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June 3, 2025 34 mins
Episode Summary

In this Episode 37 of Think Like a Pancreas, host Gary Scheiner dives deep into the world of open-source diabetes platforms with Kathryn Alvarez, fellow diabetes educator and exercise physiologist who also lives with type 1 diabetes.

Together, they compare the features, advantages, and drawbacks of two prominent open-source insulin delivery systems: Loop and Trio.

Kathryn shares her personal journey using these platforms and provides expert insights into their functionality, customization options, and user experiences.

Whether you’ve been using Loop or are considering Trio, this episode will help you understand what makes these systems unique and how they can transform your diabetes management.

 

Key Takeaways

✔️Open-source diabetes platforms offer unparalleled customization and faster updates compared to commercial systems.

✔️Trio provides advanced features like fat and protein tracking, dynamic settings, and the Warsaw method for better control over delayed glucose rises.

✔️While Trio offers more personalization, the complexity of settings requires guidance from experts or community support.

✔️Integrated Diabetes Services provides a dedicated coaching service to help users build and use open-source systems effectively.

https://integrateddiabetes.com/diy-services-support/

Chapters

00:016 Welcome

00:59 Meet Kathryn Gentile-Alvarez

02:20 What are Open Source Diabetes Platforms?

04:02 Why are open-source diabetes platforms becoming so popular?

06:07 What are the disadvantages to using DIY insulin pump systems?

07:49 How does Trio compare to the Loop system?

11:11 How does the unannounced meal feature work?

14:02 Top three features unique to Trio.

20:05 What new features are coming to the Trio open source insulin delivery system?

21:03 Fatty meal feature helps to conquer pizza and more!

25:20 How well does Kathyrn know the Trio functions?

28:27 Kathyrn explains what SMB or super micro bolus is and why it's helpful.

29:14 Which data reporting programs work with TRIO?

29:58 Summary

32:02 Open Source Disclaimer

 

Links

https://integrateddiabetes.com/diy-services-support/

https://integrateddiabetes.com/what-is-a-hybrid-closed-loop-system/hybrid-closed-loop-comparisons-options/

https://integrateddiabetes.com/some-technology-updates-from-the-diabetes-world/

https://integrateddiabetes.com/6-top-tips-for-open-source-diy-diabetes-management/

Email info@integrateddiabetes.com

https://triodocs.org/

https://loopkit.github.io/loopdocs/ https://www.loopnlearn.org/ Trio Discord: https://discord.com/channels/1020905149037813862/1328113286662717490 Facebook: Trio: DIY Diabetes App Support, Loop and Learn, Looped  Disclaimer

The information contained in this program is based on the experience and opinions of the Integrated Diabetes Services clinical team. Please discuss any changes to your treatment plan with your personal healthcare provider before implementing.

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