Conclusion and Future Work
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The artificial pancreas employing subcutaneous sensing and delivery is progressing at a steady pace and a commercially available one looks highly possible in a few years time. However there is still much scope for work on an implantable artificial pancreas. The sensor, pumps, power and electronics have to last the lifetime of the patient or at least a few decades due to the invasiveness of the surgery required. Wireless technology for communication with electronics across the organs, muscles and tissues needs to be powerful yet consume little energy. The electronics have to meet the reliability and safety requirements for implantable devices. Further studies have to be done to assess implant sites, including the one proposed in the iliac crest which is a site where herniation can occur.