Technology Policies - Camp Sweeney

Diabetes Technology at Camp

Insulin Pumps

Campers are welcome to wear their pumps while at Camp. If campers are using non-hybrid pumps, meal time insulin doses are given as manual boluses and the "dosing wizard" functionality will not be utilized. Campers using hybrid closed loop systems will be dosed according to the pump's recommendations. Pump site changes will be logged and strict schedules will be followed consistent with manufacturer recommendations.

Continuous Glucose Sensors

Campers are welcome to wear their sensors while at Camp. Camp Sweeney supports the Dexcom, Freestyle Libre, and Medtronic suite of products. Campers will be given a Camp Sweeney iPhone to be used as a receiver while at Camp. CGM readings between 70-300 will be accepted in lieu of finger stick readings at meal times. Readings outside of that range will always require confirmation with a finger stick reading. CGM trend arrows are not formulaically incorporated into dosing decisions at Camp.

Hybrid Closed Loop Systems

Camp Sweeney enthusiastically supports the use of the Medtronic 670G and Tandem t:slim X2 pump with Basal-IQ or Control-IQ and Omnipod 5. Campers on any of these systems can expect to benefit from the automated insulin adjustment algorithms innate to each product throughout their camp experience. Omnipod 5 users will need to paired to their controllers while at camp. They may not use their android phone app to control their Omnipod 5 while at camp.

Do-it-yourself artificial pancreas systems (DIY APS, Loop, OpenAPS, etc)

Camp Sweeney recognizes the value of these non-FDA approved systems for many children with diabetes. Our program strives to be supportive of campers who "loop" at home if they wish to continue to do so at Camp. However, we require a few preconditions to be satisfied to allow a DIY APS system to be used at Camp:

1) parental consent of non-FDA approved protocol must be signed (with accompanying assent provided by children 10 years and older).

2) Campers must demonstrate that they have been on their device for at least 4 weeks and be able to provide a 2 week download of their device data (Clarity tracing, Nightscout report, etc) demonstrating that they achieved at least 50% time-in-range (% of the day spent between 70-180mg/dL) on their most recent 2 week download.

3) Campers must provide a compatible smartphone to run their closed loop algorithm.

4) Campers must be willing to remove the SIM cards and disable the phone's camera application and all other non-essential applications for the duration of their time at Camp. Only the Bluetooth communication protocols on their compatible mobile devices will be left "on" at Camp to allow closed loop protocols to run. Camper phone use should be limited solely to these "essential" apps; any camper trying to disable restrictions or use their phone for unapproved functions may lose the opportunity to have their phone and use this software during their stay at camp.