How do I install the Pdm Hcl Pump T1dm skill?

Run npx skillmds@latest add dromlakhani/pdm-hcl-pump-t1dm in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Pdm Hcl Pump T1dm safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Pdm Hcl Pump T1dm?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Pdm Hcl Pump T1dm free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Pdm Hcl Pump T1dm?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Pdm Hcl Pump T1dm by dromlakhani — Agent Skill

Name: Pdm Hcl Pump T1dm
Rating: 4.2 (5 reviews)
Author: dromlakhani

Pdm Hcl Pump T1dm

Recommends use of hybrid closed-loop pump rather than insulin pump with CGM (without algorithm) or multiple daily injections with CGM for pregnant individuals with type 1 diabetes. Triggered when deciding on insulin delivery methods for pregnant patients with type 1 diabetes.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Use hybrid closed-loop pump in pregnancy for type 1 diabetes

STEP 1 — Gather Information

Confirm pregnancy, type 1 diabetes diagnosis, current insulin delivery method, CGM use, recent glycemic metrics (time in range, hypoglycemia), and patient preferences regarding technology.

STEP 2 — Rule In / Rule Out

Is the individual pregnant with type 1 diabetes? If yes, proceed; if no, this skill does not apply.

STEP 3 — Classify or Stratify

Determine whether the patient is currently using an insulin pump with CGM (without algorithm) or multiple daily injections with CGM. If yes, they are a candidate for switching to HCL pump; if already using HCL pump, continue current therapy.

STEP 4 — Decide

Recommend initiating or continuing a hybrid closed-loop pump system rather than insulin pump with CGM (without algorithm) or multiple daily injections with CGM, after shared decision making and ensuring access to appropriate HCL technology.

Clinical Guardrails / Mimics / Pitfalls

Not all HCL algorithms are validated for pregnancy; avoid systems without pregnancy‑specific glucose target capabilities. Ensure clinician expertise in both diabetes management during pregnancy and HCL technology. Monitor for device failure, skin irritation, and over‑reliance on automation without periodic review. Do not use HCL as a substitute for preconception care or regular obstetric follow‑up.

Concrete Clinical Example

A 30‑week pregnant woman with T1DM using MDI and CGM reports frequent nocturnal hypoglycemia and time in range of 55%. After discussing options, she switches to an HCL pump with a pregnancy‑approved algorithm, achieving time in range of 70% and reduced hypoglycemia within two weeks.

Source: Preexisting Diabetes and Pregnancy: An Endocrine Society and European Society of Endocrinology Joint Clinical Practice Guideline, Endocrine Society & European Society of Endocrinology, 2025, https://doi.org/10.1210/clinem/dgaf288

---name: pdm-hcl-pump-t1dmdescription: Recommends use of hybrid closed-loop pump rather than insulin pump with CGM (without algorithm) or multiple daily injections with CGM for pregnant individuals with type 1 diabetes. Triggered when deciding on insulin delivery methods for pregnant patients with type 1 diabetes.---# Use hybrid closed-loop pump in pregnancy for type 1 diabetes## STEP 1 — Gather InformationConfirm pregnancy, type 1 diabetes diagnosis, current insulin delivery method, CGM use, recent glycemic metrics (time in range, hypoglycemia), and patient preferences regarding technology.## STEP 2 — Rule In / Rule OutIs the individual pregnant with type 1 diabetes? If yes, proceed; if no, this skill does not apply.## STEP 3 — Classify or StratifyDetermine whether the patient is currently using an insulin pump with CGM (without algorithm) or multiple daily injections with CGM. If yes, they are a candidate for switching to HCL pump; if already using HCL pump, continue current therapy.## STEP 4 — DecideRecommend initiating or continuing a hybrid closed-loop pump system rather than insulin pump with CGM (without algorithm) or multiple daily injections with CGM, after shared decision making and ensuring access to appropriate HCL technology.## Clinical Guardrails / Mimics / PitfallsNot all HCL algorithms are validated for pregnancy; avoid systems without pregnancy‑specific glucose target capabilities. Ensure clinician expertise in both diabetes management during pregnancy and HCL technology. Monitor for device failure, skin irritation, and over‑reliance on automation without periodic review. Do not use HCL as a substitute for preconception care or regular obstetric follow‑up.## Concrete Clinical ExampleA 30‑week pregnant woman with T1DM using MDI and CGM reports frequent nocturnal hypoglycemia and time in range of 55%. After discussing options, she switches to an HCL pump with a pregnancy‑approved algorithm, achieving time in range of 70% and reduced hypoglycemia within two weeks.**Source:** Preexisting Diabetes and Pregnancy: An Endocrine Society and European Society of Endocrinology Joint Clinical Practice Guideline, Endocrine Society & European Society of Endocrinology, 2025, https://doi.org/10.1210/clinem/dgaf288

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