Consensus recommendations for the use of automated insulin delivery technologies in clinical practice

The significant and growing global prevalence of diabetes continues to challenge people with diabetes (PwD), healthcare providers, and payers. While maintaining near-normal glucose levels has been shown to prevent or delay the progression of the long-term complications of diabetes, a significant proportion of PwD are not attaining their glycemic goals. During the past 6 years, we have seen tremendous advances in automated insulin delivery (AID) technologies. Numerous randomized controlled trials and real-world studies have shown that the use of AID systems is safe and effective in helping PwD achieve their long-term glycemic goals while reducing hypoglycemia risk. Thus, AID systems have recently become an integral part of diabetes management. However, recommendations for using AID systems in clinical settings have been lacking. Such guided recommendations are critical for AID success and acceptance. All clinicians working with PwD need to become familiar with the available systems in order to eliminate disparities in diabetes quality of care. This report provides much-needed guidance for clinicians who are interested in utilizing AIDs and presents a comprehensive listing of the evidence payers should consider when determining eligibility criteria for AID insurance coverage

Coastal Maine Botanical Gardens

Alocasia, hybrid; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012

Coastal Maine Botanical Gardens

Detail, sculptural "garden book" in Children's Garden; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012

Coastal Maine Botanical Gardens

Fencing lined with branches; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012

Coastal Maine Botanical Gardens

Pergola with weeping conifers being trained on it, Lerner Garden of the Five Senses, pavilion in rear; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012

Coastal Maine Botanical Gardens

Seasonal greenhouse and windmill in Children's Garden; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012

Coastal Maine Botanical Gardens

Natural rock formation near Giles Rhododendron & Perennial Garden; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012

Coastal Maine Botanical Gardens

Child filling bucket from a hand pump water spout, Children's Garden; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012

Coastal Maine Botanical Gardens

'White Chiffon' rose of Sharon (Hibiscus syriacus) and blue Salvia; Coastal Maine Botanical Gardens, with 248 acres (1 km2) and a mile of waterfront in the mid-coast town of Boothbay, is Maine's first and only botanical garden. After 16 years (founded 1991) of planning, building and planting, in 2007 the Gardens opened to the public with numerous ornamental and theme gardens and a shingle-style Visitor Center. It is set in a natural landscape of forest, ledge, and native plants. The most-recent addition to the main campus is the Bosarge Family Education Center, which opened July 15, 2011. The two-wing structure surrounded by zoned landscaping with native plants, "rain gardens" and other sustainable elements, is being hailed as the greenest public building in Maine. It earned the highest platinum LEED (Leadership in Environmental and Energy Design) rating, and is targeted to reach net-zero-energy status, indicating that it generates more energy than it uses. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 7/22/2012