ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes technologies: Insulin delivery
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J.L.S. reports having received speaker honoraria from Eli Lilly, Insulet, Medtronic, and Zealand and serves on advisory boards of Bigfoot Biomedical, Cecelia Health, Insulet Corporation, Medtronic Diabetes, JDRF T1D Fund, and Vertex. She has been a consultant for Insulet and Medtronic. J.L.S.'s institution received research grant support from JDRF, Medtronic, Insulet, and NIDDK. M.S. reports research grant support, paid to her institution, from Tandem Diabetes Care, Insulet, Medtronic, JDRF, and NIDDK. T.S. has no conflict to disclose. L.R. reports speaker fees from Sanofi, Pfizer, NovoNordisk. T.B. reports speaker fees, consulting honoraria or research support from AstraZeneca, Ascensia, DexCom, Medtronic, NovoNordisk, Roche, Sanofi, and Ypsomed. Since 2021, he is member of the Expert group for medical devices of the European Medicines Agency. A.G. received speaker honoraria from Ypsomed. A.G.'s institution received research support from the European Commission (H2020 program). J.V. has no conflict to disclose. M.E.H. receives research grant support from NIDDK, JDRF, and The Leona M. and Harry B. Helmsley Charitable Trust. C.B. has been a consultant for Insulet. L.A.D. reports that in the last 3 years she has consulted for Vertex and served on a Mannkind, Merck, and Abata adivosry board. She has also recieved research support to her instiution from Caladrius, Lilly, Mannkind, Medtronic, Provention, and Zealand. The peer review history for this article is available at https://publons.com/publon/10.1111/pedi.13421. JLS reviewed the literature, drafted sections of the guidelines, oversaw completion of the first draft of the guidelines, and edited the manuscript. MS, TD, LR, TB, AG, JV, MEH and CB reviewed the literature, provided drafts of sections and edited the manuscript. LAD outlined the guidelines, reviewed the literature, edited the manuscript, and served as the senior author. The authors gratefully acknowledge the editorial assistance of Dr. Leena Priyambada. Data sharing not applicable to this article as no datasets were generated or analysed during the current study.
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Clinical practice guidelines are increasingly recommending AID systems, which require both CGM and insulin pumps, as the standard of care for individuals with T1D.
“Clinical practice guidelines are increasingly recommending automated insulin delivery (AID) systems, which require both CGM and insulin pumps, as the standard of care for individuals with T1D.”
From Social disadvantage and technology use among adults with type 1 diabetes in Quebec: A cross‐sectional study using data from the Canadian <scp>T1D</scp> ( <scp>BETTER</scp> ) Registry (2025) · cites this paper as [7]
Section 9.1 (page not available) states that AID systems consist of an insulin pump and a CGM sensor, and section 9 strongly recommends AID for children with diabetes. The guideline does not establish AID as the standard of care for all individuals with T1D or document a trend across guidelines toward that designation. (LLM, conf=0.87)
Experimental — accuracy not yet measuredAutomated insulin delivery systems have greater benefits than insulin pumps and CGM alone.
“Automated insulin delivery systems (AID), which integrate insulin pumps and CGM, have even greater benefits.”
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Cited by
Sorted by citations
Real-world evidence of automated insulin delivery system use
Considine, E. G., & Sherr, J. L. (2024) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2023.0442 · Cited by 59 · see citing works
Self-citationDalla Libera, A., Toffanin, C., Drecogna, M., Galderisi, A., Pillonetto, G., & Cobelli, C. (2023) · APL Bioengineering · doi:10.1063/5.0145446 · Cited by 8 · see citing works
Self-citationKhodabandehloo, P., Fakembe, P., Senga, J., Shulman, R., Lipscombe, L. L., Witteman, H. O., Banerjee, A., Presseau, J., Nakhla, M., Dogba, M. J., et al. (2025) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.16426 · Cited by 6 · see citing works
- Authors
- Sherr, J. L., Schoelwer, M., Dos Santos, T. J., Reddy, L., Biester, T., Galderisi, A., van Dyk, J. C., Hilliard, M. E., Berget, C., & DiMeglio, L. A.
- Affiliations
- Yale University (US)
- University of Virginia (US)
- Pediatrics Unit, Vithas Almería Instituto Hispalense de Pediatría Almería Andalusia Spain
- Rainbow Children's Hospital (IN)
- Kinderkrankenhaus auf der Bult (DE)
- University of Padua (IT)
- Department of Pediatrics Life Groenkloof Hospital Pretoria South Africa
- Baylor College of Medicine (US)
- University of Colorado Anschutz (US)
- Indiana University Indianapolis (US)
- Corresponding author
- Sherr, Jennifer L.
- ORCID
- Venue
- Pediatric Diabetes
- Publisher
- Wiley
- Published
- 2022-12
- Volume
- 23
- Issue
- 8
- Pages
- 1406-1431
- ISSN
- 1399-543X (ISSN-L)
- 1399-5448
- OpenAlex
- W4310710557
- Cited by
- 152
- References
- 44
- Citations by year
- 2026: 25 · 2025: 39 · 2024: 58 · 2023: 30
- FWCI
- 4.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Pediatric Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Repositorio de Patentes de la Universidad de Almería (Universidad de Almería) (submittedVersion, other-oa)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- insulin delivery, diabetes technology, insulin pump, continuous glucose monitoring, insulin pump therapy, type 1 diabetes, diabetes management, consensus recommendations
- MeSH terms
- Diabetes Mellitus, Type 1, Humans, Hypoglycemic Agents, Insulin, Technology
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