55 research outputs found

    Use of automated insulin delivery systems in people with type 1 diabetes fasting during Ramadan: An observational study

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    Fasting among people with type 1 diabetes imposes the risk of metabolic decompensation. Automated insulin dosing systems can allow better glycemic control without safety concerns. The utility in prolonged and repetitive fasting has not been studied. In this observational study, validated glycemic data were reviewed and analyzed from people with type 1 diabetes who observed fasting during Ramadan in 2019 and 2020 using automated insulin dosing systems. Six profiles met the inclusion criteria. The average age was 33.7 ± 4.8 years, diabetes duration was 23.5 ± 7.9 years, body mass index 23.6 ± 1.9 kg/m(2) and glycated hemoglobin was 6.3 ± 0.2% (45 ± 5 mmol/mol). The average glucose during Ramadan was 7.0 ± 0.5 mmol/L (126 ± 9 mg/dL), coefficient of variation 28.5%, percentage of time in range 3.9–10 mmol/L (70–180 mg/dL) 88.8 ± 7.3% and percentage time <3.9 mmol/L (<70.0 mg/dL) 2.5 ± 1.3%. The number of fasting days was 27.3 ± 3.3, and the number of days where fasting was broken due diabetes was 1 ± 1.5/participant. No significant differences in glycemic outcomes were noted between Ramadan and non‐Ramadan periods. In this first clinically validated study, automated insulin dosing systems showed a safe and effective management strategy to support prolonged and consecutive fasting in people with type 1 diabetes

    An experimental diffuse optical wireless link employing DPIM

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    The paper presents the design for an experimental indoor optical wireless (OW) diffuse link using the digital pulse interval modulation (DPIM) scheme. Complete system implementation and procedure for carrying out the measurement are given. The system performance in the presence of artificial ambient light (AAL) sources is given. A high pass filter (HPF) with a cut-on frequency of 50 kHz is found to be sufficient to reject the interference signal from all AAL sources with the exception of the high-frequency (HF) fluorescent lamp (FL). Optical filtering reduces the average optical power penalty by 1 dB and 0.2 dB for the low-frequency (LF) FL, and the daylight. For the lowest error rate, the optimum HPF cut-on frequency in the presence of the HF-FL is found to be 884 kHz. The incandescent bulb introduces the largest average optical power penalty of 2.3 dB
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