Innovations in diabetes technologies are slow-paced, unaffordable, and unevenly distributed.

Frustrated diabetes community initiated #WeAreNotWaiting movement and started developing do-it-yourself artificial pancreas systems (DIYAPS).

Comprehensive review of the current literature, advantages, and disadvantages of the DIYAPS is much needed.

History and evolution of DIYAPS, up-to-date literature, potential benefits, and concerns about the system are presented in the review.

Patient experiences showed that DIYAPS resulted in significant improvements in QoL and TIR not achievable with the other approved devices. Yet, there are apprehensions about its safety and accountability.

This review will enable physicians to make an independent decision on the use of DIYAPS.