Newsletter edition nr. 3 – September 2021

27 September 2021 – Inreda: growing and flowing

Dear reader,

Welcome to the third newsletter of 2021.

Just at the beginning of the summer holidays, great news came out: Zorginstituut Nederland and ZonMw announced that they are making almost €10 million available for research with the AP™ from Inreda Diabetic. We tell more about this in the first item.

Just after the summer holidays, at the beginning of September, the Cycle Against Diabetes Foundation organized a beautiful sponsored bicycle tour and the outcome is astonishing. Curious about what this day has yielded? Look further at the second item.

At the same time, Inreda started a second project with the AP™ in daily live. With which hospitals and which health insurer you can read in the third item.

Finally, one of our colleagues will be put in the spotlight and will tell you something about himself. This time it’s the one who is preparing for the AP™ treatment. You can find this under the last item: Colleague in the spotlight.

Enjoy reading!

Team Inreda

Promising Healthcare

On July 13, the National Health Care Institute and ZonMw announced that they are making almost €10 million available for research with the AP™. This study is an important step towards availability and reimbursement in the basic package.

With a promising healthcare subsidy of almost € 10 million from the National Health Care Institute and ZonMw, 12 Dutch hospitals, led by UMC Utrecht, are starting scientific research in which 240 adults will participate. The study aims to answer the question whether the artificial pancreas is more effective care (in costs) for people whose diabetes is not well controlled within the current possibilities. Based on the results, the Zorginstituut takes a position on whether the artificial pancreas belongs in the basic package.

The actual implementation will start on April 1, 2022 in various hospitals designated by UMC Utrecht. It is expected that the hospitals will be announced by UMC Utrecht in the course of this year. The process will be formally completed around September 2024. Then it will also be announced whether the AP™ will be included in the basic insurance.

Read the announcement of the Healthcare Institute here (in Dutch)

Background information
The Dutch National Health Care Institute (Zorginstituut) is an advisory and implementation organization in the field of health care. Together with a number of other government organizations, the Zorginstituut ensures that healthcare in the Netherlands is and remains of good quality, accessible and affordable.
Zorginstituut Nederland implements the Subsidy Scheme for Promising Care together with ZonMw, on behalf of the Ministry of Health, Welfare and Sport. A maximum of €69 million is available annually.

The aim of the Subsidy Scheme for Promising Care is to promote that promising care becomes available to patients more quickly through the basic package. This is done by funding research that demonstrates the effectiveness of a new healthcare treatment, compared to standard treatment. On the basis of the scientific evidence, the Zorginstituut takes a position within six months at the end of the research process whether the examined care complies with ‘the state of science and practice’ and is therefore insured care.

Cycle against Diabetes day

On Saturday September 4th, the Cycle against Diabetes Foundation organized a very nice sponsored bicycle tour, the proceeds of which go to the development of the AP™ for children.

Again, a beautiful tour had been set out on the Dutch Veluwe with almost completely new routes. What was also new was that children up to the age of 12 could also cycle. A special Kids4Diabetes Tour was set up for that purpose. Furthermore, there was of course a Recreational tour (55 km), a Sports tour (135 km) and a Mountain bike tour (55 km).

Various Inreda employees could also be found among the participants of the various tours.
The end of the day was festively and “officially” concluded with the announcement of the sponsorship amount: € 40,000! That is a fantastic contribution to further developing an AP™ for children. Cycle against Diabetes Foundation: many thanks for the organization and implementation of this beautiful cycling day! Thanks also to everyone who helped make this day possible and of course to all cyclists, young and old!

Second project with AP™ in daily live

In August, health insurer CZ entered into a partnership with Inreda whereby 25 adult type 1 diabetes patients from five hospitals receive AP™ treatment. The first people who started are being treated at Zuyderland hospital in Heerlen. The hospitals Elkerliek (Helmond), Haga (The Hague), Erasmus MC (Rotterdam) and Elizabeth Twee Steden (Tilburg) are also participating. These 25 people are expected to have started by the end of 2021.

The aim of this collaboration with CZ is that we look at the consequences of the AP™ for the care path in hospitals. In other words, what care can be taken over by using the AP™ and what the care will look like.

As with the project that we are carrying out with Menzis, the CZ-insured patients are referred by the attending physician.

Colleague in the spotlight

Who are you? 
My name is Aart Engeltjes, 62 years old and I live in Elburg. Married to Driesje. Together we have 5 children (3 sons and 2 daughters) and 7 grandchildren. All children have left home and follow their own path, which is very different for each.
When asked about my profession, I always immediately say ‘nurse’. I’m proud of that. I have worked in both general hospital and psychiatry. In addition to my work as a nurse, I studied Health Sciences in Maastricht and Utrecht. Around the age of 40, I made the switch to education. In Hilversum (Hollandsche Rading) I worked on developing the training for military nurses and also provided nursing education as a teacher there. I enjoyed very much working in adult education for very different age groups. I have also written several study books for nursing and care. A great way to pass on your knowledge and insight.

What do you do?
When I started at Inreda about a year ago, I first worked on further developing the training programs and e-learning. From the moment the first people receive the AP™ treatment, I give the two-day training together with colleagues. In addition, I coach the clients in the first weeks after starting the treatment. The contact is then mainly by telephone. During these coaching conversations we discuss “how the treatment is going”, “whether the actions to be performed are successful”, “what are practical things they have questions about”, etc. More often it is actually listening, showing understanding when there are disappointments and discuss perspective and/or give compliments for what is going well. Or, on the contrary, draw attention to the successes and challenge them to push boundaries. This is sometimes really necessary because people tend to mainly name the things that are not going well yet. Sometimes it is also necessary to adjust expectations. People have sometimes placed too much hope in the AP™ treatment. In my opinion, the AP™ is not yet a technical cure, but it is a fantastic step forward

What is your passion?
For my job to start with. In any case, it is one of my passions. How nice is it to be able to guide people in taking new steps in their lives? Challenge them to push boundaries? Everything I’ve done in previous jobs actually comes together in the work that I can now do on a daily basis for Inreda and its clients. Other passions: my family, cycling, music, birds and photography. I cycle on average twice a week. Long distances if possible. Preferably I always cycle alone, no earphones in, just experience the environment, experience freedom, think well or just not think for a while. I enjoy that. My favourite music is mainly the classical genre: oratorios and opera. I prefer to go to a live performance in a beautiful concert hall. Being surrounded by music is wonderful.

What do you do in your spare time?
 I spend a lot of my free time with my family (children and grandchildren). And also to cycling and to my birds. I have two aviaries with crested canaries, zebra finches and parakeets. There are also activities that I periodically devote time to. In recent weeks I have been busy for our foundation Cycle against Diabetes. The foundation that contributed to the fact that I now work at Inreda Diabetic.

How did you get to work at Inreda?
One of my sons has type 1 diabetes. He started having serious problems with his eyes a few years ago. There was no real positive effect of the treatments. According to the doctors, the only solution to prevent aggravation was stable blood glucose levels. Then we decided together to go cycling to raise money in the ‘battle against diabetes’. This started very small, but we immediately set up a foundation (Cycle against Diabetes). After the broadcast on Dutch broadcaster MAX, in which Robin told his story (November 2018, ed.), we contacted Inreda Diabetic. That is why we organized a bicycle sponsorship tour with the Cycle against Diabetes Foundation to raise money for the artificial pancreas. This year we cycled again on September 4. This time to cycle together money for the youth study. A big success. Not only because of the amount raised (40,000 euros). Especially the enthusiasm and involvement of the participants who committed themselves made the event a great success. And how wonderful it was that several participants wore an AP™.

Well, how did I get to Inreda? After the first sponsor tour in September 2019, I saw the vacancy for Trainer/Coach at Inreda and I expressed my interest. I thought it would be fantastic to be able to contribute to a development that can offer people with diabetes a better quality of life.

Have you experienced a fun, crazy, or memorable incident at work?
What I find very special and fun is to work with many young people, for example that I now have a direct colleague who wears the AP™ herself. There are actually so many stories of the people starting. There are too many moments to mention, the anecdotes don’t come to mind right now. But it’s those personal stories that touch me the most, the hope people have in this device. And I think it’s special to hear that people take a day off before training. They don’t take sick leave for it. Because somehow people don’t want others to know that they take time off for their diabetes. I try to tell them that you can choose for yourself and take your diabetes seriously.

What will you be doing in 5 years? What do you want to have achieved then?
In 5 years I’ll be 67. That’s the retirement age. Achieving something new is no longer necessary. What I do hope is that the AP™ will be developed to the point where it will be a plug-and-play device that thousands of people with this treatment method use.