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by Scotrix 525 days ago
Agreed, cool and certainly some improvement but Freestyle is good enough already. Next step for me is more towards the new insulin research which activates only on glucose in the bloodstream (don’t recall how it was called but was here more recently also shared). This sounded more self controlling where it’s hopefully just making sure you have enough of it in your body and don’t need to take care of the rest.

Until then, Freestyle with Omnipod Dash in a close loop with iAPS was a game changer for me: Almost no peaks anymore, HBA1c on the level of a non diabetic person…

Nevertheless, good luck in productising it and I’ll be certainly trying it once it’s available…

3 comments

> Freestyle is good enough already

In my experience, the quality control isn't very good (some patches will read much more accurately than others) and accuracy isn't that good when you get out of normal ranges.

I don't think the "invasive" nature of the Freestyle is a problem at all, but it would be nice to see some innovation on either the cost or the accuracy or both.

OP lacks imagination for sure. This would reduce infections, prevent compression lows, be more discrete and potentially increase accuracy.

In no way would I describe CGM as solved, and this would go a long way towards filling many of the gaps, especially in younger / older / less compliant patient populations.

For closed loop better cgms will help.

Main points are (fsl2 based):

- latency, currently 10min.

- accuracy, fine in normal range, but when you have a low blood sugar suddenly the latency spikes a lot.

- values when being under the shower too high.

- start up time of 60min could be lower.

-open up the hardware for any app to read

I believe this is a reference to the tech you are talking about. I have a similar take as you: current cgm tech plus closed loop is pretty good. Self activating insulin is the first promising tech I’ve seen in the 40+ years of following the research.

https://youtu.be/lVTS_J7Xmxs?si=vemMfo3IbfMlYrUi