Table 5.

Consensus from Various Statements Produced on Do-It-Yourself Artificial Pancreas System Use for Healthcare Professionals.

Issues	Guidance for healthcare professionals	Authors
Prescribing	Not regulated and not medically approved	Diabetes Australia,43 JDRF UK,44 Steno Diabetes Center Copenhagen,45 Diabetes UK,46 FDA47
	Cannot prescribe, promote, initiate, or recommend	Diabetes Australia,43 JDRF UK,44 Steno Diabetes Center Copenhagen,45 Diabetes UK46
	Must only recommend authorised technology	Diabetes Australia,43 JDRF UK,44 Steno Diabetes Center Copenhagen,45 Diabetes UK46
Discussing	Should discuss if topic is raised by person with diabetes or carer, especially risks and medically unregulated status	Diabetes UK46
Supporting	Respect the right of individuals to choose how they wish to manage their or their dependent’s diabetes	Diabetes Australia,43 JDRF UK,44 Steno Diabetes Center Copenhagen,45 Diabetes UK46
	Continue to support and provide regulated devices (pump, CGM, and flash GM) if meet criteria even if patient intends to pursue DIY APS	Diabetes Australia,43 JDRF UK,44 Steno Diabetes Center Copenhagen,45 Diabetes UK46
	Cannot help with the procurement of medical equipment other than approved systems	Steno Diabetes Center Copenhagen45
	Can help with the evaluation of glucose values and insulin dosing via information from DIY APS platforms but may not provide advice on DIY APS settings	Steno Diabetes Center Copenhagen45
	Cannot refer to unregulated information sources	Steno Diabetes Center Copenhagen45
	Should direct PWD to online DIY APS communities for advice	Diabetes UK46
Documenting	Ensure clear documentation of discussions with patients or carers, especially discussions regarding risks and unregulated status of DIY APS	Diabetes UK46

Abbreviations: CGM, continuous glucose monitoring; DIY APS, Do-It-Yourself Artificial Pancreas System; JDRF, Juvenile Diabetes Research Foundation.