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Type 1 diabetes patients need a more open approach from their physicians, supported by clear professional guidance, to unregulated artificial pancreatic systems (APS) in order to take advantage of the potential treatment benefits new article.
Some people with this condition are frustrated with the slow progress in treating type 1 diabetes and have developed DIY systems. They use a smartphone or mini-computer to connect a continuous glucose monitor and an insulin pump so that their body’s glucose levels can often be adjusted and maintained in real time.
Globally, there is an almost complete lack of legal, regulatory, or ethical guidance for clinicians around the world, leading doctors to be cautious about discussing DIY APS with patients, let alone recommending or prescribing them.
Experts from the University of Birmingham published their findings in Medical Law International today. They call for more trust and transparency between adult patients and doctors about the potential benefits and risks of using DIY APS.
Muireann Quigley, Professor of Law, Medicine and Technology at the University of Birmingham, commented: “Clinicians are seeing more and more patients thinking about using DIY systems. However, in the absence of clear guidance, this means that even medical specialists are afraid to talk to their patients begin to face possible regulatory and legal ramifications.
“This approach undoubtedly threatens to undermine trust and transparency, making it more difficult to achieve the objective of shared decision-making. The analysis of the professional guidance by the UK regulator – the General Medical Council – should not be interpreted to mean that clinicians are involved prevented from starting discussions about it. ” Systems. “
The team argues that the current cautious approach to discussing DIY-APS results in the failure of patients and clinicians to have open and honest discussions about the potential benefits and risks of using DIY-APS, potentially affecting the relationship between the doctor and the Harms patient.
They note that while the GMC advises doctors to exercise caution before prescribing unapproved medical devices, it does not rule it out – provided doctors determine that DIY-APS is both necessary and necessary to meet their patient’s needs There is sufficient evidence of effectiveness to justify their decision.
Dr. Joseph Roberts, Research Associate in Law and Philosophy at the University of Birmingham, commented, “If doctors are to take mutual decisions seriously, they should at least be free to start discussions with their patients about DIY APS. So that this can be done, and the DIY APS Technology, guidance on the ethical and professional responsibilities of clinicians has become imperative – something that is needed sooner rather than later. ”
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Prescribing unapproved medical devices? The Case of Home Improvement Artificial Pancreas Systems – Roberts, JTF, Moore, V, and Quigley, M., Medical Law International.
Provided by the University of Birmingham
Quote: DIY Type 1 Diabetes Treatment Requires Clearer Patient Benefit Guidelines (2021 March 30), which will be published on March 30, 2021 from https://medicalxpress.com/news/2021-03-diy-diabetes- treatment-demands-clearer.html
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