Documented institutional record
Correspondence
A dated record of correspondence concerning ESP360°. Original source documents are provided wherever available. These exchanges document circulation and referral; they are not presented as scientific endorsement.
Swedish Royal Court
Royal Palace, Stockholm · July–August 2026
7 July 2026 — Crown Princess Victoria
Mark Paull wrote to Her Royal Highness The Crown Princess asking whether he might send a one-page briefing on research concerning people who dose insulin every day. The letter described ESP360° as addressing a “missing decision layer” in diabetes care and asked for guidance toward relevant Swedish institutions, including Barndiabetesfonden.
20 July 2026 — His Majesty The King
A separate letter to His Majesty The King requested permission to send a one-page briefing, described ESP360° and its patient-safety motivation, and asked for guidance toward Swedish institutions where the work might serve people living with type 1 diabetes.
12 August 2026 — Royal Court reply
Court Secretary Anita Söderlind replied on behalf of His Majesty the King. The Royal Court thanked Mark Paull for his letter, stated that His Majesty was unable to help personally, and specifically recommended contacting Karolinska Institutet (KI), adding: “They might be able to help you.”
View original Royal Court reply

Documented outcome: referral to Karolinska Institutet.
Royal Household of Spain
Madrid · August 2026
27 August 2026 — Casa de S.M. el Rey
Cristóbal Moreno, Jefe de la Secretaría de Despacho, acknowledged the writings sent to Their Majesties during July concerning Mark Paull’s personal and professional trajectory with type 1 diabetes and his research. The letter conveyed Their Majesties’ thanks for the information.
The Royal Household stated that the referenced report could be sent to the Casa Real “para su conocimiento” — for its information — and identified the Ministerio de Sanidad and the Ministerio de Ciencia, Innovación y Universidades as appropriate bodies to which the work could also be presented.
Open original Royal Household reply
28 August 2026 — follow-up
Casa de S.M. el Rey: the ESP360° report was sent for the Royal Household’s information.
Ministerio de Sanidad: material was sent for referral to the competent unit in digital health, innovation or patient safety, seeking expert criticism and guidance on verification and validation.
Open Ministry of Health letter
Ministerio de Ciencia, Innovación y Universidades: material was sent for referral to the competent research, innovation and health-AI unit, emphasizing model governance, auditability and independent verification and validation.
Open Ministry of Science letter
Material transmitted
Spanish one-page report · English one-page briefing · CRC 2026 handout · Science dossier
Documented outcome: the Royal Household confirmed receipt and identified Spain’s Ministries of Health and of Science, Innovation and Universities as relevant bodies; follow-up material was sent on 28 August 2026.