September 27, 2024

Clinical Leadership Meeting 9-27-24 V.2 1

Clinical Leadership Meeting Minutes, Sept 27, 2024

Attendees: Francesco Vendrame, Carla Demeterco-Berggren, Cynthia Herrick, Risa Wolf, Grace Nelson, Todd Alonso, Ruth Weinstock, Marina Basina, Mary Pat Gallagher, Priya Prahalad, Laurea Jacobsen, Jessica Schmitt, Abha Choudhary, Daniel DeSalvo, Kristina Cossen, Naomi Fogel, Lily Chao, Allison Smego, Devin Steenkamp, Jason Ng, Georgia Davis, Kristen Kulasa, Stephanie Crossen, Mark Clements, David Broome, Anna Neyman, Shideh Majidi, Jenise Wong, Carrie Schulmeister, Janine Sanchez, Lauren Golden, Donna Ng, Joyce Lee

Challenges of device data integrations

• Potential solution: advocate for EMRs to cover costs of Glooko/Tidepool integrations
• Version 1: raw data: summary stats; Version 2: AGP model; pump data after CGM data. Clinics have to get data agreements with the device companies to allow.
• Consideration: apply for an ARPA-H grant to support

Concentrated insulins in insulin pump use (off label)

• Marina Basina has written about U-200 and U-500 insulins in automated systems. Use examples in PwT1D and PwT2D. She can present on these with practical advice- how to make conversions
• Factors: depend on systems. Went smoothly with TIR doubling.
• Diluted insulins U10 and U50- worked well in Basal IQ.
• Lots of FIASP use in pumps without problems. Some recommendations to change every 2 days.

Review of conference agendas

• Learning Session, November 11
• ADEPT, November 12-13
• Register for conferences by 10/31

Review of Aims, KDDs, and Measures

• Feedback: fix time below range >4%
• Recommendation: for hypo: focus on Level 3 reduction rather than Level 1

Grant writing:

• T1D Exchange now contract with a grant writing group.
• T1DX-QI would like to have PIs join in collaborating on grant reviewing for multi-center grant opportunities

Question about diabetes staging and tracking

ISPAD:

• Todd Alonso, MD is running for a council member position within ISPAD. Please use this link to view more details and cast your vote!

Link to recording: https://us02web.zoom.us/rec/share/plwLdy9BL-vs2jx1iy4LcFQSYI4EU5GzAjjn-cqEx1xUAFk_h87U6gWSu0bLRJWI.KHbmydeB91h_9XRh

Passcode: 5wE#E#sJ