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  1. Dec 19, 2023 · This guidance updates and replaces NICE diagnostics guidance on integrated sensor-augmented pump therapy systems for managing blood glucose levels in type 1 diabetes (DG21).

  2. Hybrid closed loop (HCL) systems link continuous glucose monitoring (CGM) with insulin pump technology to monitor blood glucose and automatically adjust the amount of insulin given through a pump to people living with type 1 diabetes. HCL can eliminate finger-prick tests and prevent life-threatening hypoglycaemic and hyperglycaemia attacks ...

  3. Hybrid closed loop (HCL) systems. A closed-loop system is a pump and a continuous glucose monitor that can “talk to each other”. The sensor communicates all changes in blood glucose to the pump which then automatically adjusts the basal rate of insulin infusion.

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  4. Dec 19, 2023 · When available, hybrid closed loop systems will be possible options to manage blood glucose levels in type 1 diabetes for: • adults with disabling hypoglycaemia, or an HbA1c of 58 mmol/mol (7.5%) or more, despite best possible management with at least 1 of the following: • continuous subcutaneous insulin infusion.

  5. Aug 11, 2023 · We explored longitudinal changes associated with switching to hybrid closed-loop (HCL) insulin delivery systems in adults with type 1 diabetes and elevated HbA 1c levels despite the use of intermittently scanned continuous glucose monitoring (isCGM) and insulin pump therapy.

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  6. Oct 25, 2021 · Abstract. In both pediatric and adult populations with type 1 diabetes (T1D), technologies such as continuous subcutaneous insulin infusion (CSII), continuous glucose monitoring (CGM), or sensor-augmented pumps (SAP) can consistently improve glycemic control [measured as glycated hemoglobin (HbA1c) and time in range (TIR)] while reducing the ...

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  8. Dec 31, 2023 · The new guidance shows that hybrid closed-loop systems will be offered to adults living with type 1 diabetes who have an HbA1c of 58 mmol/mol (7.5%) or higher, or have disabling hypoglycaemia, despite best possible management with at least one of the following: Continuous subcutaneous insulin infusion (CSII) (i.e. an insulin pump)

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