diff --git a/docs/edition/2024-11-27.md b/docs/edition/2024-11-27.md new file mode 100644 index 0000000..2177b20 --- /dev/null +++ b/docs/edition/2024-11-27.md @@ -0,0 +1,115 @@ +## Welcome to News from _Loop and Learn_ + +_Master Your DIY Closed-Loop Insulin Delivery System_ + +Published on 27 November 2024. + +## In this edition: + +* [*Zoom* Sessions](#upcoming-zoom-sessions) +* [Reminder: Sign Your New Apple Developer Agreement](#reminder-sign-your-new-apple-developer-agreement) +* [Another Call to Action](#another-call-to-action) +* [Adam Brown: Save the Date](#adam-brown-save-the-date) +* [D-Data Download](#d-data-download) +* [Build Tips](#build-tips) +* [Holiday Indulgence](#holiday-indulgence) +* [Helpful Links](#helpful-links) + +## Upcoming *Zoom* Sessions + +_Loop and Learn_: Informal Discussion (`Open Mic`) zoom meetings are scheduled on the second Thursday of each month. + +*Zoom* Sessions use this link: + +* [https://us06web.zoom.us/j/89085412738?pwd=eXpTN2M5V3M0TEVJQktmVldBTVRYUT09](https://us06web.zoom.us/j/89085412738?pwd=eXpTN2M5V3M0TEVJQktmVldBTVRYUT09){:target="_blank"} + +| Topic | Recorded? | Time | Date | +| - | - | - | - | +| _Loop and Learn_: Informal Discussion
`Open Mic` | no | 19:00 UTC | 12 December 2024 | +| _Loop and Learn_: Informal Discussion
`Open Mic` | no | 19:00 UTC | 09 January 2025 | +| _Loop and Learn_: Speaker Series
Adam Brown | no | 20:00 UTC | 16 January 2025 | + +#### Time Zone Converter + +Need help figuring out when an event happens in your time zone? Try the [SavvyTime: UTC Converter](https://savvytime.com/converter/utc){:target="_blank"}. + +## Reminder: Sign Your New Apple Developer Agreement + +We are finding that some of our members have not yet signed their new agreements, which should have been signed by 6 November. If this is you: sign the agreement at [*Apple*](https://developer.apple.com/support/terms/apple-developer-program-license-agreement/){:target="_blank"} and then wait at least 15 minutes before trying to use the new agreement (especially if using Browser Build). + +## Another Call to Action + +This is our second newsletter request to [Help Impact the FDA’s Decision](https://tcoyd.org/petition/){:target="_blank"} to approve sotagliflozin for use by T1Ds who are also living with chronic kidney disease. It has the potential to improve their quality of life and reduce complications from type 1 diabetes. Please click the link above, read the background and sign the petition. + +If you submitted a letter to the FDA recently, THANK YOU and please also sign this petition. + +## Adam Brown: Save the Date + +> Mark your calendar for Thursday, January 16 at 12pm PT/3pmET/9pm CET. + +[Adam Brown](https://adambrowntherapy.com/){:target="_blank"} is coming back! We saw him share some important mental health-related ideas at D-Data earlier this month and asked him if he would Zoom with us again so that all of our members can learn from him. It’s good stuff! You can prepare yourself by [watching our previous meeting with Adam](https://youtu.be/aLKhFBoPRh8?si=UjWJwpT3y0opzvwl&t=1){:target="_blank"}. + +## D-Data Download + +Several Loop and Learn team members attended the [DiabetesMine’s Fall 2024 Innovation Summit and d-data exChange](https://ddataexchange.com/){:target="_blank"}, organized by +Amy Tenderich, earlier this month in San Diego in San Diego. The #WeAreNotWaiting movement originated at d-data, a smaller conference that focuses on the forefront of technological diabetes innovation. Day 1 was The DiabetesMine Innovation Summit and Day 2, Diabetes Mine’s D-Data Exchange. + +###Mental Health + +* Adam Brown emphasized the importance of focusing on positive outcomes ("bright spots") rather than negatives ("landmines") in diabetes management, advocating for praise to encourage healthier behaviors. +* Lynxi Mytkolli discussed Diabetes Action Canada's work to improve diabetes care through collaborative research, addressing unmet needs with a focus on lived, loved, learned, and labored experiences. +* Alex Durussel-Baker introduced her “Diabetes by Design” art cards as tools to spark meaningful conversations about diabetes. + +Each presentation highlighted the critical role of mental health in diabetes care, and we are excited to see this emphasis on this often-overlooked aspect. + +### Pregnancy + +* Dr. Kristin Castorino (Sansum Diabetes Research Institute) emphasized the lifelong impact of diabetes, linking hyperglycemia to birth defects and cardiovascular risks. +* Dr. Carol Levy (Mt. Sinai) highlighted how technology can reduce the significant burden of T1D at this critical time. +* Joy Cornthwaite (UT Health) advocated integrating CGM data into electronic health records to improve care coordination and support long-term technology adoption during pregnancy. + +### AI (Artificial Intelligence) and Food Recognition Apps + +* UCSD’s Chief Health AI Officer, Dr. Karandeep Singh, explained the paradox of AI in healthcare and emphasized the need for greater attention to implementation science in hospitals and quality measurements for AI use in healthcare. +* Chat CGM, an AI algorithm for CGM data and food recognition that is in development, was presented by Kirill Gusev. +* GoCoCo Diabetes-focused food scanner app was introduced by Julie Ruelle. +* Sam Royston (Replica Health) discussed integrating AI and machine learning into AID algorithms, particularly for predicting carb absorption based on meal types. + +### CGM in development + +* Glucotrack 3-year implantable continuous CGM implants into the subclavian vein and reads blood glucose directly from blood. +* Persperion Diagnostics’ sweat-based glucose sensor uses fingertip sweat and is non-invasive. + +### New Insulins + +* Dr. Robert Thomas (UCSD) discussed the potential of once-weekly insulins in diabetes therapy, noting their convenience but also the risk of prolonged hypoglycemia due to their long half-lives. He highlighted their benefits for certain patient populations, such as those with DKA or disabilities, while emphasizing the need to tailor insulin therapy to individual needs. Something to look for in the future. + +### Addressing Challenges in Diabetes Care +* Dr. Bob Gabbay (Joslin Diabetes) addressed mental health, GLP-1 RA access, and healthcare delivery shortages. He praised the "revolutionary" impact of GLP-1 RAs but noted supply and insurance barriers, suggesting workarounds for T1D use given regulatory hurdles. He urged optimizing endocrinologist roles and team-based care. +* Drs. Kathryn Evans Kreider (Duke Univ.) and Alicia Warnock (Stability Health) shared efforts at their institutions to improve healthcare efficiency and quality. +* Mary Jane Roche (Diabetes Link) discussed the iHero randomized controlled trial, a collaborative project between The Diabetes Link and University Hospitals to develop a financial toolkit for young adults with type 1 diabetes. The study seeks to assess how targeted financial education can improve health outcomes for this population. +* The Tidepool+ risk-based dashboard for patient care was presented by Brandon Arbiter. This will help HCPs be able to proactively identify patients whose data indicates they need more intensive help with management or supply issues. + +### Community-Based Advocacy + +* Susannah Fox (author of Rebel Health: A Field Guide to the Patient-Led Revolution in Medical Care) emphasized the role of online communities and grassroots initiatives in addressing healthcare challenges. These efforts help meet unmet needs, fight misinformation, and improve access to care and resources. The book explores how patients and caregivers are driving innovation and advocating for solutions based on their lived experiences, exemplified by movements like #WeAreNotWaiting. It focuses on empowering patients to take an active role in their healthcare, challenging traditional hierarchies within the system. and last, but certainly not least, Automated Insulin Delivery (AID) +* Dr. Anders Carlson (International Diabetes Center) advocated for early AID adoption in T2D, emphasizing its potential to improve management and reduce complications. He called for partnerships with primary care clinics and continued device innovation to meet T2D-specific needs. +* A panel on the “Wild West” of open-source automated insulin delivery system (OS-AID) support, featuring our own Joanne Milo and Marion Barker, and Dr. Rayhan Lal (Stanford Medicine), was moderated by Brandon Arbiter (Tidepool). Dr. Lal addressed the safety and efficacy of OS-AID, emphasizing that diabetes itself, not the system type, poses the primary risk. Dr. Lal continues to push for equity for users of AID systems. Joanne and Marion talked about the importance of peer-to-peer help found in the online community. The panel discussed the need to support OS- AID users, who should use open-source, and whether there should be some standards of training or ways of validating paid support services to supplement the volunteer community. +* David Burren (Nascence BioMed) discussed the capability of achieving fully closed looping with OS-AID and shared that while he has not bolused or announced meals since 2021, his A1C remains low (5.6) with TIR (time in range) >90% and TITR (time in tight range) >75%. +* Kate Farnsworth shared news on the Sequel twiist AID system, which uses the Tidepool Loop algorithm. +* Theresa Hastings unveiled the soon-to-be-released updated Trio, the iPhone-based Oref OS- AID app, which many of us are already benefiting from through an earlier release. + +The innovations and focus on patient care at D-Data were truly inspiring, and we are excited to see the positive changes that will come from them. It was also a wonderful experience to meet more of our team and community members in person. Despite, for many, it being our first face-to- face meeting, the bonds we’ve built through close collaboration made it feel like anything but our first meeting! + +## Build Tips + +## Holiday Indulgence + +## Helpful Links + +* [Subscribe](https://www.loopandlearn.org/newsletter-signup/){:target="_blank"} to get the Newsletter delivered to your email weekly. + * Not all articles in the original Newsletter are reproduced in this text only edition; click on [original Newsletter archives](https://www.loopandlearn.org/loop-and-learn-newsletter/){:target="_blank"} for the full version + * In particular, articles about recent posts in Facebook are not transcribed to the text-only version +* [Check for Updates](https://www.loopandlearn.org/version-updates/){:target="_blank"} summarizes details about latest versions for Loop, Trio, Loop Customizations and iOS +* [Find a Health Care Provider who will support your use of Loop](https://www.loopandlearn.org/hcp-recommendations/){:target="_blank"} +* [_Loop and Learn_ Open-Source Automated Delivery System Links](https://www.loopandlearn.org/resources/#os-aid){:target="_blank"} diff --git a/docs/index.md b/docs/index.md index 2476a85..2177b20 100644 --- a/docs/index.md +++ b/docs/index.md @@ -2,18 +2,17 @@ _Master Your DIY Closed-Loop Insulin Delivery System_ -Published on 14 November 2024. +Published on 27 November 2024. ## In this edition: * [*Zoom* Sessions](#upcoming-zoom-sessions) -* [World Diabetes Day - Open Mic](#world-diabetes-day---open-mic) -* [Nightscout Foundation](#nightscout-foundation) -* [Loop and Learn](#loop-and-learn) -* [Hack '24 was a Great Success](#hack-24-was-a-great-success) -* [A Peek into the Hack](#a-peek-into-the-hack) -* [A Word From D-Data](#a-word-from-d-data) -* [Facebook Post Removals](#facebook-post-removals) +* [Reminder: Sign Your New Apple Developer Agreement](#reminder-sign-your-new-apple-developer-agreement) +* [Another Call to Action](#another-call-to-action) +* [Adam Brown: Save the Date](#adam-brown-save-the-date) +* [D-Data Download](#d-data-download) +* [Build Tips](#build-tips) +* [Holiday Indulgence](#holiday-indulgence) * [Helpful Links](#helpful-links) ## Upcoming *Zoom* Sessions @@ -26,65 +25,85 @@ _Loop and Learn_: Informal Discussion (`Open Mic`) z | Topic | Recorded? | Time | Date | | - | - | - | - | -| _Loop and Learn_: Informal Discussion
`Open Mic` | no | 18:00 UTC | 12 December 2024 | +| _Loop and Learn_: Informal Discussion
`Open Mic` | no | 19:00 UTC | 12 December 2024 | +| _Loop and Learn_: Informal Discussion
`Open Mic` | no | 19:00 UTC | 09 January 2025 | +| _Loop and Learn_: Speaker Series
Adam Brown | no | 20:00 UTC | 16 January 2025 | #### Time Zone Converter Need help figuring out when an event happens in your time zone? Try the [SavvyTime: UTC Converter](https://savvytime.com/converter/utc){:target="_blank"}. -## World Diabetes Day - Open Mic +## Reminder: Sign Your New Apple Developer Agreement -On [World Diabetes Day](https://worlddiabetesday.org/){:target="_blank"}, thirty loopers from around the world joined in an Open Mic session. One of the themes was to provide information about Hack '24 held on 6 November 2024. +We are finding that some of our members have not yet signed their new agreements, which should have been signed by 6 November. If this is you: sign the agreement at [*Apple*](https://developer.apple.com/support/terms/apple-developer-program-license-agreement/){:target="_blank"} and then wait at least 15 minutes before trying to use the new agreement (especially if using Browser Build). -## Nightscout Foundation +## Another Call to Action -A note from James Wedding, President, [Nightscout Foundation](https://www.nightscoutfoundation.org/){:target="_blank"} about the Hackathon 2024: +This is our second newsletter request to [Help Impact the FDA’s Decision](https://tcoyd.org/petition/){:target="_blank"} to approve sotagliflozin for use by T1Ds who are also living with chronic kidney disease. It has the potential to improve their quality of life and reduce complications from type 1 diabetes. Please click the link above, read the background and sign the petition. -> When we began the Nightscout Foundation, we hoped it would be a vehicle for sustaining and driving open-source development in the diabetes world. Thanks to the generosity of this community, we were able to put together yet another hack, literally bringing together developers from around the globe. These folks give so much of their time to support us all, and I'm so proud that we can support them financially to attend these events. +If you submitted a letter to the FDA recently, THANK YOU and please also sign this petition. -> Thank you to every single person who contributed to this focused effort. Keep an eye for future events! +## Adam Brown: Save the Date -## Loop and Learn +> Mark your calendar for Thursday, January 16 at 12pm PT/3pmET/9pm CET. -Loop and Learn extends our thanks to the Nightscout Foundation and to our outstanding community, as well. Your support is truly helping shape the future of Automated Insulin Delivery, from which we all benefit. +[Adam Brown](https://adambrowntherapy.com/){:target="_blank"} is coming back! We saw him share some important mental health-related ideas at D-Data earlier this month and asked him if he would Zoom with us again so that all of our members can learn from him. It’s good stuff! You can prepare yourself by [watching our previous meeting with Adam](https://youtu.be/aLKhFBoPRh8?si=UjWJwpT3y0opzvwl&t=1){:target="_blank"}. -## Hack '24 was a Great Success +## D-Data Download -On November 6, 2024, ten years, almost to the day, since Nightscout received their 501(c)(3) status, twenty-five developers and others from around the world gathered at the Microsoft office in San Diego, CA for Hack ‘24. People from Loop and Learn, Trio, Lotus (Nascence Biomed), AAPS teams, and developers in general- almost all of whom are “new” on the open source scene since the last Hack- collaborated on making our OS-AID systems even better, with the ultimate goal of reducing the burden on PWD. Groups were formed based on interest areas and people shifted groups as was reasonable. +Several Loop and Learn team members attended the [DiabetesMine’s Fall 2024 Innovation Summit and d-data exChange](https://ddataexchange.com/){:target="_blank"}, organized by +Amy Tenderich, earlier this month in San Diego in San Diego. The #WeAreNotWaiting movement originated at d-data, a smaller conference that focuses on the forefront of technological diabetes innovation. Day 1 was The DiabetesMine Innovation Summit and Day 2, Diabetes Mine’s D-Data Exchange. -Here’s a recap from the perspectives of some of our Hackers: +###Mental Health -David Burren and Tim Gunn of [Nascence Biomed](https://www.nascencebiomed.com/){:target="_blank"} say: +* Adam Brown emphasized the importance of focusing on positive outcomes ("bright spots") rather than negatives ("landmines") in diabetes management, advocating for praise to encourage healthier behaviors. +* Lynxi Mytkolli discussed Diabetes Action Canada's work to improve diabetes care through collaborative research, addressing unmet needs with a focus on lived, loved, learned, and labored experiences. +* Alex Durussel-Baker introduced her “Diabetes by Design” art cards as tools to spark meaningful conversations about diabetes. -> We analyzed the implications of dynamic ISF and discussed improvements to the onboarding process. Currently, we use basal profiles, ISF (Insulin Sensitivity Factor), and CR (Carbohydrate Ratio) settings, but these values are often inaccurate and vary considerably, even with values from doctors. To address this, we reviewed different models—such as sigmoid and logarithmic functions in Trio and AAPS, along with a simplified model in Lotus. We developed plans for a more integrated approach, which we hope to test through retrospective analysis, aiming to make the system more consistent and adaptable across user profiles, regardless of gender, aging patterns, or weekly fluctuations. +Each presentation highlighted the critical role of mental health in diabetes care, and we are excited to see this emphasis on this often-overlooked aspect. -> Additionally, we worked on standardizing the oref implementation across platforms, moving away from JavaScript to support a shared reference implementation rather than just a design. Progress was also made on the coding front, setting us up to deliver a more cohesive and accessible experience across platforms. +### Pregnancy -Other groups focused on topics such as AID testing/development, Nightscout and open source sustainability. +* Dr. Kristin Castorino (Sansum Diabetes Research Institute) emphasized the lifelong impact of diabetes, linking hyperglycemia to birth defects and cardiovascular risks. +* Dr. Carol Levy (Mt. Sinai) highlighted how technology can reduce the significant burden of T1D at this critical time. +* Joy Cornthwaite (UT Health) advocated integrating CGM data into electronic health records to improve care coordination and support long-term technology adoption during pregnancy. -Theresa Hastings sums it up quite nicely, probably for all of us: +### AI (Artificial Intelligence) and Food Recognition Apps -> If previous hackathons were anything like this one, I can say I now understand why this community took off like a bat outta hell years ago. The innovation that is driven through collaboration when a common goal is at the center easily becomes an unstoppable force. I felt it that day and have been coasting from the high ever since. The common theme in all of the discussions was unity. Improving the structure of DIY systems so innovations can be shared. This means we can combine our resources and share in the rewards of this hard work. +* UCSD’s Chief Health AI Officer, Dr. Karandeep Singh, explained the paradox of AI in healthcare and emphasized the need for greater attention to implementation science in hospitals and quality measurements for AI use in healthcare. +* Chat CGM, an AI algorithm for CGM data and food recognition that is in development, was presented by Kirill Gusev. +* GoCoCo Diabetes-focused food scanner app was introduced by Julie Ruelle. +* Sam Royston (Replica Health) discussed integrating AI and machine learning into AID algorithms, particularly for predicting carb absorption based on meal types. -> Every day, I count myself blessed to be part of this community of innovators. For the first time, at the hackathon, I didn’t feel like an imposter but felt like I was at home. Together we will #NeverStopInnovating +### CGM in development -## A Peek into the Hack +* Glucotrack 3-year implantable continuous CGM implants into the subclavian vein and reads blood glucose directly from blood. +* Persperion Diagnostics’ sweat-based glucose sensor uses fingertip sweat and is non-invasive. -As promised, the Loop and Learn team at Hack ‘24 hosted an Open Mic, during which developers and the rest of us got to say hello and share a bit of what was going on, in real time. It was a quick little window in, helping loopers from around the world know that they, too, are a part of this revolutionary #WeAreNotWaiting movement! +### New Insulins -## A Word From D-Data +* Dr. Robert Thomas (UCSD) discussed the potential of once-weekly insulins in diabetes therapy, noting their convenience but also the risk of prolonged hypoglycemia due to their long half-lives. He highlighted their benefits for certain patient populations, such as those with DKA or disabilities, while emphasizing the need to tailor insulin therapy to individual needs. Something to look for in the future. -More to come on the [Fall 2024 DiabetesMine Innovation Days](https://ddataexchange.com/){:target="_blank"}, but here’s a teaser. This [#NeverStopInnovating Video](https://youtu.be/SbBmrz87QmM%20){:target="_blank"}, showcasing the innovation at the core of our mission, was presented at the start of Day 2 of the DData ExChange conference. +### Addressing Challenges in Diabetes Care +* Dr. Bob Gabbay (Joslin Diabetes) addressed mental health, GLP-1 RA access, and healthcare delivery shortages. He praised the "revolutionary" impact of GLP-1 RAs but noted supply and insurance barriers, suggesting workarounds for T1D use given regulatory hurdles. He urged optimizing endocrinologist roles and team-based care. +* Drs. Kathryn Evans Kreider (Duke Univ.) and Alicia Warnock (Stability Health) shared efforts at their institutions to improve healthcare efficiency and quality. +* Mary Jane Roche (Diabetes Link) discussed the iHero randomized controlled trial, a collaborative project between The Diabetes Link and University Hospitals to develop a financial toolkit for young adults with type 1 diabetes. The study seeks to assess how targeted financial education can improve health outcomes for this population. +* The Tidepool+ risk-based dashboard for patient care was presented by Brandon Arbiter. This will help HCPs be able to proactively identify patients whose data indicates they need more intensive help with management or supply issues. -## Facebook Post Removals +### Community-Based Advocacy -We have been fighting a lot of post removals in recent weeks and are hearing that some of our members are as well. We urge you to protest if yours gets removed... +* Susannah Fox (author of Rebel Health: A Field Guide to the Patient-Led Revolution in Medical Care) emphasized the role of online communities and grassroots initiatives in addressing healthcare challenges. These efforts help meet unmet needs, fight misinformation, and improve access to care and resources. The book explores how patients and caregivers are driving innovation and advocating for solutions based on their lived experiences, exemplified by movements like #WeAreNotWaiting. It focuses on empowering patients to take an active role in their healthcare, challenging traditional hierarchies within the system. and last, but certainly not least, Automated Insulin Delivery (AID) +* Dr. Anders Carlson (International Diabetes Center) advocated for early AID adoption in T2D, emphasizing its potential to improve management and reduce complications. He called for partnerships with primary care clinics and continued device innovation to meet T2D-specific needs. +* A panel on the “Wild West” of open-source automated insulin delivery system (OS-AID) support, featuring our own Joanne Milo and Marion Barker, and Dr. Rayhan Lal (Stanford Medicine), was moderated by Brandon Arbiter (Tidepool). Dr. Lal addressed the safety and efficacy of OS-AID, emphasizing that diabetes itself, not the system type, poses the primary risk. Dr. Lal continues to push for equity for users of AID systems. Joanne and Marion talked about the importance of peer-to-peer help found in the online community. The panel discussed the need to support OS- AID users, who should use open-source, and whether there should be some standards of training or ways of validating paid support services to supplement the volunteer community. +* David Burren (Nascence BioMed) discussed the capability of achieving fully closed looping with OS-AID and shared that while he has not bolused or announced meals since 2021, his A1C remains low (5.6) with TIR (time in range) >90% and TITR (time in tight range) >75%. +* Kate Farnsworth shared news on the Sequel twiist AID system, which uses the Tidepool Loop algorithm. +* Theresa Hastings unveiled the soon-to-be-released updated Trio, the iPhone-based Oref OS- AID app, which many of us are already benefiting from through an earlier release. -* Immediately submit an appeal through the “Request a Review” process if it’s available. This is a direct way to contest the removal. -* Provide a clear, concise explanation of why you believe the post complies with the guidelines. -* Mention specific parts of the Community Standards that you believe the post adheres to in order to strengthen the appeal. +The innovations and focus on patient care at D-Data were truly inspiring, and we are excited to see the positive changes that will come from them. It was also a wonderful experience to meet more of our team and community members in person. Despite, for many, it being our first face-to- face meeting, the bonds we’ve built through close collaboration made it feel like anything but our first meeting! + +## Build Tips -[Link to Facebook Appeal Information](https://www.facebook.com/help/2090856331203011?helpref=faq_content){:target="_blank"} +## Holiday Indulgence ## Helpful Links diff --git a/mkdocs.yml b/mkdocs.yml index 4a571be..6793e0d 100644 --- a/mkdocs.yml +++ b/mkdocs.yml @@ -94,6 +94,7 @@ use_directory_urls: !ENV [CHECK_BROKEN_LINKS, True] nav: - Current: 'index.md' - Edition by Date: + - '2024-11-27': 'edition/2024-11-27.md' - '2024-11-14': 'edition/2024-11-14.md' - '2024-11-04': 'edition/2024-11-04.md' - '2024-10-25': 'edition/2024-10-25.md'