•  1diabetes2

    1diabetes

     

     

    Now that is cool: Testing your sugar without needles and without blood droplets.

    In Europe, the medical company Abbott has just released its FreeStyle Libre system, which may usher in a revolution in diabetes care. And both doctors and patients can’t wait.

    Prabahar Gopalakrishnan, 26, is a type 1 diabetic who has taken daily insulin injections since the age of seven. “I’ve probably pricked my fingers almost 15,000 times so far,” he tells me.

    When I tell him about the new system, he finds it hard to believe. “You mean I might never have to poke myself again?”

    Chandroutie Permaul, a 65-year-old woman with type 2 diabetes, also finds routine self-testing problematic. “My flesh gets so tender,” she complains. “And when I wash the dishes, it just burns and burns.”

    These hassles may soon be a thing of the past.

    The Libre system uses an advanced, coin-size sensor that is worn on the arm for two weeks at a time. According to the instructions, a tiny “filament is inserted just under the skin and held in place with a small adhesive pad.”

    It comes with a hand-held scanner which looks like a largish smartphone. Swiping the scanner over the sensor instantly measures your sugar, displaying the result in “less than one second.”

    Speaking at the European launch in Vienna, Jared Watkin, a technology vice-president at Abbott, also demonstrated that you can even scan the sensor “through your clothes.” You don’t even need to calibrate the system with a test drop of blood.

    That’s remarkable – and unheard of in the diabetes world.

    “Patients would fly with this,” says Dr. Susan Burlacoff, a Toronto family physician. She believes there will be great utility of this bloodless system in her own practice. “It’s painless, convenient, without needles and [patients] wouldn’t have to worry about getting blood on their clothing or papers or food.”

    Since the technology is digital, the sensor is always on – 24/7 – always measuring sugar. Known as continuous glucose measurement (CGM), this is usually done at the research level, where precise recordings are required.

    But with this new sensor, such precision goes retail: Regular patients can benefit from this constant sugar surveillance. In fact, the measurements are so detailed that the graphs look like fluctuating, moment-to-moment stock-market prices. This is known as Ambulatory Glucose Profiling (AGP). What’s more, patients can be forewarned if their levels go too low or high; and they can view their trendlines over the last hour, day, week or even months.

    Notably, the Libre device will even generate the single key number that doctors are after – the three-month sugar, known as the hemoglobin A1c. It is this number, how your sugar has done over the past three months, that doctors track to predict the complications of diabetes, which include eye, heart, kidney and nerve disease. In fact, it is this number that guides therapy, tells us if our patients are controlling their sugar or if we have to bump up the number of pills or prescribe insulin.

    Until now, the only way to know the hemoglobin A1c, this important predictive measure, was to go to a medical laboratory, present your arm for a blood test by vein puncture and then wait to see your doctor for the results. Now you can get the number at home and even e-mail it to your physician.

    Dr. Hamid Gilani of Guelph, Ont., senses that arming patients with such detailed information will inspire people to take better care of themselves. Missed your medication? Had too much dessert? Didn’t walk off that evening meal? The effects of all these (mis)behaviours can be seen as they evolve. “Knowing glucose levels in real-time will help patients balance their day-to-day medications, exercise levels and food intake,” he says. “I’m looking forward to trying [the system] out.”

    The Libre system is not available in Canada. Health Canada spokesman Eric Morrissette said the federal department is unable to “disclose or acknowledge the receipt of a drug or medical device application,” considering this “proprietary information.”

    But as a doctor who knows what patients go through, I hope the application has been filed and that approval for the device comes soon. To stave off the devastating complications of diabetes, our three million diabetic patients need all the help, empowerment and self-knowledge that they can get.

     

    contributors share their knowledge in fields ranging from fitness to psychology, pediatrics to aging. Dr. Shafiq Qaadri, MPP, is a Toronto family physician, Continuing Medical Education (CME) lecturer and. His first novel, a medical thriller, is .

    Follow us on Twitter:

    MORE RELATED TO THIS STORY

     
     

    No Comments

    1. Marina Baamonde says:

      Gran aporte, desde ya tu web en mis favoritos

    Post a Comment


     

     

    Latest Posts

    Latest Video

     
     

    LATEST POSTS

    What To Expect When Going To A Local Therapist

    Much of the population still looks down on therapy and psychologists. The primary reason for this is that therapy is vastly misunderstood by the general…

    Calm Body and Calm Mind: 4 Stress-Relief Strategies You Can Try

    Stress comes in different ways. First, stress can be in the form of acute stress. Acute stress is the kind of stress that you acquire,…

    Programming the Subconscious to Fight Diabetes

    Diabetes is a life-threatening illness that causes strokes, heart attacks, kidney failure, and blindness. Every year, 1.5 million Americans learn they have the illness. For…

    Vision of the Future in AR and Mixed Reality

    SOURCE Hello everyone who is reading our blog In this post I would like to share some of my thoughts and observations on how different…

    Keeping out of Trouble: 3 Scenarios Where Health Insurance Can Drop You

    Your health insurance is incredibly important, which is why the idea of being dropped by your insurance company is so concerning. Your health insurance provider…

    Health Benefits Associated With Drinking Water

      Out all the things that we eat and drink, water stands out as the most important one. When you drink water the body is…

    Artificial Intelligence Diagnoses Heart Murmurs Better Than Expert Cardiologists

    SOURCE Eko’s heart murmur detection algorithm outperformed four out of five cardiologists for the detection of heart murmurs in a recent clinical study. The algorithm…

    ссылка

    посмотреть

    apach.com.ua/shop/category/holodilnoe-oborudovanie/stoly-holodilnye