Turn to PANTHER to Understand Diabetes Technology

Cari L. Berget, RN, MPH; Mark Harmel, MPH, CDCES


August 15, 2022

This transcript has been edited for clarity.

The PANTHER program is a resource for healthcare professionals looking to find practical, usable resources related to diabetes technology. It comes out of the Barbara Davis Center, where we have years and years of experience using new technologies, specifically automated insulin delivery systems, in the context of clinical trials.

We had the opportunity to work on the clinical trials for the 670G, which was the first automated insulin delivery system. We used that device for 2 or 3 years before it was commercially approved. We had the same experience with the Control-IQ system, and we also participated in the Omnipod 5 clinical trial, which is the newest device that's just coming onto the commercial market.

With these experiences, we learn a ton of hands-on, practical information about how to get the most out of these devices and how to best support individuals with diabetes to achieve their goals and get the best out of these devices.

The landscape for diabetes technology changes very rapidly. New devices are coming to the market constantly. There is a ton of information out there. It can be very hard to figure out which resources are useful, where to get your information, as well as managing the volume of information which can be overwhelming.

What we do at PANTHER that's different is that all of our resources are practical and usable. Our goal is not only to provide information about devices, but also to provide guidance and tools for a healthcare professional that they could use while they're visiting with their patient to help guide them through their clinical care, to know how the device works, how they can optimize outcomes, and how they can educate their patient to have the best outcomes.

To help healthcare professionals easily compare devices and understand the similarities and differences and the most clinically relevant concepts, we developed a framework called C|A|R|E|S, which stands for how the system calculates insulin delivery, what pump settings the user can adjust, when the system might revert the user from automation, key education points, and a summary of the sensor characteristics and remote data-sharing options.

On our website, there's a very handy comparison chart that lists all of the currently available AID systems and compares and contrasts them using this framework. In a systematic way, you can see very clearly the clinically important pieces that are going to help you use these devices.

In addition to the CARES framework and comparison charts, we also have 1-page information sheets on each AID device. Additionally, we have point-of-care clinic tools designed to help a healthcare professional through analyzing reports and making dose adjustments and recommendations to their patient using the device. We have a comprehensive resource on skin solutions to help device users manage where they should place their device, handle skin irritation, and help keep devices on. Additionally, we have a chart that helps users know how to troubleshoot hyperglycemia and manage potential infusion-site failure.

We're really excited about the PANTHER program. We just revamped our website, so it's new and improved. We hope the PANTHER program will be a go-to resource for all healthcare professionals. We're a place where you can go to compare and contrast the different systems, access practical tools that are going to help you in your clinical care, and help you educate your patients about automated insulin delivery.

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