This project is not publicly available. Please reach out to sara@versedesign.co for access.

Portal Diabetes · 2023–2025 · Medical Device UX, User Research, Product Design

Self-Driving Pancreas

Designing UX for a fully automated, implanted insulin pump—what happens when the device does almost everything itself?

Portal implanted insulin pump device

The Brief

Portal Diabetes developed what they call "a practical cure for diabetes"—a fully automated, implanted insulin pump. No multiple daily injections. No constant calculations. The device handles insulin delivery automatically, learning and adapting to each person's needs.

It's a paradigm shift in diabetes management. And paradigm shifts in technology require paradigm shifts in user experience.

Automation creates new UX problems. When a device does almost everything itself, what should people see? What should they control? How do they learn to trust something they don't directly manage?

How do you design an interface for a device that's meant to disappear into the background of someone's life?

Key Challenges

Trust Calibration

Help users trust the device enough, but not too much

Manage, Don't Micromanage

Enable management without inviting micromanagement

Maintenance

Resource users without undermining automation's promise

Learning Without Forgetting

Master new tasks while maintaining old skills

The Work & Design

We worked with Portal from the formative stage—a field-leading competitive advantage that allowed key product decisions to be shaped by user needs and technical constraints simultaneously, rather than designing the interface after the technology was built.

Phase 1: Research & Strategy

We interviewed people with diabetes to understand their motivations, desires, and needs. We synthesized what we heard into themes around adoption, autonomy, and utility. Then we created five design heuristics to guide all decision-making:

User research conversations with people with diabetes about trust and automation
User research revealed key themes around trust, autonomy, and the balance between automation and control
Mental model showing insulin delivery at center, supported by CGM, reservoir, and battery
Mental model framework: Insulin delivery at center, supported by CGM, insulin reservoir, and pump battery
UX framework mapping system states and user actions
UX framework mapping system elements, states, user actions, and scenarios across the entire experience

Phase 2: UX Concept Design

Over 22 weeks, we translated the strategy into a complete UX/UI system—three core screens that embody three core values:

Trust

Minimize the cognitive load of diabetes. Discourage micromanagement by cultivating the right level of trust.

Know

Help users understand what's happening. Show data that communicates function and value, with details when needed.

Manage

Put automation in users' hands by showcasing its value and making it transparent how to use.

Three Core Screens

The interface centers on three screens that embody the core values of trust, transparency, and management. The Home screen provides minimal reassurance when there's nothing to do. The Data screen supports understanding through detailed insulin delivery information. The System screen offers transparent access to maintenance and settings.

Portal home screen showing minimal interface
Home: Minimal, reassuring presence
Portal data screen showing detailed insulin delivery information
Data: Transparency and understanding
Portal system screen for settings and maintenance
System: Settings and maintenance

The Outcome

We delivered a high-fidelity Figma prototype with implementation guidelines and research insights. The work was used as foundational research in Portal's Design History File for formative usability studies, submitted to the FDA. Portal received FDA designation to begin Phase 1 clinical trials.

Field-Leading

Design at formative stage shaped product decisions by meeting user and technical needs simultaneously

User-Validated

Recruited and managed 5 rounds of testing with ~50 people with T1D, plus 3 rounds of expert feedback

FDA Submission

Research and design used in Design History File for formative usability studies supporting clinical trials approval

My Role

As Design Director, I hired and managed a team of 4 designers and researchers, designed the overall design process, and led strategy across all three phases. I worked closely with Portal's medical and engineering teams to ensure our research and design decisions aligned with technical constraints and regulatory requirements while staying grounded in user needs.

The Team: Sara Krugman (Design Director) · Chaim Gingold (Principal Designer) · Alex Lauri (UX/UI Designer) · Bella Mariani (UX Research Support)