What is Loop?
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What CGMs work with Loop?
The Loop app works with Dexcom’s G4, G5 and G6 CGM. For Medtronic users, Loop also works with first generation Guardian and Guardian 2 Medtronic sensors compatible with the 522, 722, 523 and 723 pumps. There are other versions of Loop available that may work for you if you are not using one of these specific CGMs. These other versions (known as forks) are created by Loop users and are maintained by them. This document does not cover those other CGM options, but check out the Community Information below.
Important
Please understand that this project:
You take full responsibility for building and running this system and do so at your own risk.
The Loop algorithm on your phone predicts future glucose based on carbohydrate intake, insulin on board, and current CGM readings. You enter your own settings for desired correction range, basal schedule, insulin sensitivity factor (ISF), carbohydrate ratio (CR) and the type of insulin you are using. The glucose predictions, using your settings and meal entries, provide Loop with the information needed to recommend a bolus or temporary basal rate to attain a targeted glucose range in the future.
The system can either operate “open-loop” where insulin delivery recommendations must be enacted by the user or “closed-loop” where modifications to insulin delivery are enacted automatically.
You may be saying, 'I can't build an app.' But the wonderful volunteers in this community prepared this amazing website with step-by-step instructions containing pictures and arrows (say thank you to Katie DiSimone). The website is updated by more volunteers as improvements are made to the Loop app and when Apple makes changes to its iOS, Xcode and macOS environment. This language may sound scary, but it will become easier. Most people who Loop want to keep looping, so they learn the terminology and how to reach out to mentors for help.
Once you've built the app, plan to learn to use it in stages. First, run “open loop” to familiarize yourself with Loop’s operation. This allows you to understand why Loop is making certain recommendations and determine if you need to adjust your Loop settings.
One thing many new users ask is why do my settings need to be different for Loop? The main reason is that Loop uses a realistic insulin model including the long tail of residual insulin activity - and updates its calculations every 5 minutes. This is a different way of thinking about insulin delivery. Other strategies, e.g., assuming a linear fall-off model for insulin activity, correcting 2 or 3 hours after a meal, trading a higher basal rate to avoid worrying about snacks, etc. will not work. There is a whole section on settings - just giving you a heads up.
When you progress to “closed-loop”, do so safely by starting with conservative Correction Ranges and Delivery Limits and only progress to more aggressive settings after several days of no lows. Please ask questions at this point about why Loop is making the recommendations it does. It should be similar to the therapy decisions you would make yourself. If the recommendations it makes are different than you would make, try to figure out why. Hint - it is probably your settings.
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for next and p
for previous to navigates
on your keyboardThere are a number of social media options. (Read the directions on each of these - some ask you to answer questions - please do so):
For those interested in delving deeper, see the next few sections.
Loop is an open-source, shared project.
Read about the early history of Loop development: History of Loop and LoopKit, written by Loop developer Nate Racklyeft
Read about the early days and the many advances brought about by the greater Diabetes Community of people who are not waiting: The Artificial Pancreas Book written by Dana Lewis and check out her website DIYPS
Read about how hard it was to get a new insulin pump (Omnipod) to work with Loop: Insulin Pumps, Decapped Chips and Software Defined Radios written by Loop developer Pete Schwamb and Deep Dip Teardown of Tubeless Insulin Pump by Sergei Skorobogatov
The project continues to be a labor-of-love by a community of users; maintained and improved by volunteers.
Please consider submitting suggestions for updates and improvements to this documentation or the Loop app code.
For documentation, please go to the LoopKit/loopdocs repository Issues page. Review issues that are already open. If your issue is open, you are welcome to add comments or vote to have the issue handled promptly. If your issue is new, please add it by clicking on the New Issue
button. Indicate what page or pages need updating with a brief description, and we'll collaborate from there. (Note - you do not have to log in to github to read the Issues, but you cannot comment or add a new Issue without logging in.)
If you do not have a github userID, but are a member of the Loop Facebook group or Loop Zulipchat, you can post a message there. On Facebook - make sure your post is clear that you have a comment about LoopDocs. In Loop Zulipchat, please use the documentation stream, Loopdocs Issue topic
There are over 70 pages of content and we need all the reviewers we can get to help find typos and pages that need to be updated.
Loop is an app template for building an automated insulin delivery system. It is a stone resting on the boulders of work done by many others.
The app is built on top of LoopKit. LoopKit is a set of frameworks that provide data storage, retrieval, and calculation, as well as boilerplate view controllers used in Loop. Using the open-source Loop app template, you can build an insulin delivery system that uses specific commercial and open-source hardware and software technologies to bring together the insulin pump, continuous glucose monitor (CGM), and insulin dosing algorithm to create a DIY automated insulin delivery system. This version is known as Loop.
For more information on how to contribute to an open-source project, please review:
Then if you want to contribute, please join Loop Zulipchat and be sure to subscribe to all the channels. Meet the developers and testers who make this app the life-changing tool that so many people use. Learn about what is coming next.
If you want features such as application profiling or monitoring, you may need to install compiler tools before you start. See Installing compiler tools for more information.
Warning: Changing privileges like this is appropriate only on your local development system. Never do this on a server system.
To install Node and StrongLoop , you need permissions to write to directories:
/usr/local/bin
/usr/local/lib/node_modules
If you see errors such as:
Then you don’t have the required rights to create files or directories. Either change the rights for the specified directories, or run the command using sudo
. In general, it’s better to fix the directory rights as follows:
This command makes your user account the owner of the /usr/local
directory. Then you won’t ever have to use sudo
to install Node or install packages globally with npm
. For more information, see How to Node.
Warning:DO NOT use the above chown
command on the /usr/bin
directory. Doing so can severely misconfigure your system.
If you have to use sudo
, use the following command:
If you haven’t already installed Node, download the native installer from nodejs.org and run it.
Tip: For best results, use the latest LTS (long-term support) release of Node.js.
Follow these steps:
Enter this command:
$ npm install -g strongloop
If you didn’t set your file and directory privileges as instructed above, use this command (not recommended):
$ sudo npm install -g strongloop
Note:During installation, you may see a number of errors from node-gyp
if you don’t have compiler tools installed. You can ignore the errors for now.
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If you run into any problems, see Installation troubleshooting.