduced #BG variability
* #Hypo reduction
* 59% users chose the 110mg target (free choice)
- Dr Gregory Forlenza

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs ImageImage
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For @tadorna, #Covid19 made him feel like a #patient - again. We should not ever let #diabetes define us. It made him feel vulnerable because of this whole lot of uncertainties. Lack of #insulin and supplies was a worry.

#dedoc° #dedocvoices #EASD2020 #NothingAboutUsWithoutUs Image
For Bastian, #PeerSupport was key during this #pandemic. #telehealth for him is uploading his data and having a Zoom call with his endo. We #PwD want digital AND personal interaction with our #HCP.

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs @tadorna
The Impact of the #COVID-19 Pandemic on Diabetes Nurses in Europe: A pan-European Survey showed that there's been a significant increase in #anxiety for people living with #diabetes during the pandemic - Rita Forde

#dedoc° #dedocvoices #EASD2020 #EASD #NothingAboutUsWithoutUs
Read 3 tweets
#Diabetes should become a political priority. Every 8 second, a #PwD dies because of #DiabetesComplications. Are we doing the best we can to prevent this? - Dr Maurizio Guidi

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs Image
We need to invest in #innovation to prevent #complications, and improve the quality of life of people #QOL with #T1D and #T2D - Dr Maurizio Guidi

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs
The voice of those, the #PwD, living with this disease must be heard - Pr Chantal Mathieu

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews #NothingAboutUsWithoutUs
Read 4 tweets
#Islet cell transplantation aims at recovering #HypoAwareness & making #T1D insulin independent though #insulin can still be needed. 30% of transplanted #PwD don't need insulin after 10y - Dr Marie-Christine Vantyghem

#dedoc° #dedocvoices #EASD2020 #NothingAboutUsWithoutUs
People are still dying today waiting on transplant waiting lists - Pr François Pattou, Lille, France
Patients tend to reduce their #BMI after #islet cell transplantation. #C-peptide is then measured every 3 months - Pr François Pattou
Read 4 tweets
Impaired awareness of #hypoglycaemia: adults with long term #T1D have a lower hypo threshold. Older #PwD have reduced warning symptoms.

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs Image
#hypoglycémies peu ressenties : les adultes atteints de #DT1 à long terme ont un seuil d'hypo réduit. Les personnes plus âgées ont des symptômes d'alerte d'#hypo réduits.

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs #diabètedetype1
Need to address the lack of data in the elderly #T1D and #T2D population on #hypoglycaemia awareness.

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs
Read 3 tweets
@Insulet is working on #Omnipod5, their #closedloop system connected to the #DexcomG6 #CGM. The PDM will be similar to #DASH.

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs Image
@Insulet travaille sur #Omnipod5, leur système de #bouclefermée connecté au #DexcomG6. Le PDM sera similaire à #DASH.

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs Image
#Omnipod5 is actually Omnipod #Horizon 🚀
Read 3 tweets
#Omnipod #DASH's had a user centric approach for the PDM design. The average #A1c of Omnipod users is 8.1% - Dr Thomas Danne

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs Image
Omnipod #DASH is coming to Europe, soon in Austria, Belgium, France, Germany, Switzerland. Does that mean it will replace #Omnipod EROS?

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs

investor.insulet.com/news-releases/…
#Omnipod #DASH a adopté une approche centrée sur l'utilisateur pour la conception du PDM. L' #HbA1c moyenne des utilisateurs d'Omnipod est de 8,1% - Dr Thomas Danne

#dedoc° #dedocvoices #EASD2020 #EASD
@EASDnews #NothingAboutUsWithoutUs Image
Read 4 tweets
New strategy to treat #T1D: Simplici-T1 trail ⤵️
"subcutaneous #insulin is not enough" - Dr Carmen Valcare, on the activation of #glucokinase by #TTP399 improving #BG management.
Results: ⬇️ #TIR, #BG control, and #A1c

#dedoc° #dedocvoices #EASD2020 #EASD @EASDnews Image
Nouvelle stratégie pour traiter le #DT1 : Simplici-T1
"L'insuline sous-cutanée n'est pas suffisante" - Dr Carmen Valcare, sur l'activation de la #glucokinase par le #TTP399 améliorant la gestion de la #BG
Résultats : ⬇️#TIR, #glycémie et #Hba1c

#dedoc° #dedocvoices #EASD Image
*Erratum: ⬆️ #TIR & #BG control, ⬇️ #A1c
Read 3 tweets
Advanced #diabetes care over the past decade has actually increased disparities. We have excluded #PwD who would have benefited the most. We need to reduce #inequities and #disparities - @GoDiabetesMD

#dedoc° #EASD2020 #EASD #genderbais #racialbias Image
L'avancée des traitements liés #diabète au cours de la dernière décennie ont accru les disparités. Nous avons exclu les #PwD qui en auraient le plus bénéficié. Nous devons réduire les #inégalités et les #disparités - @GoDiabetesMD

#dedoc° #EASD2020 #EASD #genderbais #racialbias Image
Cost matters particularly in the US. Using #diatech to solve problems. We need to have better products. #Covid19 had taught us is that time matters to #PwD. Time is a currency. People with #diabetes are on their own - @GoDiabetesMD

#dedoc° #EASD2020 #EASD #integratedcare
Read 4 tweets

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