Redefining diabetes management by technology in children with diabetes: from insulin pumps and continuous glucose monitors to the artificial pancreas system

2016 ◽  
Vol 120 ◽  
pp. S21
Author(s):  
Eda Cengiz
Keyword(s):  
Diabetes Management ◽  
Artificial Pancreas ◽  
Insulin Pumps ◽  
Continuous Glucose Monitors

Blood Glucose Monitoring In Pediatric Patients—Looking Toward Better Diabetes Management and Perspectives for the Future

2010 ◽  
Vol 8 (1) ◽  
pp. 22
Author(s):  
William L Clarke ◽  
Keyword(s):  
Blood Glucose ◽  
Diabetes Management ◽  
Artificial Pancreas ◽  
Glucose Monitoring ◽  
Glycated Haemoglobin ◽  
Blood Glucose Monitoring ◽  
Nocturnal Hypoglycaemia ◽  
Intensive Glucose Control ◽  
Glycaemic Variability ◽  
Analytical Accuracy

Self-blood glucose monitoring (SBGM) is an important component of day-to-day diabetes management for children and their families. Despite some recent concerns in terms of its analytical accuracy, it has been used successfully to implement intensive glucose control in the Diabetes control and complications trial (DCCT), reduce glycated haemoglobin (HbA1c) levels, prevent acute complications, and make it possible for children to attend school and participate in sports activities safely. While still in its infancy, continuous glucose monitoring (CGM) has been shown to be useful in reducing the occurrence of nocturnal hypoglycaemia, lowering HbA1c levels and reducing glycaemic variability. Its analytical accuracy has prevented its approval as an alternative to SBGM for insulin decision-making. However, it has made possible the development and testing of closed-loop ‘artificial pancreas’ systems for controlling glucose levels in adults and adolescents.

scholarly journals Evolution of Do-It-Yourself Remote Monitoring Technology for Type 1 Diabetes

2020 ◽  
Vol 14 (5) ◽  
pp. 854-859
Author(s):  
Michelle Ng ◽  
Emily Borst ◽  
Ashley Garrity ◽  
Emily Hirschfeld ◽  
Joyce Lee
Keyword(s):  
Type 1 Diabetes ◽  
Open Source ◽  
Remote Monitoring ◽  
Diabetes Management ◽  
Rapid Development ◽  
Artificial Pancreas ◽  
Commercial Space ◽  
Technology Innovations ◽  
Do It Yourself

Background: The Nightscout Project is a leading example of patient-designed, do-it-yourself (DIY), open-source technology innovations to support type 1 diabetes management. We are unaware of studies that have described the evolution of patient-driven innovations from the Nightscout Project to date. Methods: We identified patient-driven, DIY innovations from posts and comments in the “CGM in the Cloud” private Facebook group as well as data from Twitter, GitHub, and the Nightscout website. For each innovation, we described its intent or its unaddressed need as well as the associated features and improvements. We conducted a thematic analysis to identify overarching patterns among the innovations, features, and improvements, and compared the timeline of innovations in the DIY space with the timing of similar innovations in the commercial space. Results: We identified and categorized innovations in Nightscout with the most commonly appearing themes of: visualization improvements, equipment improvements, and user experience improvements. Other emerging themes included: Care Portal support, safety, remote monitoring, decision support, international support, artificial pancreas, pushover notifications, and open-source collaboration. Conclusions: This rapid development of patient-designed DIY innovations driven by unmet needs in the type 1 diabetes community reflects a revolutionary, bottom–up approach to medical innovation. Nightscout users accessed features earlier than if they had waited for commercial products, and they also personalized their tools and devices, empowering them to become the experts of their own care.

scholarly journals Can Smart Pens Help Improve Diabetes Management?

2020 ◽  
pp. 193229682096560
Author(s):  
Sarah L. Sy ◽  
Medha M. Munshi ◽  
Elena Toschi
Keyword(s):  
Physical Activity ◽  
Bolus Dose ◽  
Diabetes Management ◽  
Mobile Apps ◽  
The Past ◽  
Continuous Glucose Monitors ◽  
The Relationship ◽  
Insight Into

Smart pen technology has evolved over the past decade with new features such as Bluetooth connectivity, bolus dose calculators, and integration with mobile apps and continuous glucose monitors. While similar in appearance to a traditional insulin pen, smart pens have the ability to record and store data of insulin injections. These devices have the potential to transform diabetes management for clinicians, and patients with type 1 and type 2 diabetes on insulin therapy by improving adherence, glycemic control, and addressing barriers to diabetes management. Smart pens can also highlight the relationship between insulin, food, and physical activity, and provide insight into optimizing insulin regimens. Education of clinicians and patients, and more clinical studies showing the benefits of smart pens and cost-effectiveness, are needed.

scholarly journals Information and communication technology enabling partnership in person-centred diabetes management: building a theoretical framework from an inductive case study in The Netherlands

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025930 ◽  
Author(s):  
Sabine E Wildevuur ◽  
Lianne WL Simonse ◽  
Peter Groenewegen ◽  
Ab Klink
Keyword(s):  
The Netherlands ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Healthcare Professionals ◽  
Diabetes Management ◽  
Artificial Pancreas ◽  
Theoretical Framework ◽  
Medical Data ◽  
Information And Communication

ObjectivesThe aim of this paper is to construct a theoretical framework for information and communication technology (ICT)-enabled partnership towards diabetes management.DesignWe conducted an inductive case study and held interviews on the development and use of an artificial pancreas (AP) system for diabetes management.SettingThe study was carried out in the Netherlands with users of an AP system.ParticipantsWe interviewed six patients with type 1 diabetes, five healthcare professionals (two medical specialists and three diabetes nurses), and one policy advisor from the Ministry of Health, Welfare and Sport.ResultsWe built a new theoretical framework for ICT-enabled person-centred diabetes management, covering the central themes of self-managing the disease, shared analysing of (medical) data and experiencing the partnership. We found that ICT yielded new activities of data sharing and a new role for data professionals in the provision of care as well as contributed to carefree living thanks to the semiautomated management enabled by the device. Our data suggested that to enable the partnership through ICT, organisational adjustments need to be made such as the development of new ICT services and a viable financial model to support these services.ConclusionThe management of diabetes through ICT requires an adjustment of the partnership between persons with the chronic condition and the healthcare professional(s) in such a way that the potential for self-managing the condition by analysing the newly available (medical) data (from the AP system) together leads to an experience of partnership between patients and healthcare professionals.

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