FDA granted Breakthrough Device designation to Glytec's Glucommander Pediatrics on September 24. The software calculates insulin infusion rates for hospitalized patients from birth to under 2 years of age.

No insulin dosing software is cleared for that age group today. The designation covers diabetic ketoacidosis, hyperglycemic hyperosmolar state, hyperglycemia of prematurity, and persistent hyperglycemia in critically ill infants in intensive care.

The adult Glucommander cleared in 2006 and runs in more than 400 hospitals and health systems. Glytec, based in Atlanta, extended it to ages 2 through 17 in 2012. Breakthrough buys sponsor meetings and priority review attention, which is worth most where there is no predicate and the population is small enough that enrollment is the binding constraint.