There's also Loop on the iOS side: https://github.com/LoopKit/Loop. I've been using it for 7 or 8 years. There's also several pumps that have closed loop capabilities built-in, but I've found that they try so hard to play it safe that they are less capable than running your own.
Agreed. My daughter (5) is using a G6 + TSlim X2 closed loop. The target blood glucose is 6.0 mmol/L and you can't decrease it. However, I haven't tried (and likely won't try) anything DIY since it's my daughter and not myself.
Despite this, it is nice whilst my daughter is at school, since some automated corrections (even if overly conservative) are certainly better than none — teachers generally won't administer corrections (but will bolus for food).
As someone who’s planning to start a TSlim, this is a bit worrying. Admittedly even an average value of 7mmol would be an improvement over where I am, but I’ve certainly heard the lack of aggressiveness as an issue with the controlIQ system (if that’s what your daughter is using).
I do imagine it's different for everyone though, and would also depend on what your alternatives are. In our circumstances, it's a huge improvement over manual injections. But by no means the closed loop silver bullet we're all hoping for.
We ran the TSlim on BasalIQ (precursor to ControlIQ) for a couple of years. Haven't done her HbA1C since we swapped, so I don't have any hard data. Well, and with the constant changing lifestyle of kids, all data needs to be taken with a grain of salt. I think we're being woken by high alarms less often, but she just seems to be fairly high (just under 10 mmol/L) much more often. There are of course still run away highs much worse than that (don't want to misrepresent the situation!) and I guess they're somewhat mitigated by ControlIQ, but it definitely doesn't stop them outright, and manual corrections are still required if you want the high resolved in under 2 hours.
I kind of do have the option for a omnipod dash with a diy loop using something like nightscout, but my nurses have advised against it (I suppose significantly because it's not something they can directly monitor or have knowledge of). I'm highly tempted to just use the TSlim because if my projects are anything to go by it'll be years before I actually set it up haha
I've recently switched from BasalIQ to ControlIQ on the X2. I very rarely feel like I'm on a "closed loop system". It's super conservative and left to itself it consistently keeps me higher than I'd like. With BasalIQ I could at least set up a low-enough target BG (5.0 mmol), now I'm stuck with 6.1 and the pump is actually happy to leave me at 7-9 mmol for hours, with very feeble interventions.
Long story short, I'm planning to buy a few boxes of Omnipod Dash pods, in a country where I can do so, out of my own pocket – so that I can try iAPS. #WeAreNotWaiting and all that :)
BTW Nightscout should not be required for Loop nor iAPS.
I'm in Australia so have had similar thoughts about the Dash. Because it's my daughter and not me, I figure I better not. When the Omnipod 5 lands in Australia we'll likely swap over since it supports closed loop out of the box.