Errors of commission or omission: The net risk safety analysis conversation we should be having around automated insulin delivery systems

Diabet Med. 2022 May;39(5):e14687. doi: 10.1111/dme.14687. Epub 2021 Sep 17.

Abstract

The question of safety often arises when discussing automated insulin delivery systems, but discussion of safety is often anchored on a comparison to the risk to a person without diabetes, overlooking the risks of living with insulin-requiring diabetes. We should use a net risk safety perspective for evaluating diabetes technology that takes into account the ongoing risks of insulin management for people living with diabetes.

Keywords: AID; APS; artificial pancreas; automated insulin delivery; closed loop; hybrid closed loop; risk analysis.

MeSH terms

  • Blood Glucose
  • Diabetes Mellitus, Type 1* / drug therapy
  • Humans
  • Hypoglycemic Agents / adverse effects
  • Insulin / adverse effects
  • Insulin Infusion Systems / adverse effects
  • Pancreas, Artificial*

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Insulin