Automated insulin delivery: benefits, challenges, and recommendations. A Consensus Report of the Joint Diabetes Technology Working Group of the European Association for the Study of Diabetes and the American Diabetes Association – published online 06/10/2022

Jennifer L. Sherr, Lutz Heinemann, G. Alexander Fleming, Richard M. Bergenstal, Daniela Bruttomesso, Hélène Hanaire, Reinhard W. Holl, John R. Petrie, Anne L. Peters, Mark Evans

Both clinical studies and real-world experience show that insulin pumps that link to glucose sensors to allow automated insulin delivery (AID) carry great benefits, both in terms of glucose metrics (with lower average blood glucose and increased time in target range) and user experience. However, as with all powerful and effective tools, potential pitfalls exist. In this issue, Sherr et al (https://doi.org/10.1007/s00125-022-05744-z), on behalf of the joint Diabetes Technology Working Group of the European Association for the Study of Diabetes and American Diabetes Association, describe some of these challenges and limitations. Several recommendations are listed for regulators, device companies, diabetes societies, research funders, health care professionals and users of technology. In particular, the authors highlight that AID is not a cure for diabetes, and clinicians need to understand how individual systems work and ensure that people with diabetes using AID are aware of the limitations of current systems.

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