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Home > Tech Finder Tool: Hybrid closed loop systems – CYP | England
Thank you for using our tool. Hybrid closed loop technology can be an effective way to reduce the burden of managing type 1 diabetes for many people.
Hybrid closed loop systems, also known as the artificial pancreas, enable a continuous glucose monitor and an insulin pump to talk to each other, enabling your pump to automatically infuse insulin in response to your glucose levels. They can help to remove some of the burden of constantly having to adjust your insulin levels.
Find out more about how hybrid closed loop systems work.
Hybrid closed loop is now available through the NHS in England and Wales for people who meet the criteria.
NICE released their new Technology Appraisal in December 2023, and plans are being laid to start everyone who wants the technology and who meets the criteria within five years
NICE now recommends hybrid closed loop technology as an option for people with type 1 diabetes who:
People should only use HCL systems with the support of a trained clinical care team experienced in pump and CGM technology. You should be physically and psychologically able to use the system and competent in insulin dosing and adjustments. Your clinic should offer you structured education.
When hypos occur frequently or without warning, making the person constantly anxious about having a hypo.
Your diabetes clinic has worked with you to get the best possible results using a pump and/or flash and/or a CGM. This should not exclude anyone, as flash and prescribed CGM are now recommended for everyone with type 1. This is not about ‘how hard you are trying’ to manage your glucose but rather about whether you are being given the best treatment for your needs.
To make sure you get the best out of your next clinic appointment take a look at our guide to having a better clinical appointment.
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