{"id":14327,"date":"2018-01-31T10:20:11","date_gmt":"2018-01-31T17:20:11","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=14327"},"modified":"2023-09-28T16:00:21","modified_gmt":"2023-09-28T22:00:21","slug":"artificial-pancreas-gives-patient-with-diabetes-a-certain-freedom","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/artificial-pancreas-gives-patient-with-diabetes-a-certain-freedom\/","title":{"rendered":"&#8216;Artificial pancreas&#8217; gives patient with diabetes a certain freedom"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_14331\" aria-describedby=\"caption-attachment-14331\" style=\"width: 225px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14331 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024828\/artificialpancrease2.webp\" alt=\"Patient Tia Mollander stands and shows off an insulin pump that she wears clipped to her right front pocket.\" width=\"225\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024828\/artificialpancrease2.webp 480w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024828\/artificialpancrease2-225x300.webp 225w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024828\/artificialpancrease2-113x150.webp 113w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024828\/artificialpancrease2-200x267.webp 200w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-14331\" class=\"wp-caption-text\">Tia Mollander&#8217;s insulin pump is clipped to her right front pocket.<\/figcaption><\/figure>\n<p>Tia Molander\u2019s insulin pump, clipped to her right pants pocket, is a constant reminder of the limitations of Type 1 diabetes.<\/p>\n<p>But last summer, thanks to cutting edge research performed at the Barbara Davis Center for Childhood Diabetes on UCHealth\u2019s Anschutz Medical Campus, Molander took one step closer to finding the elusive \u201cartificial pancreas\u201d that will someday give her the freedom she wants.<\/p>\n<p>\u201cAll they do at Barbara Davis is diabetes, and they were so much more informative to me about my disease than anyone else ever was,\u201d Mollander said.<\/p>\n<p>In September 2016, based on research provided by a pivotal clinical trial led by <a id=\"\" href=\"https:\/\/www.cumedicine.us\/providers\/pediatrics\/Satish-Garg\" target=\"_blank\" rel=\"noopener\">Dr. Satish Garg<\/a>, the founder and director of the Barbara Davis Center\u2019s adult clinic, the FDA approved the Medtronic MiniMed 670G for public use. Molander, one of more than 200 people to receive the device, started using hers last July.<\/p>\n<p>\u201cHonestly, I don\u2019t know what I\u2019d do otherwise,\u201d said Molander, an outpatient physical therapist at <a href=\"https:\/\/www.uchealth.org\/locations\/outpatient-rehabilitation-services-fort-collins\/\">UCHealth Physical Therapy and Rehabilitation Clinic \u2013 Harmony Campus<\/a> in Fort Collins. \u201cIt\u2019s helped my life a lot.\u201d<\/p>\n<p>Insulin is normally produced by the pancreas, and transports glucose (sugar) from the bloodstream into the body\u2019s cells, providing energy. In Type 1 diabetics, however, the pancreas produces little or no insulin, leaving glucose no way of entering cells.<\/p>\n<p>\u201cType 1 diabetics die unless they can get insulin in one of two ways, with injections or through a pump,\u201d said Christie Beatson, MS, RD, a certified diabetes educator and clinic manager at the Barbara Davis Center.\u00a0Over the last eight years, Mollander has used different varieties of insulin pumps, which delivered the vital hormone directly into her bloodstream at preset levels. This limited her need for self-injections but didn\u2019t take into account her body\u2019s normal fluctuations in blood sugar throughout the day, based on meals and activity level.<\/p>\n<figure id=\"attachment_14330\" aria-describedby=\"caption-attachment-14330\" style=\"width: 225px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14330 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024726\/artificalpancrease4.jpgeee.webp\" alt=\"Tia Mollander, who has Type 1 diabetes, sits at her desk and smiles.\" width=\"225\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024726\/artificalpancrease4.jpgeee.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024726\/artificalpancrease4.jpgeee-225x300.webp 225w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024726\/artificalpancrease4.jpgeee-113x150.webp 113w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024726\/artificalpancrease4.jpgeee-200x267.webp 200w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-14330\" class=\"wp-caption-text\">Tia Mollander, who has Type 1 diabetes, said she found innovative care at the Barbara Davis Center for Diabetes at the Anschutz Medical Campus.<\/figcaption><\/figure>\n<p>\u201cI have literally been brought back from the brink\u2014unconscious\u2014from hypoglycemic episodes,\u201d said Molander, a wife and busy mother of two teenage boys. \u201cBeing a Type 1 diabetic requires a lot of acceptance that no matter what you do, some days just aren\u2019t going to go well for you.\u201d<\/p>\n<p>Beatson points out that sensors have been available in insulin pumps for years. But the 670G is the first to accurately monitor blood sugar levels every five minutes, and deliver the right amount of insulin when it\u2019s needed, like a normal pancreas would. This dynamic, real-time \u201cHybrid Closed Loop\u201d system allows Type 1 diabetics like Molander to spend more time doing what they want, and less time worrying about whether they\u2019re going to crash.<\/p>\n<p>Medtronic warrantees the 670G for four years, including providing free upgrades or replacement if the pump malfunctions, according to Beatson, who has trained more than 200 patients on use of the 670G. And with another study in progress that began last June, UCHealth and Medtronic will follow patients for a full year and continue to partner on ongoing research, including developing an even more aggressive algorithm for future pump models.<\/p>\n<p>\u201cFor the first time, (the trial participants) felt that their spouses could travel and they could be home alone and not have to worry about significant hypoglycemia,\u201d said Beatson. \u201cAnd the interesting thing about the study was that when it was over, the patients wrote to Dr. Garg saying they didn\u2019t want to give back the device.\u201d<\/p>\n<p>While the pump can certainly reduce the stress of constant blood sugar monitoring and insulin injections, patients still have to be willing to put some effort in, Beatson said. For example, users still have to calibrate the sensor a couple times a day, input how many grams of carbohydrates they eat with each meal, and give themselves extra insulin according to those numbers. And, according to the dietitian, some patients remain weary, preferring instead to manage things themselves.<\/p>\n<p>\u201cNot everyone is comfortable giving up their diabetes control to a device,\u201d Beatson said. \u201cBut the ultimate goal is for people to think less about their diabetes and more about other things in their life. Hopefully this is just one more way for them to manage their illness without more effort.\u201d<\/p>\n<figure id=\"attachment_14328\" aria-describedby=\"caption-attachment-14328\" style=\"width: 225px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14328 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024600\/artificalpancreas3.jpgsized.webp\" alt=\"Diabetes patient Tia Mollander sits at her desk and looks down at an insulin pump.\" width=\"225\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024600\/artificalpancreas3.jpgsized.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024600\/artificalpancreas3.jpgsized-225x300.webp 225w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024600\/artificalpancreas3.jpgsized-113x150.webp 113w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/31024600\/artificalpancreas3.jpgsized-200x267.webp 200w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-14328\" class=\"wp-caption-text\">Tia Mollander examines the insulin pump that helps her control Type 1 diabetes.<\/figcaption><\/figure>\n<p>Molander, a patient at the Barbara Davis Center since 2013 and a participant in previous clinical trials, sees her doctor every six months. She also uses an online software system to download all of her blood glucose measurements\u2014taken every five minutes by the 670G\u2019s sensor\u2014which her doctor can scan remotely for patterns or other concerning issues. All in all, she said, the 670G has given the lifelong healthcare provider hope for even better solutions\u2014for her and others like her\u2014in the future.<\/p>\n<p>\u201cWorking in healthcare gives me perspective,\u201d Molander said. \u201cThere\u2019s definitely some pride in being part of the system, part of a family. I wouldn\u2019t have known about the pump without being part of this big health system that is cutting edge.\u201d<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tia Molander\u2019s insulin pump, clipped to her right pants pocket, is a constant reminder of the limitations of Type 1 diabetes. But last summer, thanks to cutting edge research performed at the Barbara Davis Center for Childhood Diabetes on UCHealth\u2019s Anschutz Medical Campus, Molander took one step closer to finding the elusive \u201cartificial pancreas\u201d that [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":14334,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[981,199],"class_list":["post-14327","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-barbara-davis-center-for-childhood-diabetes","tag-diabetes-care"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>&#039;Artificial pancreas&#039; 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