In February 2020, organizers of the Advanced Technologies & Treatments for Diabetes (ATTD) Annual Conference convened an international panel of healthcare professionals, researchers, patient advocates, and industry representatives to review the status of digital diabetes technologies, characterize deficits in current technologies, and identify issues for consideration. Since that meeting, the importance of using telehealth and digital diabetes technologies has been demonstrated amid the global COVID-19 pandemic. This article summarizes the panel’s discussion of the opportunities, obstacles and requisites for advancing use of these technologies as a standard of care for the management of diabetes.
Diabetes Technol Ther 2020 Sep 9. doi: 10.1089/dia.2020.0375. Online ahead of print.
Continuous glucose monitoring (CGM) is now increasingly used in routine clinical practice and is gaining appreciation from its users. With its broad use, novel parameters for a better definition of targets for successful metabolic control are available but a consensus between health care professionals and PwD on these parameters is lacking.
In February 2019 the ATTD convened a consensus meeting with an international panel of 30 key opinion leaders in order to establish appropriate settings for a broad and clinically viable consensus on Time in Range (TIR). These are now summarized in a publication in Diabetes Care.
Diabetes Care 2019; 42:1593-1603
ATTD International Consensus on the use of SGLT1&2 inhibitors in treating T1D – ORLANDO 2018
Recent study results show a significant clinical benefit of adjunct therapy with SGLT1&2 inhibitors in addition to insulin in type 1 diabetes. However, this is accompanied by slightly higher DKA rates than placebo in several studies.
In June 2018, the ATTD convened a consensus meeting with an international panel of 30 physicians and researchers with expertise in using SGLT-inhibitor therapy in order to find ways to mitigate DKA and euDKA risk. These are now summarized in a publication in Diabetes Care.
Diabetes Care 2019; 42:1147-1154
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"Periodically,a new idea, method, or tool leads to a turning point in the Management of diabetes. We believe such a moment is now upon us, brought by the
development of reliable devices for continuous glucose monitoring (CGM)."
- Editorial by Matthew C. Riddle, Hertzel C. Gerstein, and William T. Cefalu, Diabetes Care 2017;40:1611–1613.At ATTD 2017, an international panel of physicians, researchers, and individuals with diabetes came together for a consensus meeting and addressed the issues around continuous glucose monitoring (CGM).
Even though CGM moves beyond HbA1c measurement, there are issues such as the lack of standardized metrics for analyzing CGM data, and no clear criteria for matching patients to most appropriate glucose monitoring methodologies.
Consensus recommendations and the current understanding of how CGM results can affect outcomes are now summarizes in a publication in Diabetes Care.
ATTD CONSENSUS STATEMENT on the use of Continuous Glucose Monitoring (CGM) in the Pediatric age-group – PARIS 2011
The use of real-time continuous glucose monitoring (CGM) providing continuous glucose measurements became popular and helped PwD to optimize glycemic control and reduce the risk of hypoglycemia. Yet, the benefits of the current CGM systems have been more challenging to demonstrate, especially in pediatric patients.
In order to address these issues, ATTD, together with the European Society for Pediatric Endocrinology (ESPE), the Pediatric Endocrine Society (PES), and the International Society for Pediatric and Adolescent Diabetes (ISPAD) convened a panel of expert physicians for a consensus conference.
Pediatric Diabetes 2012; 13:215-228
Consensus Statement on the use of insulin pump therapy in the pediatric age group – BERLIN 2006
The Consensus meeting held in Berlin in April 2006 was organized by the Loop Club, which preceded the ATTD, together with European Society for Pediatric Endocrinology (ESPE), the Lawson Wilkins Pediatric Endocrine Society (LWPES), and the International Society for Pediatric and Adolescent Diabetes (ISPAD) and endorsed by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).
A panel of expert physicians discussed the advantages of the use of pump therapy in the pediatric age group.
Diabetes Care 2007; 30:1653-1662
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Diabetes Care is a journal for the
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Diabetes publishes original research about the physiology and pathophysiology of diabetes mellitus. Submitted manuscripts can report any aspect of laboratory, animal, or human research. Emphasis is on investigative reports focusing on areas such as the pathogenesis of diabetes and its complications, normal and pathologic pancreatic islet function and intermediary metabolism, pharmacological mechanisms of drug and hormone action, and biochemical and molecular aspects of normal and abnormal biological processes. Studies in the areas of diabetes education or the application of accepted therapeutic and diagnostic approaches to patients with diabetes mellitus are not published.
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The Journal of Diabetes Science and Technology (JDST) is a bi-monthly, peer-reviewed scientific journal published by the Diabetes Technology Society.
JDST covers scientific and clinical aspects of diabetes technology including glucose monitoring, insulin and metabolic peptide delivery, the artificial pancreas, digital health, precision medicine, social media, cybersecurity, software for modeling, physiologic monitoring, technology for managing obesity, and diagnostic tests of glycation. The journal also covers the development and use of mobile applications and wireless communication, as well as bioengineered tools such as MEMS, new biomaterials, and nanotechnology to develop new sensors. Articles in JDST cover both basic research and clinical applications of technologies being developed to help people with diabetes.
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Diabetes Technology & Therapeutics is the only peer-reviewed journal providing healthcare professionals with information on new devices, drugs, drug delivery systems, and software for managing patients with diabetes. This leading international journal delivers practical information and comprehensive coverage of cutting-edge technologies and therapeutics in the field, and highlights new pharmacological and device developments to optimize patient care.
Diabetes Technology & Therapeutics is under the editorial leadership of Editor-in-Chief Satish K. Garg, MD, University of Colorado Denver, Barbara Davis Center for Childhood Diabetes; Senior Editors Jay S. Skyler, MD, MACP, University of Miami Miller School of Medicine, and Irl B. Hirsch, MD, University of Washington Medical Center–Roosevelt; and other leading investigators.
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Pediatric Diabetes is a bi-monthly journal devoted to disseminating new knowledge relating to the epidemiology, etiology, pathogenesis, management, complications and prevention of diabetes in childhood and adolescence. The aim of the journal is to become the leading vehicle for international dissemination of research and practice relating to diabetes in youth. Papers are considered for publication based on the rigor of scientific approach, novelty, and importance for understanding mechanisms involved in the epidemiology and etiology of this disease, especially its molecular, biochemical and physiological aspects. Work relating to the clinical presentation, course, management and outcome of diabetes, including its physical and emotional sequelae, is considered. In vitro studies using animal or human tissues, whole animal and clinical studies in humans are also considered. The journal reviews full-length papers, preliminary communications with important new information, clinical reports, and reviews of major topics. Invited editorials, commentaries, and perspectives are a regular feature. The editors, based in the USA, Europe, and Australasia, maintain regular communications to assure rapid turnaround time of submitted manuscripts.