Vergleich aktueller AID-Systeme

AID-Systeme (automatische Insulin-Dosierung, automated Insulin delivery) oder Hybrid-Closed-Loop-Systeme finden immer mehr Nutzer. Was die einzelnen Systeme können, finden Sie in der folgenden Übersicht:

<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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