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Francisco Pasquel

Emory University, GA·Medicine & Clinical Research

More than 8 million people with diabetes are hospitalized each year in the United States. When their blood sugar is poorly controlled during a hospital stay, they face a much higher risk of bad outcomes.

Fields

Medicine & Clinical Research

Public Health & Epidemiology

Topics

diabetes

hospital hyperglycemia

hypoglycemia

Grants
1 known grant, through Feb 2027

What they work on

  1. Test in a multicenter randomized trial whether automated insulin delivery with a disposable patch pump and remote real-time continuous glucose monitoring increases time in target glucose range (70–180 mg/dL) compared with daily insulin injections plus CGM in hospitalized adults.
  2. Assess the safety of inpatient automated insulin delivery by measuring time spent in hypoglycemia (below 54 mg/dL), with remote nursing monitoring and electronic health record documentation of sensor glucose.
  3. Establish methods for checking CGM accuracy and recording sensor glucose values in the electronic health record during hospital use of diabetes technology.
  4. Identify infrastructure needs and factors affecting adoption of inpatient automated insulin delivery through surveys and semi-structured interviews with patients, nurses and hospital staff.

More about the research

The usual approach, several insulin injections a day, often fails to keep glucose in a safe range. Automated insulin delivery (AID), in which a glucose sensor and an insulin pump work together and adjust doses automatically, has helped in European studies. However, it is unclear how to use it safely, affordably and at scale in U.S. hospitals.

Why it matters

Hospitalized patients with diabetes often cannot keep blood sugar under control, which puts them at risk of serious harm. Showing that disposable, remotely monitored automated insulin delivery can keep glucose in range safely could improve inpatient diabetes care. This includes patients in isolation and those with type 1 or steroid-induced diabetes. The resulting care algorithms could help other health systems adopt the approach.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Automated Insulin Delivery for INpatients With DysGlycemia (AIDING)

NIH · Apr 2024 – Feb 2027

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The school

Emory University: 70 labs on PI Pages, $1.2B a year on research, 286 research doctorates a year.

More about Emory University

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