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

Cosmogenic nuclide exposure age constraints on the glacial history of the Lake Wellman area, Darwin Mountains, Antarctica

We present direct terrestrial evidence of ice volume change of the Darwin and Hatherton glaciers which channel ice from the Transantarctic Mountains into the Ross Ice Shelf. Combining glacial geomorphology with cosmogenic exposure ages from 25 erratics indicates a pre-LGM ice volume at least 600 m thicker than current Hatherton ice elevation was established at least 2.2 million years ago. In particular, five erratics spread across a drift deposit at intermediate elevations located below a prominent moraine feature mapped previously as demarcating the LGM ice advance limits, give a well-constrained single population with mean 10Be age of 37.0 ± 5.5 ka (1σ). At lower elevations of 50–100 m above the surface of Lake Wellman, a further five samples from within a younger drift deposit range in exposure age from 1 to 19 ka. Our preferred age model interpretation, which is partly dependent on the selection of a minimum or maximum age-elevation model, suggests that LGM ice volume was not as large as previously estimated and constrains LGM ice elevation to be within ± 50 m of the modern Hatherton Glacier ice surface, effectively little different from what is observed today.B.C. Storey, D. Fink, D. Hood, K. Joy, J. Shulmeister, M. Riger-Kusk and M.I. Steven

A Genomic Regulatory Network for Development

Original article can be found at: http://www.sciencemag.org/ Copyright American Association for the Advancement of Science. [Full text of this article is not available in the UHRA]Development of the body plan is controlled by large networks of regulatory genes. A gene regulatory network that controls the specification of endoderm and mesoderm in the sea urchin embryo is summarized here. The network was derived from large-scale perturbation analyses, in combination with computational methodologies, genomic data, cis-regulatory analysis, and molecular embryology. The network contains over 40 genes at present, and each node can be directly verified at the DNA sequence level by cis-regulatory analysis. Its architecture reveals specific and general aspects of development, such as how given cells generate their ordained fates in the embryo and why the process moves inexorably forward in developmental time.Peer reviewe