In recent years, automated insulin delivery (AID) systems have transformed diabetes care with demonstrated benefits in glucose control, hypoglycemia risk, and psychosocial outcomes. Given that different systems show peculiarities in terms of components, approved indications of use, type of algorithm, modifiable settings, and additional features, with this expert paper, we aim to provide healthcare professionals with device-specific recommendations for the optimization of insulin therapy and diabetes self-management with the five commercial AID systems most commonly used in Italy. In detail, we provide educational tips and suggestions for adjustment of insulin dosing parameters to address specific glucose patterns as depicted by continuous glucose monitoring data and effectively manage physical activity or exercise.

Tips for successful use of commercial automated insulin delivery systems: An expert paper of the Italian working group on diabetes and technology / Di Molfetta, Sergio; Rossi, Antonio; Assaloni, Roberta; Franceschi, Roberto; Grancini, Valeria; Guardasole, Vincenzo; Scaramuzza, Andrea Enzo; Scarpitta, Antonietta Maria; Trombetta, Maddalena; Zanfardino, Angela; Candido, Riccardo; Avogaro, Angelo; Cherubini, Valentino; Irace, Concetta. - In: DIABETES RESEARCH AND CLINICAL PRACTICE. - ISSN 0168-8227. - 2025, 223:(2025), pp. 1121171-1121179. [10.1016/j.diabres.2025.112117]

Tips for successful use of commercial automated insulin delivery systems: An expert paper of the Italian working group on diabetes and technology

Franceschi, Roberto;
2025-01-01

Abstract

In recent years, automated insulin delivery (AID) systems have transformed diabetes care with demonstrated benefits in glucose control, hypoglycemia risk, and psychosocial outcomes. Given that different systems show peculiarities in terms of components, approved indications of use, type of algorithm, modifiable settings, and additional features, with this expert paper, we aim to provide healthcare professionals with device-specific recommendations for the optimization of insulin therapy and diabetes self-management with the five commercial AID systems most commonly used in Italy. In detail, we provide educational tips and suggestions for adjustment of insulin dosing parameters to address specific glucose patterns as depicted by continuous glucose monitoring data and effectively manage physical activity or exercise.
2025
Di Molfetta, Sergio; Rossi, Antonio; Assaloni, Roberta; Franceschi, Roberto; Grancini, Valeria; Guardasole, Vincenzo; Scaramuzza, Andrea Enzo; Scarpit...espandi
Tips for successful use of commercial automated insulin delivery systems: An expert paper of the Italian working group on diabetes and technology / Di Molfetta, Sergio; Rossi, Antonio; Assaloni, Roberta; Franceschi, Roberto; Grancini, Valeria; Guardasole, Vincenzo; Scaramuzza, Andrea Enzo; Scarpitta, Antonietta Maria; Trombetta, Maddalena; Zanfardino, Angela; Candido, Riccardo; Avogaro, Angelo; Cherubini, Valentino; Irace, Concetta. - In: DIABETES RESEARCH AND CLINICAL PRACTICE. - ISSN 0168-8227. - 2025, 223:(2025), pp. 1121171-1121179. [10.1016/j.diabres.2025.112117]
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