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I Used Loop to Hack My Insulin Pump to Better

Control My Blood Sugar Levels
Loop is a DIY automated insulin delivery system with more customization and features than FDA-
approved systems on the market.

Justin Eastzer

April 13, 2022 5:00 a.m. PT

 X

I hacked my insulin pump for more control over my blood sugar levels, and I have no
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plans to use an approved system anytime soon. Before I get into that, here's some
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on me.

InAdd
May your2021 I was diagnosed with Type 1 diabetes at the age of 30. This came as a huge
email
shock with many life changes. I began using insulin, started wearing a continuous
glucose monitor,
Yes, I also or CGM,
want to receive toInsider
the CNET tracknewsletter,
my blood sugar
keeping me up levels and
to date with got an
all things insulin pump that I
CNET.

wear at all times. Soon after, I heard about an experimental open-source application
called Loop that offers more flexibility and S I G Ncontrol
M E U P !over blood sugar levels, but it wasn't

yet cleared by the US Food and Drug Administration.

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time.

Replay

Loop was built by a community of hackers known as #WeAreNotWaiting and released in

2016. The system regulates blood sugar levels using CGM readings and an insulin pump
paired with a sophisticated algorithm running on an iPhone. The connection between
these devices creates what's called a "closed loop system." Other closed loop systems
approved by the FDA exist, but they don't offer as much customization and flexibility.
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The Loop app dashboard displays pump and blood sugar data.
time.
Justin Eastzer/CNET

With Loop, I can control my insulin pump with an iPhone and Apple Watch, which isn't
possible on other systems. I can log carb entries based on absorption time of different
foods, and the app will even estimate my actual carb intake based on its algorithm and
the movement of my blood sugar levels. Loop also allows for customizable temporary
overrides, which adjust my target blood sugar range and insulin needs during certain
activities, such as working out or drinking alcohol. 
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Loop gives users the ability to create and customize temporary overrides to adjust target blood sugar range and insulin
time.
delivery.
Justin Eastzer/CNET

Though Loop runs on an iPhone, it can't be downloaded from the Apple App Store.
(Note: Apple recommends against this "sideloading" of apps.)  I had to download files
and build Loop myself using an Apple Developer account and Xcode on a Mac. As a
tech-savvy person, I didn't have any trouble setting up Loop, but for others it may be a
more difficult task. Luckily, that could soon change.

The nonprofit organization Tidepool wants to make Loop easily accessible to anyone
who needs it. In January 2021, Tidepool submitted Loop to the FDA for clearance as
what the agency calls an interoperable automated glycemic controller, an app that can X

be downloaded on the app store and be used with any pump. All pumps right now use
their own proprietary software, but with Tidepool Loop, users would get to choose their
own system.

We reached out to the FDA for comment and are awaiting a response. 
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Tidepool Loop isn't cleared for use in the US or outside the US. Displayed is a conceptual rendering of a product currently
under FDA review.
Tidepool

Loop currently works with the Omnipod Eros and older Medtronic insulin pumps, with
support for the Omnipod Dash pump arriving in an upcoming app release. Supported
CGMs include the Dexcom G4, G5 and G6, as well as Medtronic sensors connected to
Loop-compatible Medtronic pumps.