When Lane Desborough's 10-year-old son was diagnosed with type 1 diabetes in 2010, this chemical engineer did what came naturally: he applied industrial-scale automation principles to save his child's life. What followed sparked a movement that continues reshaping medical device innovation today. Lane's journey from creating Nightscout (one of GitHub's most-forked repositories) to founding the revolutionary "We Are Not Waiting" movement reveals how patient-driven innovation can outpace traditional development. Now, with support from the Helmsley Charitable Trust, Lane is building the Automated Insulin Delivery Interoperability Framework (AIDIF), an FAA-level simulator designed to accelerate innovation and expand access to life-saving diabetes technology for millions who can't "crawl through broken glass" to build their own solutions.Timestamps: [00:00] Opening: Personal hero who sparked a movement [04:25] Why Lane entered medical technology [08:20] Cross-disciplinary innovation and "exclusionary language" [10:25] The "We Are Not Waiting" origin story [14:00] The burden of being your child's pancreas [21:40] From remote monitoring to open source revolution [24:35] Scaling beyond the most engaged 10,000 users [32:25] The Automated Insulin Delivery Interoperability Framework [38:45] Why clinical trials aren't enough: recruitment bias [41:20] Building FAA-level simulation for medical devices [46:15] Medical Device Development Tools and regulatory innovation [49:00] Heroes, help needed, and ecosystem engineeringFollow Shannon and Lane:Connect with Shannon: LinkedIn: https://www.linkedin.com/in/shannonlantzyWebsite: https://www.shannonlantzy.comConnect with Lane: LinkedIn: https://www.linkedin.com/in/lanedesborough/Website: http://www.nudgebg.com/

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