Pharmaco Diabetes NZ
Put Your Glucose Management on Auto Mode with mylife Loop

Put Your Glucose Management on Auto Mode with mylife Loop

Smartphone based therapy management is the future of diabetes treatment. Combine the mylife YpsoPump insulin pump, the mylife CamAPS FX mobile application and the Dexcom G7 or FreeStyle Libre 3 Plus Continuous Glucose Monitoring (CGM) System for an automated insulin delivery system managed directly from your smartphone.

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mylife Loop – CamAPS FX

Prof. Roman Hovorka, developer of the mylife CamAPS FX app, explains how the mylife CamAPS FX algorithm learns.

How mylife Loop Works

How mylife Loop Works

myLife Loop: For automated insulin delivery with the mylife YpsoPump, you need the mylife CamAPS FX app and the Dexcom G7 or FreeStyle Libre 3 Plus CGM. Connect the mylife CamAPS FX app to the insulin pump and sensor.

Sensors: The sensor sends glucose data every minute (FreeStyle Libre 3 Plus) or every five minutes (Dexcom G7) to the mylife CamAPS FX app. Based on those readings, the app adjusts insulin delivery on the insulin pump every eight to twelve minutes to prevent low and high glucose levels.

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Adaptive and Personalised Insulin: The mylife CamAPS FX app is personalised and adaptive; it constantly learns and quickly adapts to ever changing insulin needs. It adjusts to diurnal and day-to-day variations in insulin requirements and compensates for over and under-dosing of the meal bolus. For increased privacy and convenience, you are able to deliver a meal bolus directly from your smartphone.

Uses: The mylife CamAPS FX app is appropriate and notified in NZ for people with type 1 diabetes aged one year and over, including pregnant women. Also appropriate and notified for people with type 1 diabetes aged two years and over when used in combination with Dexcom G7 or FreeStyle Libre 3 Plus.

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Learning mylife CamAPS FX takes place on three levels

Overall learning

This learning is based on the body’s overall insulin need; the insulin needed on average and during the day.

Diurnal learning (over 24 hours)

This learning is based on how much insulin is needed for a specific hour in a day.

Post-meal learning

When the user delivers a meal bolus, the system will observe whether the insulin amount was appropriate. If a user constantly over or underestimates carbohydrates, the system will start to adjust insulin delivery post-meal.

All these learnings are occurring continuously.

mylife CamAPS FX – Screen Overview

Navigation (Home screen)

Navigation (Home screen)

Home Screen

Home Screen

Detailed graph (to view the detailed graph, rotate the home screen into landscape configuration or tap the “screen rotation” icon).

Detailed graph (to view the detailed graph, rotate the home screen into landscape configuration or tap the “screen rotation” icon).

Specifications

FeatureDetails

Age limit

The mylife CamAPS FX app is approved for people with type 1 diabetes aged one year and over, including pregnant women. Approved for people with type 1 diabetes aged two years and over when used in combination with Dexcom G7 or FreeStyle Libre 3 Plus.

Phone compatibility

For minimum operating system requirements of the mylife CamAPS FX app please see https://camdiab.com/faq

Android and iOS smartphones compatible with Dexcom G7: www.dexcom.com/compatibility

Android and iOS smartphones compatible with FreeStyle Libre 3 and FreeStyle Libre 3 Plus: https://www.diabetescare.abbott/support/manuals.html (see document “Mobile Device & OS Compatibility”). If using a FreeStyle Libre 3 or FreeStyle Libre 3 Plus sensor, please ensure you have a smart device with NFC (near field communication). For Companion remote monitoring: only Android smartphones running OS 10 and above.

Compatible CGM (Continuous Glucose Monitoring) sensors

Dexcom G7: factory calibrated, blood glucose tests only needed in exceptional cases (consult the Dexcom G7 Instructions for Use).

FreeStyle Libre 3 Plus: no calibration neccessary, blood glucose tests only needed in exceptional cases (consult the FreeStyle Libre 3 Plus Instructions for Use).

Total daily dose (TDD) and weight range

5–350 units/day total daily dose (TDD)
10–300 kg weight

Algorithm

Treat to target. Predictive control: the algorithm calculates the insulin requirement for the next 2.5–4 hours. Adaptive model: insulin delivery is adjusted every 8–12 minutes.

Learning

Continually adjusting insulin delivery every 8–12 minutes based on CGM glucose data received every minute (FreeStyle Libre 3 Plus) or every 5 minutes (Dexcom G7). Learning from previous insulin delivery and meal bolus information to adapt to diurnal, day-to-day as well as post-meal insulin needs.

Glucose target

Default target: 5.8 mmol/L (104 mg/dL)
Customisable personal target: 4.4–11.0 mmol/L (80–198 mg/dL)

Data sharing

Yes, via:

  • mylife CamAPS FX app on smartphone: generation and export of PDF reports including glucose statistics, insulin statistics, “Auto mode” and alert statistics, information about settings and weekly overviews. Internet connectivity is required to generate PDF reports.
  • mylife Cloud and/or Glooko: automated data upload from the mylife CamAPS FX app to the mylife Cloud or Glooko platform to share data with healthcare professionals. Internet connectivity is required to share data with the mylife Cloud or Glooko.

Remote monitoring

Yes, via:
Companion remote monitoring: the mylife CamAPS FX app allows user's data to be shared with up to 10 "companions". Remote monitoring is integrated into the app and therefore both, user and "companion", use the mylife CamAPS FX app. CGM data, insulin data and other data as well as alerts are mirrored in the "companion's" mylife CamAPS FX app. Internet connectivity is required to share data with "companions".

Please note: the mylife CamAPS FX user can use iOS or Android, while the "companion" requires an Android smartphone.

SMS based remote monitoring: the mylife CamAPS FX app on Android supports SMS based remote monitoring. All app generated alarms and alerts will be sent via SMS message to up to 5 "followers". A SIM card is required to send SMS messages to "followers". On iOS, no SMS Follower function is available.

Please note: it is possible to use the Companion remote monitoring and SMS based remote monitoring at the same time.

Discreet bolusing

Yes, via mylife CamAPS FX app on smartphone.

Bolus calculator

Yes, via mylife CamAPS FX app on smartphone.

Additional features

“Boost” and “Ease-off” modes
Add meal with 3 options: meal or snack, hypoglycaemia treatment and slowly absorbed meal.