a year in the loop

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A Year in the Loop Friends for Life Anaheim 2016 @jasoncalabrese

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Page 1: A Year in the Loop

A Year in the LoopFriends for Life Anaheim 2016

@jasoncalabrese

Page 2: A Year in the Loop

● You could be notified of a Low or High before it happened

● More time was spent in range and lower A1C’s became normal

● Communication between everyone providing care was optimized

● All your DData was analyzed in real-time, and customized notifications and alarms were reliably pushed to all your devices

A year ago, we started this session with

What if…

~

How did we do?

● Over 100 Loopers from all around the world, 3 Open Source APs integrated with Nightscout, open hardware designed/produced, and more

+

Page 3: A Year in the Loop

The Year of the Loopers

One Year Ago Less than a month later Andrew starts looping

What will this look like next year?

Page 4: A Year in the Loop

Last year this was the state of#OpenAPS and Nightscout integration

It’s doing something, results look good, but hard to understand exactly what is going on

Page 5: A Year in the Loop

The current state of#OpenAPS and Nightscout integration

Temp basal visualization

Eating soon Temp Target

Rendering multiple OpenAPS forecasts

OpenAPS and Pump status

Page 6: A Year in the Loop

with Urchin all that information isavailable on your pebble

Easily customized, with the colors, and information you want

Page 7: A Year in the Loop

AndroidAPS

A modular Android based AP, currently works with the DannaR pump.

Page 8: A Year in the Loop

Loop

An iOS based AP that uses the RileyLink as a bridge to communicate with older Medtronic pump

Page 9: A Year in the Loop

Open Hardware: RileyLink, Explorer, RiledUp

Page 10: A Year in the Loop

Living with#OpenAPS and Nightscout

Page 11: A Year in the Loop

SleepIt’s possible again

Page 12: A Year in the Loop

Our 1st cub scout camping trip with OpenAPSWith extra activity, only minimal boluses are needed

Page 13: A Year in the Loop

Taking #OpenAPS is school

School district required it to be in the physician's orders, after seeing the results our Dr agrees to update the orders

Page 14: A Year in the Loop

Can you getall that stuff on a plane?

Yes!

Page 15: A Year in the Loop

Real-time pump monitoringenables more independence, bolus uploaded automatically

Page 16: A Year in the Loop

Net IOB: Bolus IOB, adjusted for the effect of higher and lower temp basals

Page 17: A Year in the Loop

Temporary Targets: Hints for your loop

Prevent a low from planned activity:set a higher target

Prepare for a meal:set a lower target

Page 18: A Year in the Loop

Eating Soon Mode

● A lower target 30-60 minutes before a meal● Have “some” active insulin before meal● Bolus at meal time, instead of a pre-bolus● If you decide not to eat, a low temp should bring you

back to normal target

https://diyps.org/2016/07/11/picture-this-how-to-do-eating-soon-mode/

Page 19: A Year in the Loop

From the first decision to the Pizza Test

Page 20: A Year in the Loop

If Nightscout data is used to control your loop,you need access controls

Page 21: A Year in the Loop

Multiple rigs for redundancy:indy-e1, indy-e2, indy-e3, indy-e4, indy2 (pi)

Page 22: A Year in the Loop

Support for multiple active cgm sources overlap Share, xdrip, parakeet, etc

Page 23: A Year in the Loop

Why are youWaiting?

Page 24: A Year in the Loop

A Year in the LoopFriends for Life Anaheim 2016

@jasoncalabrese