aktuelle AID-Systeme

AID-Systeme (automatische Insulin-Dosierung, automated Insulin delivery) oder Hybrid-Closed-Loop-Systeme finden immer mehr Nutzer. Was die einzelnen Systeme können und an welchen Stellschrauben Sie den Algorithmus beeinflussen können, finden Sie in der folgenden Übersicht. Weitere praktische Hinweise gibt es im AID-Helfer.

<tr style="background-color: lightgray; font-weight:bold"> <td>AID-System</td> <td>t:slim X2 mit Control IQ™ (Tandem, San Diego, Ca, USA)</td> <td>MiniMed 780G mit SmartGuard™ Auto Mode(Medtronic Inc, Northridge, Ca, USA)</td> <td>Diabeloop DBLG1 (Diabeloop SA, Grenoble, Frankreich)</td> <td>CamAPS FX (CamDiab Ltd., Cambridge, UK)</td> <td>Omnipod® 5 mit SmartAdjust™ Technologie</td> </tr> <tr> <td>Insulinpumpe</td> <td>t:slim X2</td> <td>MiniMed 780G</td> <td><span style="font-size: x-small;">Accu-Chek Insight</span><br />Kaleido</td> <td>Dana RS, Dana-i (ca.80€/Monat)<br />Ypsopump (kostenlos)</td> <td>Omnipod® 5</td> </tr> <tr> <td>Glucosesensor</td> <td>Dexcom G6<br />Dexcom G7</td> <td>Guardian 3 / 4</td> <td>Dexcom G6</td> <td>Dexcom G6<br />FreeStyle Libre 3</td> <td>Dexcom G6</td> </tr> <tr style="background-color:whitesmoke"> <td>Sensor-Liegedauer</td> <td>10 Tage</td> <td>7 Tage</td> <td>10 Tage</td> <td>10 Tage</td> <td>10 Tage</td> </tr> <tr> <td>Anzahl notwendiger BZ-Messungen</td> <td>0, selten</td> <td>G.3: mind. 2x tgl.<br />G.4: 0, selten</td> <td>0, selten</td> <td>0, selten</td> <td>0, selten</td> </tr> <tr style="background-color:whitesmoke"> <td>Algorithmus-Art</td> <td>MPC</td> <td>PID mit Fuzzy Logic und MPC-Anteil</td> <td>MPC</td> <td>MPC</td> <td>MPC</td> </tr> <tr> <td>Algorithmus-Platform</td> <td>in der Pumpe</td> <td>in der Pumpe</td> <td>Handgerät</td> <td>Android-Smartphone</td> <td>im Pod (Pumpe)</td> </tr> <tr style="background-color:whitesmoke"> <td>Altersbeschränkung</td> <td>>6 Jahre,<br />Tagesinsulin-<br />bedarf ≥ 10 IE</td> <td>>7 Jahre,<br />Tagesinsulin-<br />bedarf ≥ 8 IE</td> <td>>18 Jahre</td> <td>>1 Jahr<br />(auch für Schwangere)</td> <td>>2 Jahre,<br />Tagesinsulin-<br />bedarf > 5 IE</td> </tr> <tr> <td>Glucose-Zielwert/<br />-Zielbereich</td> <td>6,1mmol/l (110mg/dl)</td> <td>5,6/6,1/6,7mmol/l (100/110/120mg/dl) </td> <td>5,6-7,2mmol/l (100-130mg/dl)</td> <td>4,4-11,1mmol/l (80-200mg/dl)</td> <td>6,1-8,3mmol/l (110-150mg/dl)</td> </tr> <tr style="background-color:whitesmoke"> <td>Insuline</td> <td>Humalog (max.48h) und Novorapid (max.72h)</td> <td>Humalog (max.48h) und Novorapid (max.72h)</td> <td>Novorapid</td> <td>Humalog, Liprolog, Lyumjev, Apidra, Lispro Sanofi, Novorapid, Fiasp, verdünnte Insuline</td> <td>Humalog, Novorapid</td> </tr> <tr> <td>automatischer Korrekturbolus</td> <td>ja</td> <td>ja</td> <td>ja</td> <td>ja</td> <td>ja</td> </tr> <tr style="background-color:whitesmoke"> <td>temporäres Ziel erhöhen</td> <td>Aktivitätsmodus</td> <td>temporäres Ziel 8,3mmol/l (150mg/dl)</td> <td>Zen-Modus <br />Ziel+ 1,1-2,2mmol/l (20-40mg/dl)</td> <td>Aktivitätsziel: „Easy-off Funktion“</td> <td>Aktivitätsmodus 8,3mmol/l (150mg/dl)<br />1-24h</td> </tr> <tr> <td>Sonstiges</td> <td>Nachtmodus</td> <td>Status im Smartphone ansehen</td> <td>variable „Agressivität“</td> <td>„Boost-Modus“</td> <td>Bolusrechner verwendet zusätzlich den CGM-Trend</td> </tr> </table> <p>Bitte beachten Sie: Fehler sind möglich. 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