Notes
Slide Show
Outline
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JDRF Artificial Pancreas Project
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I.  Introduction
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Our Goal: An Artificial Pancreas
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Overall Project Goals
  • Accelerate the availability of a first generation artificial pancreas
  • Ensure the artificial pancreas and its components are widely available
  • Ensure devices from multiple companies are approved and reimbursed, encouraging investment in next generation technologies





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Pathway to An Artificial Pancreas
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How JDRF is Accelerating the Availability of Artificial Pancreas
  • Fund Research to
    • Test Ways to Create Safe and Effective Artificial Pancreas
    • Provide Data to Encourage Health Plan Coverage and Clinician Adoption of Continuous Glucose Sensors
  • Use Communications and  Advocacy Campaigns to
    • Ensure Federal Government Makes a Priority
    • Speed Regulatory Pathway
    • Encourage Coverage by Health Plans, Employers, and Medicare
    • Promote Clinician Adoption
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II.  The Promise of Artificial Pancreas Technologies
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New Tools are Needed to Achieve Good Glucose Control
  • Half of all Americans with diabetes are not achieving recommended diabetes targets
  • A recent study of people intensively managing their diabetes (testing nine time a day) had shocking results:
    • Less than 30% of the day in normal glucose range
    • More than 70% of day in high or low glucose ranges
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CGM Technology Now Available on Limited Basis
  • Continuous glucose monitors (CGM) give patients new tools with which to control diabetes
    • Continuous readings – see effects of insulin, food, exercise
    • Trends – information to ward off highs and lows
    • Alarms – alert patient or family member
  • Two models approved by FDA, one pending
  • Not routinely covered by health plans
  • New to many doctors and health care providers
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Research to Date Shows Greatly Improved Outcomes
  • Recent studies have found significant results for people with diabetes using continuous glucose monitors:
    • Reductions in A1c
    • Reductions in hypoglycemia
    • Increases in time spent in target range
    • Benefits in children and adults
  • But CGM not sufficient
    • Not all patients will respond to CGM data
    • Even model patients can’t respond 24/7
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Early Artificial Pancreas Research Funded by JDRF Shows Promise
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Results: Increased Time in Normal Range from 58 to 82%
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III.  How JDRF is Accelerating the Availability of Artificial Pancreas Technologies
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JDRF is Driving the Agenda
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Strategies to Accelerate Availability of Continuous Glucose Monitoring (CGM)
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Progress Since 2005: CGM Coverage & Clinician Adoption
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Strategies to Accelerate the Availability of an Artificial Pancreas
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Progress Since 2005:
Influencing the National Agenda
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Progress Since 2005:
Influencing the National Agenda
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Progress Since 2005:
Artificial Pancreas Research
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Consortium is Testing Various Artificial Pancreas Strategies
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Model-Based Prediction of Glucose Values
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Adaptive Prediction of Hypoglycemia
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Stages of Development for
an Artificial Pancreas
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Discussion
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Abbott FreeStyle Navigator Sensor
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DexCom STS Sensor
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Medtronic Paradigm REAL-Time
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Patch Pumps