Diabetech - Diabetes Tech, News, and Management

In this episode, I dive into the latest diabetes tech and research from EASD 2024. We explore everything from all-in-one CGM and pump prototypes to an exciting dual-hormone pump used by 250 people, set to launch in 2026. I also take a closer look at the Kaliedo pump and its Diabeloop algorithm. Plus, I break down new research on how the Medtronic 780G with SmartGuard can benefit kids under 7, the importance of AID systems for pregnancy, and how CGMs are keeping people with type 2 diabetes out of the hospital.
 
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Bi-Hormonal Pump from Beta Bionics
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with a physician before making changes to your health care. 

Why are so many endocrinologists burning out and leaving traditional medicine behind? Endo and artist Dr. Mike Natter shares an inside look at why many, including himself, are feeling overworked and exhausted. From grueling 70-hour work weeks to skipping meals and bathroom breaks, the pressure is relentless. Dr. Natter dives into the challenges of patient demands, endless paperwork, and the reality of being one of the lowest-paid medical specialties. We also explore why more endocrinologists are opting out of insurance and turning to concierge care and how he balances an industry focused on profits over patients, and his passion for helping people with the demands of a broken system.
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with a physician before making changes to your health care. 

Trio, a new automated insulin delivery system built by the open-source community, has officially launched as an evolution of iAPS. Trio offers improvements with a focus on safety and community feedback. I’m joined by two key admins of Trio, to discuss its future advancements, including a sleek redesign, faster performance, and expanded caregiver functions. We also touch on how users are achieving over 80% time in range without needing to bolus before meals—showcasing just how transformative this system can be.
 
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More info on Trio
 
Listen: The Power of the iAPS Algorithm (still relevant!)
 
DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. Trio is experimental and not approved by the FDA or regulatory authorities at the time of this video. You take full responsibility for building and using Trio and you do so at your own risk. Results will vary.

I spoke with Veronica Elsea, who has been blind since birth, about her experiences using diabetes technology as a blind person. We also discuss how her organization, The Accessible Insulin Pump Task Force, is collaborating with the industry to make diabetes tech more accessible for the visually impaired community.
 
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Accessible Insulin Task Force Info
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with a physician before making changes to your health care. 

MARD (Mean Absolute Relative Difference) is often linked to continuous glucose monitor accuracy, but did you know there’s no universal standard for how companies measure it? In this episode, Tim Street from Diabettech dives into the lack of regulation in CGM clinical trials, revealing how manufacturers might manipulate MARD to appear more accurate.
 
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Follow Tim's Blog: Welcome to the Wild, Wild West: the CGM head-to-head study
 
DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with a physician before making changes to your health care. 

CamAPS FX is the latest FDA cleared automated insulin delivery system for ages 2 and up, including during pregnancy. This app connects with a CGM and insulin pump to automate insulin delivery, simplifying diabetes management. Used in 17 European countries and expanding to New Zealand and Canada, CamAPS FX was developed by Dr. Roman Hovorka after 20 years of research at Cambridge University. Discover Dr. Hovorka's story and the impact of CamAPS FX in this episode.
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with a physician before making changes to your health care. 

From longer wear times and more tubeless pump options to fully closed loop automated insulin systems, the future of insulin pumps looks bright. David Ahn and I dive into the innovations we’ll see in pump technology and what it all means.
 
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DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with a physician before making changes to your health care. 

CeQur Simplicity is an innovative insulin patch designed to function like traditional insulin injections. This device is applied directly to the user's body, delivering 2 units of insulin with each click through its cannula. It is intended for meal coverage and correction doses, complementing long-acting insulin. I had the opportunity to speak with CeQur's CEO to learn more about the device's functionality, its current user base, and future developments.
 
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. 

Users are reporting they are unable to re-download the Dexcom G7 app outside their country. This is due to geofencing built into the smartphone app blocking users from downloading their home-country G7 app while abroad. If you plan to travel outside your country, here's what you should know and how to prepare if you use Dexcom G7.
 
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The UK's NICE guidelines represent the first time a country has made hybrid closed-loop widely available to its citizens through national healthcare. The groundbreaking guidelines instruct access to be granted to people with type 1 diabetes who fit a broad criteria over the next five years. How does health insurance work where you live? Comment on the Youtube episode (link below)!
 
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. 

I list off the tech I'm most excited about from the ADA's Scientific Sessions. I cover cgms like the Libre 3 Plus that now works with pumps and the latest Dexcom G7 upgrades. I get into pumps from the Omnipod iPhone app, the CeQur insulin patch, and the Luna overnight AID insulin pump. And I get into updates from the Vertex stem cell therapy findings that could lead to a cure for type 1 diabetes. 
 
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More Videos from ADA:
Interview with Dexcom: https://youtu.be/FTjeMorMY30
Twiist Demo: https://youtu.be/FXaK77aFcV8
 
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. 

60% of Type 1 diabetes diagnoses are 20 years and older. This form of diabetes is known as LADA - Latent Autoimmune Diabetes for Adults. Today's guest and I both have LADA and were diagnosed in our 30s. Today I'm joined by Dr. Christon Darden who is sharing her diagnosis story for the first time and tells us how she handles T1D as an Orthopedic Surgery Resident.
 
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. 

I spoke with Marwan Elwaraki and Salwa Al-Alami, the creators of the Sweet Dreams app. This app allows you to view your CGM readings on your lock screen, amongst other things. We spoke about how this idea came to be, all of the details surrounding the use of he app, and what the future holds.
 
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. 

CEO Kevin Sayer explains Dexcom's has a new sensor policy, connection upgrades coming to Dexcom G7 - longer range and "Rapid Reconnect," and more. Follow our Youtube and social pages for more coverage of ADA 2024!
 
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. 

I spoke with Paul Reid, an outdoor T1D content creator, and user of the Eversense Implantable CGM. He shares his experience with the Eversense E3 sensor so far, explains the procedure process, accuracy and calibrations, and explains why Eversense is wildly different from any CGM system on the market.
 
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care.