Past, Present and the Future Rabin Mohanty Consultant Paediatrician Blackpool

Before Insulin Before insulin was discovered in 1921, everyone with type 1 diabetes died within weeks to years of its onset JL on 12/15/22 and 2 mos later

Impact Of Insulin On Life Expectancy By The 1940’s Age at start of diabetes Avg. age of death in Avg. age of death in Years Gained82634

Manufactured insulin, 'Iletin', United States, 1923

Newer insulin pens

1st generation of insulin pumps 1960s

Modern Insulin Pump

Tandem’s t:slim insulin pump

What is an Artificial Pancreas?

Islet Cell Transplantation

Is Diabetes Curable?  Implantable Insulin Pumps  Islet Cell Transplant  Gene Therapy  Stem Cell  Vaccine  Newer Drugs

Blackpool Paediatric Diabetes Service  140 children  4 children on insulin pumps( 2 moved)  4 new children on pumps soon  CGMS monitoring  50% on Basal Bolus  HbA1c falling  Less complications