#novo tesla pi

[diretodaamericanews]

"Tesla Model Pi: O Futuro dos Smartphones é Aqui 🚀"

"Tesla Model Pi: O Futuro dos Smartphones é Aqui 🚀"

Prepare-se para ter a sua mente explodida! Diga adeus ao seu velho e monótono iPhone, pois o Tesla Model Pi está aqui para dominar. Este novo telefone da Tesla, criado pela equipe liderada por Elon Musk, promete revolucionar o mercado de smartphones com suas funcionalidades únicas e futuristas. Antes de continuarmos, não esqueça de se inscrever no canal e ativar o sininho de notificações. Deixe o…

[mundaoincrivel]

Elon Musk Revela Novo Motor Insano da Tesla e Impressiona Toda a Indústria!

Elon Musk revela novo motor insano da Tesla, e parece ser perfeito pois tem um desempenho melhor do que os motores anteriores da empresa. Não apenas isso, mas também afirmou que a Tesla tem muita coisa planejada ainda para anunciar, principalmente para manter sua empresa no topo. Um motor de design hiper escalável, Elon Musk revela novo motor insano da Tesla, o próximo motor elétrico da Tesla. O motor estará envolto em carbono com variantes de RPM mais altas, que vão estar no novo modelo do Roadster. A Tesla criou esse novo motor sendo uma atualização da versão já anunciada em outubro de dois mil e vinte e um. 

[suzanneshannon]

Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019

I've been a Type 1 diabetic for over 25 years. Diabetes sucks. They actually give you an award for staying alive for years on insulin. Diabetics don't usually die of old age, they die of heart disease or stroke, kidney failure, and while they're at it they may go blind, get nerve damage, amputation, and a bunch of other stuff. It used to be a death sentence but when insulin was introduced as a treatment in 1921, there was a chance for something new.

The idea is if you keep your blood sugars close to normal - if you can simulate your non-working pancreas - you'll get hit by an ice cream truck! At least, that's how I hope I go. :)

Early on it was boiling big gauge steel needles and pork insulin to dose, and peeing on a stick to get a sense of sugar levels.

Then it was a dozen finger pricks a day and a half dozens manual shots with a syringe.

Then it was inserted continuous glucose meters and insulin pumps that - while not automatic - mean less invasive treatment and greater control.

Today, we are closing the loop. What's the loop? It's this:

Consider my glucose levels, what I'm about to eat, and what I'm about to to (and dozens of other environmental factors)

Dose myself with insulin

GOTO 1. Every few hours, or every few minutes, depending on the situation.

I do that. Manually. Every diabetic does, and the mental pressure - the intense background psychic weight of it all - is overwhelming. We want to lower the cognitive load of diabetes. This is a disease where you may not live as long if you're not good at math. Literally. That's unfair.

The community is "looping" by allowing an algorithm to make some of those decisions for me.

I've personally been looping with an open source artificial pancreas for over two years. It's night and day from where I started with finger sticks and a half dozen needle sticks a day. It's not perfect, it's not automatic, but Open Source Pancreas are "Tesla autopilot for diabetes." It doesn't always park the car right or stop at every stop light, but it works very hard to keep me in-between the lines and going straight ahead and now that I have it, I can't imagine living without it.

I sleep through the night while my Loop makes tiny adjustments every five minutes to keep my sugars as flat as possible. I don't know about you but my pancreas sits on my nightstand.

It's happening and it can't be stopped

Seven years ago I wrote about The Sad State of Diabetes Technology in 2012. Three years ago The Promising State of Diabetes Technology in 2016 and last year The Extremely Promising State of Diabetes Technology in 2018. There's a great comment from the first blog post in 2012 where Howard Loop shared his frustration with the state of things. Unlike most commenters on the Internet, amazingly Howard took action and started the Tidepool Organization! Everything in his comment from 7 years ago is happening.

It's 2019 and things are really looking up. The open source DIY diabetes community is thriving. There are SEVERAL open pancreas systems to choose from and there's constant innovation happening with OpenAPS and Loop/LoopKit.

OpenAPS runs on devices like Raspberry Pi Zeros and is a self-contained pancreas with the communications and brain/algorithm all on the main device.

Loop runs on an iPhone and uses a "RileyLink" devices that bridges the RF (Radio Frequency) insulin pump communications with modern Bluetooth.

The first bad part is I am running a 15 year old out of warranty cracked insulin pump I bought on Craigslist. Most new pumps are locked down, and my old pump is the last version that supported remote control. However, the Loop open source project announced support for a second pump this week, the OmniPod Eros. This is the first time an "in warranty" pump has been supported and it also proves the larger point made by the diabetes community. We Are Not Waiting. We want open choice and open data and open choices that put us in control.

Read about the history of Loop by original developer Nate Racklyeft. As he points out, a thing like Loop or OpenAPS is the result of a thousand little steps and innovation by countless community members who are so generous with their time.

The first system to run it was a Raspberry Pi; the code was a series of plugins, written with the help of Chris Hannemann, to the openaps toolkit developed by Ben West in collaboration with Dana Lewis and Scott Leibrand. I’m still in awe of the elegant premise in Ben’s design: a system of repeatable, recordable, and extendable transform commands, all backed by Git. The central plugin of the toolkit is decocare: Ben’s 5-year magnum opus, a reverse-engineered protocol of the Minimed Carelink USB radio to command insulin pumps.

There's an amazing write up by Pete Schwamb, one of the core members of the community who works on Loop full time now,  on how Software Defined Radios have allowed the community to "sniff" the communication protocols of insulin pumps in the RF spectrum and reverse engineer the communications for the Medtronic and now Omnipod Eros Insulin Pumps. It's a fascinating read that really illustrates how you just need the right people and a good cause and you can do anything.

You can watch my video presentation "Solving Diabetes with an Open Source Artificial Pancreas" where I offer an overview of the problem, a number solutions offered over the year, and two open source pancreas options in the form of LoopKit and OpenAPS.

The community members and organizations like Tidepool and the Nightscout Foundation are working with the FDA to take projects and concepts like an open source pancreas system from a threat based on years of frustration to a bright future based on mutual collaboration!

In March, 2018, the FDA announced a de novo iCGM (integrated CGM) designation. A de novo designation is the FDA process for creating new device classifications, in this case moving qualifying CGMs from Class-III, the highest FDA risk classification, to Class-II with Special Controls. The first CGM to get this designation is the Dexcom G6.

What does this mean? It means the FDA is willing to classify continuous glucose meters in a formal way that paves a path towards interoperable devices. Today we hack devices to build these Loops with out-of-warranty pumps. We are doing this utterly on our own. It can take months to collect the equipment needed, get ancient pumps on the gray market, compile the software yourself - which is a huge hurdle for the non-technical.

Imagine a future where someone could buy a supported and in-warranty "iPump," download an officially supported app or package, and start looping! We could have world of open and interoperable devices and swappable algorithms.

In October of 2018 the non-profit Tidepool organization announced its intent to deliver the Loop app as a supported and FDA-regulated mobile app in the Apple App Store! This is happening, people but we are just getting started.

To learn more, start reading.

Loop - https://loopkit.github.io/loopdocs/

OpenAPS - https://openaps.org/

Tidepool - https://www.tidepool.org/

Also, if you're diabetic, consider buying a Nightscout Xbox Avatar accessory so you can see yourself represented while you game!

Sponsor: Suffering from a lack of clarity around software bugs? Give your customers the experience they deserve and expect with error monitoring from Raygun.com. Installs in minutes, try it today!

© 2018 Scott Hanselman. All rights reserved.

      Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019 published first on https://deskbysnafu.tumblr.com/

[philipholt]

Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019

I've been a Type 1 diabetic for over 25 years. Diabetes sucks. They actually give you an award for staying alive for years on insulin. Diabetics don't usually die of old age, they die of heart disease or stroke, kidney failure, and while they're at it they may go blind, get nerve damage, amputation, and a bunch of other stuff. It used to be a death sentence but when insulin was introduced as a treatment in 1921, there was a chance for something new.

The idea is if you keep your blood sugars close to normal - if you can simulate your non-working pancreas - you'll get hit by an ice cream truck! At least, that's how I hope I go. :)

Early on it was boiling big gauge steel needles and pork insulin to dose, and peeing on a stick to get a sense of sugar levels.

Then it was a dozen finger pricks a day and a half dozens manual shots with a syringe.

Then it was inserted continuous glucose meters and insulin pumps that - while not automatic - mean less invasive treatment and greater control.

Today, we are closing the loop. What's the loop? It's this:

Consider my glucose levels, what I'm about to eat, and what I'm about to to (and dozens of other environmental factors)

Dose myself with insulin

GOTO 1. Every few hours, or every few minutes, depending on the situation.

I do that. Manually. Every diabetic does, and the mental pressure - the intense background psychic weight of it all - is overwhelming. We want to lower the cognitive load of diabetes. This is a disease where you may not live as long if you're not good at math. Literally. That's unfair.

The community is "looping" by allowing an algorithm to make some of those decisions for me.

I've personally been looping with an open source artificial pancreas for over two years. It's night and day from where I started with finger sticks and a half dozen needle sticks a day. It's not perfect, it's not automatic, but Open Source Pancreas are "Tesla autopilot for diabetes." It doesn't always park the car right or stop at every stop light, but it works very hard to keep me in-between the lines and going straight ahead and now that I have it, I can't imagine living without it.

I sleep through the night while my Loop makes tiny adjustments every five minutes to keep my sugars as flat as possible. I don't know about you but my pancreas sits on my nightstand.

It's happening and it can't be stopped

Seven years ago I wrote about The Sad State of Diabetes Technology in 2012. Three years ago The Promising State of Diabetes Technology in 2016 and last year The Extremely Promising State of Diabetes Technology in 2018. There's a great comment from the first blog post in 2012 where Howard Loop shared his frustration with the state of things. Unlike most commenters on the Internet, amazingly Howard took action and started the Tidepool Organization! Everything in his comment from 7 years ago is happening.

It's 2019 and things are really looking up. The open source DIY diabetes community is thriving. There are SEVERAL open pancreas systems to choose from and there's constant innovation happening with OpenAPS and Loop/LoopKit.

OpenAPS runs on devices like Raspberry Pi Zeros and is a self-contained pancreas with the communications and brain/algorithm all on the main device.

Loop runs on an iPhone and uses a "RileyLink" devices that bridges the RF (Radio Frequency) insulin pump communications with modern Bluetooth.

The first bad part is I am running a 15 year old out of warranty cracked insulin pump I bought on Craigslist. Most new pumps are locked down, and my old pump is the last version that supported remote control. However, the Loop open source project announced support for a second pump this week, the OmniPod Eros. This is the first time an "in warranty" pump has been supported and it also proves the larger point made by the diabetes community. We Are Not Waiting. We want open choice and open data and open choices that put us in control.

Read about the history of Loop by original developer Nate Racklyeft. As he points out, a thing like Loop or OpenAPS is the result of a thousand little steps and innovation by countless community members who are so generous with their time.

The first system to run it was a Raspberry Pi; the code was a series of plugins, written with the help of Chris Hannemann, to the openaps toolkit developed by Ben West in collaboration with Dana Lewis and Scott Leibrand. I’m still in awe of the elegant premise in Ben’s design: a system of repeatable, recordable, and extendable transform commands, all backed by Git. The central plugin of the toolkit is decocare: Ben’s 5-year magnum opus, a reverse-engineered protocol of the Minimed Carelink USB radio to command insulin pumps.

There's an amazing write up by Pete Schwamb, one of the core members of the community who works on Loop full time now,  on how Software Defined Radios have allowed the community to "sniff" the communication protocols of insulin pumps in the RF spectrum and reverse engineer the communications for the Medtronic and now Omnipod Eros Insulin Pumps. It's a fascinating read that really illustrates how you just need the right people and a good cause and you can do anything.

You can watch my video presentation "Solving Diabetes with an Open Source Artificial Pancreas" where I offer an overview of the problem, a number solutions offered over the year, and two open source pancreas options in the form of LoopKit and OpenAPS.

The community members and organizations like Tidepool and the Nightscout Foundation are working with the FDA to take projects and concepts like an open source pancreas system from a threat based on years of frustration to a bright future based on mutual collaboration!

In March, 2018, the FDA announced a de novo iCGM (integrated CGM) designation. A de novo designation is the FDA process for creating new device classifications, in this case moving qualifying CGMs from Class-III, the highest FDA risk classification, to Class-II with Special Controls. The first CGM to get this designation is the Dexcom G6.

What does this mean? It means the FDA is willing to classify continuous glucose meters in a formal way that paves a path towards interoperable devices. Today we hack devices to build these Loops with out-of-warranty pumps. We are doing this utterly on our own. It can take months to collect the equipment needed, get ancient pumps on the gray market, compile the software yourself - which is a huge hurdle for the non-technical.

Imagine a future where someone could buy a supported and in-warranty "iPump," download an officially supported app or package, and start looping! We could have world of open and interoperable devices and swappable algorithms.

In October of 2018 the non-profit Tidepool organization announced its intent to deliver the Loop app as a supported and FDA-regulated mobile app in the Apple App Store! This is happening, people but we are just getting started.

To learn more, start reading.

Loop - https://loopkit.github.io/loopdocs/

OpenAPS - https://openaps.org/

Tidepool - https://www.tidepool.org/

Also, if you're diabetic, consider buying a Nightscout Xbox Avatar accessory so you can see yourself represented while you game!

Sponsor: Suffering from a lack of clarity around software bugs? Give your customers the experience they deserve and expect with error monitoring from Raygun.com. Installs in minutes, try it today!

© 2018 Scott Hanselman. All rights reserved.

      Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019 published first on http://7elementswd.tumblr.com/

[alvaromatias1000]

Tesla perde round no processo da Nikola sobre design do caminhão Semi

Design semelhante é algo que sempre chama atenção em muitos casos, especialmente quando consideramos os carros chineses. Mesmo no segmento de veículos pesados, processos relativos ao desenho dos produtos levam a embates jurídicos.

Nos EUA, a Nikola Motors não gostou quando Elon Musk apresentou seu caminhão elétrico Tesla Semi, pois, achou que a cabine do novo caminhão é bem parecida com a de seu pesado, o modelo One. Então, alegando que a marca de Fremont usou suas linhas, entrou com um processo em 2018 por violação de direitos.

A Nikola pede US$ 2 bilhões em reparação por danos. A alegação é que a Tesla utilizou o para-brisa envolvente, o formato da cabine e a posição da porta, recuada em relação ao posto do motorista.

Estas partes foram patenteadas pela fabricante de veículos movidos por hidrogênio, que diz que as vendas de seu caminhão One foram desviadas para o concorrente por causa do design.

Obviamente a Tesla entrou com recurso para mudar o registro da rival no serviço de patentes do governo americano, que recentemente se pronunciou favorável à Nikola.

Trevor Milton, presidente da Nikola, disse: “Tesla perde a tentativa de invalidar patentes na disputa do USPTO. O USPTO não apenas confirmou as patentes importantes de semi-caminhões Nikola, mas recusou a solicitação de Tesla para modificar nossas patentes”.

Ele completou: “Processo de dois bilhões de dólares avançando. Defenderemos a PI da nossa empresa, não importa quem seja.” Ainda que a Tesla tenha perdido o round no serviço de patentes americano, o processo continua e fortalece o lado da Nikola.

O fabricante americano de caminhões híbridos com células de combustível acumula 14.000 pedidos e tem receita de US$ 10 bilhões, tendo recebido recentemente um aporte de US$ 3,3 bilhões.

A Nikola também fechou um acordo com a Iveco para o lançamento de um caminhão elétrico na Europa, o modelo Tre, expandindo assim sua atuação fora dos EUA. Além disso, apresentou recentemente a picape elétrica Badger.

[Fonte: Carscoops]

© Noticias Automotivas. A notícia Tesla perde round no processo da Nikola sobre design do caminhão Semi é um conteúdo original do site Notícias Automotivas.

Tesla perde round no processo da Nikola sobre design do caminhão Semi publicado primeiro em https://www.noticiasautomotivas.com.br

[cibolayplayalbina-blog]

Antonio Ochoa

Bio&biBlio

Dejé la Ciudad de México donde nací después de haber terminado mis estudios de licenciatura. Me fui a Edimburgo donde pasé varios años y donde escribí el primer libro de poemas que publiqué, en la editorial Umbral en 2008. El libro se llama Pulsos. Llegué a radicar en los EEUU a principios de 2009. Vine por un matrimonio que no funcionó, pero decidí quedarme, me gustaron los maples y la nieve. En 2016 la editorial Mangos de Hacha, en la Ciudad de México, publicó el libro El toro de Hiroshima.

PoÉtica

La búsqueda de la imagen parpadeante escrita en cromáticas letras de luz neón que en la oscuridad de un sueño formaban el poema que debería de escribir.

PoemAs

Las evidencias nocturnas—apéndice

 y en las mañanas el pequeño toro pega suave su testuz sobre tu barba

Halif tierno aún el animal tibio como dormido te saluda en las mañanas

sobre el pecho su peso sus patitas hunden un poco tus pulmones cortan 

el aliento así un ligero sacrificio cotidiano cada mañana el testuz del pequeño toro sobre tu barba el toro se rinde en su ternura en el nacimiento del toro

pasan lentamente la recámara donde parte la raíz de la luz del foco y

Edison y Tesla giran alrededor de él levantando los pies y las polainas

la danza adecuada del palenque a cuatro navajas a ambos lados

hacia la tumba la espalda fácil mente alambrada bajo la presión atmosférica

novo-inglesa aquí en los Cambridges cámbricos donde nieva a más de las cinco

de la tarde cuando pasó Federico con un foco entre las manos pensando el

pequeño toro sobre los hombros como hoy por la mañana el pequeño

toro toma el tiempo y el saludo lleno de nostalgia por el monte azul cubierto

de bonsais todo chiquito y terminado al otro lado de la barricada donde

el toro venció finalmente al mal y a los estatutos del mal dejó de bajo

los pitones dejó de bajo los bramidos en silencio sentado meditando las

mañanas frías de Nueva Inglaterra donde acabamos varados como tantos

pies llenos de colores llenos de pequeños colores alumbrando los caminos

con las uñas brillantes como pequeños foquitos recargados en la salinidad

de la sangre acumulada en los grandes toneles de los barcos de blancas

velas como los morros del pequeño toro sentado vaciando los pulmones de

su carga vaciando los espacios vacíos de lo interno al caminar con sus

pesadas patitas lentamente el reflejo de la nieve en la ventana abre de

nuevo la posibilidad de ver al toro quieto sentado en el parque cubierto

de nieve en su quietud en su silencio zen sin embargo abierto a la

recuperación de todo aquello que perdiste después de los 15 cuando se abrieron

definitivamente las compuertas cuando aprendiste a pronunciar los

nombres de las niñas bajo sus faldas el volcán explotará en una avalancha

seminal la piel germinará con toros y volcanes como torpes tortugas bebés buscarán el horizonte del mar para cerrar el ciclo evolutivo de su especie los volcanes regresarán al mar de donde hace tantos glaciales nos llegaron hacia

donde nosotros sobre el hielo nos pensamos precipitados cada vez en contra

flujo de la tierra natal con sus casas de adobe y los árboles vivos del invierno en la zona media de su panza está aún el calor de la mañana caminamos en silencio caminamos uno a uno los reclusos uno a uno los remedios volcados al desagüe que termina en la playa noswimming nos tumbamos a la luna abrazados bajo la arena lejos de la ceniza que cae y cubre todo inevitablemente

 *

el hospital existe en Hiroshima

 y así fue como el Hulk

perdió su brazo

en la búsqueda de la

venganza derrotado

la extremidad como calabaza

los filamentos verdes interiores

tocando el suelo sucio de

sangre y secas piedras que le

dieron en el tórax en la frente

entre muchos cansaron su

invulnerabilidad

buscando al toro

al negro toro vertido desde

las tinieblas hasta la amistad

que le costó la vida al Hulk

sin pensar dos veces y lo haría

una tercera sin vacilar a

pesar del vacío que ahora siente

en el hombro deshebrado

frente a todos que nunca

pensó pudieran detener su

amor por el toro encerrado en el encierro

 *

a lo largo de los muros

 la necrosis subió

por la suave piel del toro la

piel negra y brillante hasta entonces

la música trastornada de sus músculos

la seriedad rocosa de sus piececitos

 la mañana blanca pasó sola de una

banqueta a otra sin asegurarse de

la ausencia de los autos Ruah niña

al cruzar la calle sin mirar pensaba sólo

en el pequeño toro de sus sueños

 *

no, no es por azar

 las mujeres de Hiroshima

pensaron los pasos

claramente marcados a pesar de la lluvia

un elevador en el ángulo agudo

de su último descenso sus puertas quedaron sin abrir

acudieron ellas cortas a la orilla

blanca neón

donde por rito se movieron despacio

las posibilidades de conversación

sólo de palíndromo en palíndromo

pisaban las mujeres de dos en

dos reduciendo el área

hasta dejar al final del rito

un pequeño resquicio con la forma de un ojo

 *

¿soy el primer japonés de tu vida?

 siete y cuarto en la arquitectura directa-

mente trazada sobre el plano de la cueva

sobreentendida la partida de los bucentauros locales

que sostienen pancartas de protesta contra-

atacando las mangueras y los juegos del verano

entre las risas de policías y ladrones en el

patio primario donde se presenta la construcción

de los edificios que nadie puede habitar

 dejamos la casa hace tiempo, no hay ya vasos ni

aquellos fruteros de cristal

de timbres definidos por los dedos de la abuela los

fruteros que nunca tuvieron fruta sólo la crisis

vital de los angelitos que por siempre soñaron con

el peso de las uvas las granadas y los higos y los

alacranes que crecían en el árbol frente a mi ventana

MenCiona a...

* Roger Santiváñez * José Antonio Mazzotti * Valeria Meiller * Gloria Gervitz * Hugo García Manríquez * Benito del Pliego * María Auxiliadora Álvarez

MenCionaDo por...

* Benito del Pliego

[mundaoincrivel]

Elon Musk Revela o Super Celular Tesla, Modelo PI Que Revolucionará Toda a Indústria de Smartphones!

Elon Musk revela o super celular Tesla, e enquanto o mundo todo só fala dos veículos elétricos de Elon Musk, e da exploração espacial da sua empresa SpaceX. O excêntrico bilionário mostrou com seus últimos anúncios que está apenas começando. Elon Musk por meio da sua empresa Tesla está pronto para lançar um smartphone chamado Tesla modelo PI, e esse lançamento deixou todos na área da tecnologia empolgados. Com o seu histórico de invenções incríveis, foguetes reutilizáveis, e a tecnologia de direção autônoma.

[suzanneshannon]

Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019

I've been a Type 1 diabetic for over 25 years. Diabetes sucks. They actually give you an award for staying alive for years on insulin. Diabetics don't usually die of old age, they die of heart disease or stroke, kidney failure, and while they're at it they may go blind, get nerve damage, amputation, and a bunch of other stuff. It used to be a death sentence but when insulin was introduced as a treatment in 1921, there was a chance for something new.

The idea is if you keep your blood sugars close to normal - if you can simulate your non-working pancreas - you'll get hit by an ice cream truck! At least, that's how I hope I go. :)

Early on it was boiling big gauge steel needles and pork insulin to dose, and peeing on a stick to get a sense of sugar levels.

Then it was a dozen finger pricks a day and a half dozens manual shots with a syringe.

Then it was inserted continuous glucose meters and insulin pumps that - while not automatic - mean less invasive treatment and greater control.

Today, we are closing the loop. What's the loop? It's this:

Consider my glucose levels, what I'm about to eat, and what I'm about to to (and dozens of other environmental factors)

Dose myself with insulin

GOTO 1. Every few hours, or every few minutes, depending on the situation.

I do that. Manually. Every diabetic does, and the mental pressure - the intense background psychic weight of it all - is overwhelming. We want to lower the cognitive load of diabetes. This is a disease where you may not live as long if you're not good at math. Literally. That's unfair.

The community is "looping" by allowing an algorithm to make some of those decisions for me.

I've personally been looping with an open source artificial pancreas for over two years. It's night and day from where I started with finger sticks and a half dozen needle sticks a day. It's not perfect, it's not automatic, but Open Source Pancreas are "Tesla autopilot for diabetes." It doesn't always park the car right or stop at every stop light, but it works very hard to keep me in-between the lines and going straight ahead and now that I have it, I can't imagine living without it.

I sleep through the night while my Loop makes tiny adjustments every five minutes to keep my sugars as flat as possible. I don't know about you but my pancreas sits on my nightstand.

It's happening and it can't be stopped

Seven years ago I wrote about The Sad State of Diabetes Technology in 2012. Three years ago The Promising State of Diabetes Technology in 2016 and last year The Extremely Promising State of Diabetes Technology in 2018. There's a great comment from the first blog post in 2012 where Howard Loop shared his frustration with the state of things. Unlike most commenters on the Internet, amazingly Howard took action and started the Tidepool Organization! Everything in his comment from 7 years ago is happening.

It's 2019 and things are really looking up. The open source DIY diabetes community is thriving. There are SEVERAL open pancreas systems to choose from and there's constant innovation happening with OpenAPS and Loop/LoopKit.

OpenAPS runs on devices like Raspberry Pi Zeros and is a self-contained pancreas with the communications and brain/algorithm all on the main device.

Loop runs on an iPhone and uses a "RileyLink" devices that bridges the RF (Radio Frequency) insulin pump communications with modern Bluetooth.

The first bad part is I am running a 15 year old out of warranty cracked insulin pump I bought on Craigslist. Most new pumps are locked down, and my old pump is the last version that supported remote control. However, the Loop open source project announced support for a second pump this week, the OmniPod Eros. This is the first time an "in warranty" pump has been supported and it also proves the larger point made by the diabetes community. We Are Not Waiting. We want open choice and open data and open choices that put us in control.

Read about the history of Loop by original developer Nate Racklyeft. As he points out, a thing like Loop or OpenAPS is the result of a thousand little steps and innovation by countless community members who are so generous with their time.

The first system to run it was a Raspberry Pi; the code was a series of plugins, written with the help of Chris Hannemann, to the openaps toolkit developed by Ben West in collaboration with Dana Lewis and Scott Leibrand. I’m still in awe of the elegant premise in Ben’s design: a system of repeatable, recordable, and extendable transform commands, all backed by Git. The central plugin of the toolkit is decocare: Ben’s 5-year magnum opus, a reverse-engineered protocol of the Minimed Carelink USB radio to command insulin pumps.

There's an amazing write up by Pete Schwamb, one of the core members of the community who works on Loop full time now,  on how Software Defined Radios have allowed the community to "sniff" the communication protocols of insulin pumps in the RF spectrum and reverse engineer the communications for the Medtronic and now Omnipod Eros Insulin Pumps. It's a fascinating read that really illustrates how you just need the right people and a good cause and you can do anything.

You can watch my video presentation "Solving Diabetes with an Open Source Artificial Pancreas" where I offer an overview of the problem, a number solutions offered over the year, and two open source pancreas options in the form of LoopKit and OpenAPS.

The community members and organizations like Tidepool and the Nightscout Foundation are working with the FDA to take projects and concepts like an open source pancreas system from a threat based on years of frustration to a bright future based on mutual collaboration!

In March, 2018, the FDA announced a de novo iCGM (integrated CGM) designation. A de novo designation is the FDA process for creating new device classifications, in this case moving qualifying CGMs from Class-III, the highest FDA risk classification, to Class-II with Special Controls. The first CGM to get this designation is the Dexcom G6.

What does this mean? It means the FDA is willing to classify continuous glucose meters in a formal way that paves a path towards interoperable devices. Today we hack devices to build these Loops with out-of-warranty pumps. We are doing this utterly on our own. It can take months to collect the equipment needed, get ancient pumps on the gray market, compile the software yourself - which is a huge hurdle for the non-technical.

Imagine a future where someone could buy a supported and in-warranty "iPump," download an officially supported app or package, and start looping! We could have world of open and interoperable devices and swappable algorithms.

In October of 2018 the non-profit Tidepool organization announced its intent to deliver the Loop app as a supported and FDA-regulated mobile app in the Apple App Store! This is happening, people but we are just getting started.

To learn more, start reading.

Loop - https://loopkit.github.io/loopdocs/

OpenAPS - https://openaps.org/

Tidepool - https://www.tidepool.org/

Also, if you're diabetic, consider buying a Nightscout Xbox Avatar accessory so you can see yourself represented while you game!

Sponsor: Suffering from a lack of clarity around software bugs? Give your customers the experience they deserve and expect with error monitoring from Raygun.com. Installs in minutes, try it today!

© 2018 Scott Hanselman. All rights reserved.

      Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019 published first on https://deskbysnafu.tumblr.com/

[suzanneshannon]

Open Source Artificial Pancreases will become the new standard of care for Diabetes

I've been a Type 1 diabetic for over 25 years. Diabetes sucks. They actually give you an award for staying alive for years on insulin. Diabetics don't usually die of old age, they die of heart disease or stroke, kidney failure, and while they're at it they may go blind, get nerve damage, amputation, and a bunch of other stuff. It used to be a death sentence but when insulin was introduced as a treatment in 1921, there was a chance for something new.

The idea is if you keep your blood sugars close to normal - if you can simulate your non-working pancreas - you'll get hit by an ice cream truck! At least, that's how I hope I go. :)

Early on it was boiling big gauge steel needles and pork insulin to dose, and peeing on a stick to get a sense of sugar levels.

Then it was a dozen finger pricks a day and a half dozens manual shots with a syringe.

Then it was inserted continuous glucose meters and insulin pumps that - while not automatic - mean less invasive treatment and greater control.

Today, we are closing the loop. What's the loop? It's this:

Consider my glucose levels, what I'm about to eat, and what I'm about to to (and dozens of other environmental factors)

Dose myself with insulin

GOTO 1. Every few hours, or every few minutes, depending on the situation.

I do that. Manually. Every diabetic does, and the mental pressure - the intense background psychic weight of it all - is overwhelming. We want to lower the cognitive load of diabetes. This is a disease where you'll may not live as long if you're not good at math. Literally. That's unfair.

The community is "looping" by allowing an algorithm to make some of those decisions for me.

I've personally been "looping" with an open source artificial pancreas for over two years. It's night and day from where I started with finger sticks and a half dozen needle sticks a day. It's not perfect, it's not automatic, but Open Source Pancreas are "Tesla autopilot for diabetes." It doesn't always park the car right or stop at every stop light, but it works very hard to keep me in-between the lines and going straight ahead and now that I have it, I can't imagine living without it.

I sleep through the night while my Loop makes tiny adjustments every five minutes to keep my sugars as flat as possible. I don't know about your by my pancreas sits on my nightstand.

It's happening and it can't be stopped

Seven years ago I wrote about The Sad State of Diabetes Technology in 2012. Three years ago The Promising State of Diabetes Technology in 2016 and last year The Extremely Promising State of Diabetes Technology in 2018.

It's 2019 and things are really looking up. The open source DIY diabetes community is thriving. There are SEVERAL open pancreas systems to choose from and there's constant innovation happening with OpenAPS and Loop/LoopKit.

OpenAPS runs on devices like Raspberry Pi Zeros and are a self contained pancreas with the communications and brain/algorithm all on the main device.

Loop runs on an iPhone and uses a "RileyLink" devices that bridges the RF (Radio Frequency) insulin pump communications with modern Bluetooth.

The first bad part is I am running a 15 year old out of warranty cracked insulin pump I bought on Craigslist. Most new pumps are locked down. However, the Loop open source project announced support for a second pump this week, the OmniPod Eros. This is the first time an "in warranty" pump has been supported and it also proves the larger point of the diabetes community. We Are Not Waiting. We want open choice and open data and open choices that put us in control.

Read about the history of Loop by original developer Nate Racklyeft. As he points out, a "destination" like Loop or OpenAPS is the result of a thousand little steps and inovation by countless community members who are so generous with their time.

The first system to run it was a Raspberry Pi; the code was a series of plugins, written with the help of Chris Hannemann, to the openaps toolkit developed by Ben West in collaboration with Dana Lewis and Scott Leibrand. I’m still in awe of the elegant premise in Ben’s design: a system of repeatable, recordable, and extendable transform commands, all backed by Git. The central plugin of the toolkit is decocare: Ben’s 5-year magnum opus, a reverse-engineered protocol of the Minimed Carelink USB radio to command insulin pumps.

There's an amazing write up by Pete Schwamb, one of the core members of the community who works on Loop full time now,  on how Software Defined Radios have allowed the community to "sniff" the communication protocols of insulin pumps in the RT spectrum and reverse engineer the communications for the Medtronic and now Omnipod Eros Insulin Pumps. It's fascinating read that really illustrations how you just need the right people and a good cause and you can do anything.

You can watch my video presentation "Solving Diabetes with an Open Source Artificial Pancreas" where I offer an overview of the problem, a number solutions offered over the year, and two open source pancreas options in the form of LoopKit and OpenAPS.

The community members and organizations like Tidepool and the Nightscout Foundation are working with the FDA to take projects and concepts like an open source pancreas system from a threat based on years of frustration to a bright future based on mutual collaboration!

In March, 2018, the FDA announced a de novo iCGM (integrated CGM) designation. A de novo designation is the FDA process for creating new device classifications, in this case moving qualifying CGMs from Class-III, the highest FDA risk classification, to Class-II with Special Controls. The first CGM to get this designation is the Dexcom G6.

What does this mean? It means the FDA is willing to classify continuous glucose meters in a formal way that paves a path towards interoperable devices. Today we hack devices to build these Loops with out-of-warranty pumps. We are doing this utterly on our own. It can take months to collect the equipment needed, get ancient pumps on the gray market, compile the software yourself - which is a huge hurdle for the non-technical.

Imagine a future where someone could buy a supported and in-warranty "iPump," download an officially supported app or package, and start looping! We could have world of open and interoperable devices and swappable algorithms.

In October of 2018 the non-profit Tidepool organization announced its intent to deliver the Loop app as a supported and FDA-regulated mobile app in the Apple App Store! This is happening, people but we are just getting started.

To learn more, start reading.

Loop - https://loopkit.github.io/loopdocs/

OpenAPS - https://openaps.org/

Tidepool - https://www.tidepool.org/

Also, if you're diabetic, consider buying a Nightscout Xbox Avatar accessory so you can see yourself represented while you game!

Sponsor: Suffering from a lack of clarity around software bugs? Give your customers the experience they deserve and expect with error monitoring from Raygun.com. Installs in minutes, try it today!

© 2018 Scott Hanselman. All rights reserved.

      Open Source Artificial Pancreases will become the new standard of care for Diabetes published first on https://deskbysnafu.tumblr.com/