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BCDiabetes was well represented at the American Diabetes Association meeting in Chicago June 19-23 2025. The team comprised Medical Director Tom Elliott, Diabetes Technology Fellows Ali Alqahtani and Reem Alshareef and Nurse Gerri Klein.

The science, as always, was the main draw, but renewing friendships with colleagues and networking also played a big part. Chicago is an amazing town, and well named as the windy city: we were almost blown over by a gust walking to the convention center one day. Here’s a shot of the city at night from the lake-shore.
Advances in technology, particularly in hardware for automated insulin delivery (AID) systems were at the forefront.
Many were amazed at the 2 in 1 patch pump/CGM from Pharmasense. Check out this annotated image…. #3 shows the unit that is attached to the skin, similar in size to an Omnipod pod; #1 shows the insides with a 3 ml insulin reservoir; #2 shows the surface that is attached to the skin – try zooming in and you will see 2 filaments. The thin one is for the CGM; the thicker one is the insulin cannula! It’s not yet available commercially but is expected in the US in the next 12 to 18 months and in Canada no sooner than 3 years from now.
The most exciting commercial AID system we saw was the iLet Bionic Pancreas. It’s a tubed system but it’s very simple to use. It has a great algorithm and makes carb entries very simple.
What everybody in the AID space was talking was completely closed loop systems – where people don’t need to enter their carbs. BCDiabetes hopes to be at the forefront – starting in the next 4 months we expect to offer an advanced algorithm known as autoISF to individuals who don’t want to bolus. Stay tuned for more…
BCDiabetes presented 3 posters:
Loop outcomes: this was an update, now with 1445 clients with paired before-and-after TIR, GMI and Quality of Life measures. Check it out here. Perhaps the most interesting part of the poster was a calculator which can be used to predict time and range 90 days after starting Loop based on baseline time and range and the age of the individual.
Dynamic GMI: This poster showed how GMI values, obtained simply from CGM data (Nightscout, Clarity or Libreview) can be made much more reliable by using prior GMI values in association with prior A1C measurements. See Dr. Alqahtani in action here presenting an oral version of the poster. For the record here is a YouTube of the presentation: spoiler alert, the acoustics are bad but Dr. Alqahtani held the crowd of 100 in rapt attention.
Time in Rapid Fluctuation: This poster showed that rapid changes in sugar, believed to be potentially harmful to the body, are significantly reduced by automated insulin delivery.
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