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AID Initiation: A Step-by-Step Guidance Tool

A structured workflow to help healthcare professionals evaluate, prepare, and initiate Automated Insulin Delivery (AID) therapy.

Content developed by: Kathryn Evans Krieder, DMP, FNP-BC, BC-ADM, FAANP and Dana Roseman, MPH, CDCES, RDN

Tool created and reviewed by: ADCES Tech Committee and the danatech staff

The AID Initiation Guidance Tool provides a structured workflow to help healthcare professionals safely and efficiently initiate Automated Insulin Delivery (AID) therapy. It organizes the key clinical, educational, operational, and documentation steps required before, during, and after AID initiation.

Use this tool when:

  • Evaluating a patient for AID therapy
  • Preparing for a pump start visit
  • Conducting patient education and training
  • Coordinating care across multiple team members
  • Confirming documentation and insurance requirements
  • Standardizing AID initiation processes within your practice

  • Is this patient an appropriate candidate for AID?
  • What steps should occur before initiation?
  • What documentation is required?
  • What education should be completed?
  • Which team member is responsible for each task?
  • What follow-up activities should occur after initiation?

ChallengeHow this tool helps
Unclear initiation workflowProvides a step-by-step process
Missed documentation requirementsHighlights required documentation
Inconsistent education practicesStandardizes training activities
Team communication gapsClarifies responsibilities
New staff onboardingProvides a repeatable workflow
Variation between cliniciansSupports a consistent approach

References:

American Diabetes Association. Standards of Medical Care in Diabetes—2024. Diabetes Care. ADCES Insulin Pump Therapy Guidelines, ISPAD Clinical Practice Consensus Guidelines 2022: Insulin Pump Therapy. Endocrine Society. Management of Continuous Subcutaneous Insulin Infusion (CSII) and Continuous Glucose Monitoring (CGM). Clinical Research on Insulin Pumps & Automated Insulin Delivery (AID) Systems: Beck RW, Riddlesworth T, et al. Effect of Continuous Glucose Monitoring on Glycemic Control in Adults With Type 1 Diabetes Using Insulin Injections: The DIAMOND Randomized Clinical Trial. JAMA, 2017.

 

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This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your diabetes care and education specialist or health care provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. To find a diabetes care and education specialist near you, visit the ADCES finder tool.

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