Table 1.
Comparison of commercially available hybrid closed-loop systems.
CamAPS FX | MiniMed 670G System | Tandem Control-IQ | |
---|---|---|---|
Regulatory approvals | |||
Age licensed for | 1 year + | 7 years + | 14 years + |
Countries licensed in | Europe | USA & Europe | USA & Europe |
Location of algorithm | App-based | Pump-integrated | Pump-integrated |
Compatible with factory calibrated CGM | Yes – Dexcom G6 | No – regular finger-prick calibrations required | Yes – Dexcom G6 |
Insulins licensed for | Rapid- and ultra-rapid acting | Rapid-acting | Rapid-acting |
System features | |||
Parameters required for system setup | TDD, weight | TDD, weight, ICR, ISF, basal rates | TDD, weight, ICR, ISF, basal rates |
Adaptive learning | Overall, diurnal, meals | Overall | None |
Target type | Treat-to-target: default 5.8mmol/L | Treat-to-target: 6.7mmol/L | Treat-to-range: 6.2–8.9mmol/L |
Adjustable glucose target | Personalised target 4.4 – 11mmol/L; Personalised time-blocks | Temporary target option of 8.3mmol/L | Overnight target range 6.1–6.7mmol/L (Sleep Activity) Exercise target range 7.8–8.9mmol/L |
Active insulin time | Automatically adjusted based on adaptive learning | Personalised active insulin time of 2–8 hours | Factory-set at 5 hours; not adjustable |
Automated correction bolus | No | No | Yes, when glucose is predicted to be >10mmol/L and not in Sleep Activity |
Automode suspension | No | Yes | No |
Automated data upload to cloud | Diasend | No | No |
User features | |||
Phone-based bolusing | Yes | No | No |
Activity mode | Yes | Yes | Yes |
Boost mode | Yes | No | No |
Remote glucose monitoring | Yes – SMS alerts | No | Yes – live Followers |
[CGM – continuous glucose monitoring; TDD – total daily dose; ICR – insulin-to-carbohydrate ratio; ISF – insulin sensitivity factor; Boost mode in CamAPS FX is user-initiated and intensifies algorithm-driven insulin delivery for use during periods of high glucose e.g. minor illness, pre-menstrual, growth hormone pulses etc.]