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There was an insightful reddit comment about this: >As someone who sells insulin pumps for a living, in my opinion this article is slightly misleading. It make
by Houshalter 12y ago
There was an insightful reddit comment about this:
>As someone who sells insulin pumps for a living, in my opinion this article is slightly misleading. It makes it sound like the technology isn't there to do exactly what the father/boyfriend want to accomplish: essentially they want to obtain tighter control for the son's/girlfriend's diabetes. To be clear, we do currently have the ability to provide patients with a continuous glucose monitor (which is relatively accurate), and along with that, a model of pump which will stop insulin delivery if a patient's interstitial glucose goes too low. What we don't have (that's described in the story) is a pump which administers insulin doses automatically. But the reason for this is not because of lack of technology... It's because of liability, and that's an important distinction to be made. The boyfriend in the article who developed the auto-delivery system using algorithms for bolus insulin amounts is not doing anything new. In fact, most insulin pumps already have the ability to calculate insulin doses for patients. Instead, he is just doing something that the FDA will not approve of at this time. Every single diabetic responds differently to insulin, and formulas can not necessarily take those variables into account before insulin delivery. As a result, the amount of risk involved at the patient level is too great for the FDA to say "ok" at this time. Additionally, the insurance companies have no motivation to press on because of how costly the approved technology could be. In any case, the article is informative and does a really good job explaining in simple terms how diabetes works. I do believe that we will see a manufactured cure within the next few years (I.e. artificial pancreas) and potentially an organic cure within the next 10-20. Those people who have diabetes deserve that technology and I am confident we will provide it soon :)
- lucaspiller 12y agoIn terms of the liabilities it isn't really any different to a pacemaker - if it fails, the person most likely dies. The difference here seems to be it's just solo hackers doing the work. Are any of the big medical companies looking into developing a device like this?
- maxerickson 12y agoThere aren't really practical alternatives to a pacemaker though. I guess the FDA would even push for the automatic control to be safer than patient control before approving it.
- heironimus 12y agoActually, it's quite different. Pacemakers are vital to minute by minute survival. Insulin pumps are convenient for long-term survival. If an insulin pump quits working, it's inconvenient, but you notice it in a few hours after a blood test and compensate. If an insulin pump mistakenly gives too much insulin, you die within an hour.