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FDA authorizes first wearable device that monitors ketone and blood sugar levels

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Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#141

Post by scheme271 »

hn_throwaway_99 wrote: post #116
als0 wrote: post #101

Earlier quoted context omitted.

> your average diabetic who has fairly good control over their blood sugars I think it's huge for diabetics. It's a mental toll for them. They hate having to constantly prick themselves to take readings. It's awkward, inconvenient and you have to do it multiple times to be sure you got a good reading. And worse of all, it's possible to forget to take a reading when you need to.

I don't understand. All of the diabetics I know personally (one type 1 and two type 2 diabetics) use continuous glucose monitors and have for some time, so they rarely need to prick their fingers anymore. Ketone levels can be checked with a urine test.

There's some difference in the readings of a CGM due to sampling different things (blood with finger sticks vs intercelluar fluid for a CGM) and taking a bunch of vitamin C (pills or in food) can throw the readings off. But I think one or two sticks a day to calibrate the CGM and in situations where readings seem off should be sufficient.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#142

Post by yuriks »

maddie0 wrote: post #119
agumonkey wrote: post #94

Earlier quoted context omitted.

sample of 1, but yeah changing my diet (very low sugar, more veggies) did alter my health visibly and rapidly. to the point that if I eat something too sweet too fast i have a very mild headache soon after, my system readjusted to not seek levels i grew up with

fwiw... if sugar gives you a headache, this may be related to a gastrointestinal issue (e.g. gluten sensitivity, dietary histamine sensitivity, small intestinal bacterial overgrowth possibly causing its own sensitivities...) The specifics of the cause in your case are between you and your doctor, but i'd like more people to know, especially since these sorts of problems disproportionately affect people with autism an…

> it's also the sort of condition that might sometimes has an instant miracle cure

I assume that by this you mean figuring out some kind of dietary restriction?

I also struggle with a lot of those things (also ADHD) plus other inflammation-related issues (ezcema), and noticed a very specific pattern of fatigue during the day that improves at night. It's hard to tell what might be effective or not since keeping stability in my routine is a struggle, but I've mostly came up empty on explanations/solutions so far.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#143

Post by scheme271 »

mapkkk wrote: post #26
imglorp wrote: post #8

What about all the other wearable sensors like https://www.stelo.com https://www.hellolingo.com

These are the same CGM technologies (Dexcom = Stelo and Lingo = Libre), just aimed at the over the counter "health and fitness" market. This is not verified info, but I would assume these are either A) the exact same device, just with different marketing B) "binned" production runs that did not meet the accuracy threshold for clinical/prescribed use, but are otherwise "good enough" for someone looking to healthmaxx.

I think they are the same with some software differences. I believe that the sampling rates and tolerances are different. For example, dexcom displays 5 minute samples while the stelo shows 15 minute averages (it internally gets a new sample every 5 minutes like the dexcom). I think the official accuracy is a bit lower for the Stelo as well, although in practice it's probably close to the dexcom.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#144

Post by andy_ppp »

malfist wrote: post #75
andy_ppp wrote: post #62

Earlier quoted context omitted.

I’m willing to bet we can see longevity improvements from better blood sugar control. Not 100% certain but extremely likely, this would include potential heart attack and dementia reduction…

This has been tested actually. A clinical trial looking at tight blood sugar regulation was aborted after it resulted in multiple cardiac events.

Nonsense, you can fast or live in ketosis for years without any adverse consequences.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#146

Post by malfist »

RHSeeger wrote: post #109
robbiep wrote: post #91

Earlier quoted context omitted.

Can you be specific about what your bloodwork results showed and what special insights your CGM gave you and what behavioural changes it led to? My anecdotal experience from doctor colleagues giving CGM to patients is that it does 3/5ths of fuck all to everyone except those with actual insulin dependent diabetes (T1 or T2) because when you get down to it the insights aren’t that great and most people actually aren’t…

Seeing just how much rice can impact your blood sugar is eye opening. Sticking to a "half the normal amount" of rice when eating Indian/Asian food can help a lot with blood sugar. And keeping blood sugar in check _seems_ to have a fair amount of researching backing up the idea that it's healthier and makes you feel better

Sure it impacts it. But what does that matter? Your body is very efficient as self regulating

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#147

Post by ijustlovemath »

loeg wrote: post #133
jjk166 wrote: post #87

Earlier quoted context omitted.

Blood glucose levels affect lots of health functions. Diabetes represents an extreme end of the spectrum where the body's ability to regulate these fluctuations fails, but just because your body can get your levels in control eventually doesn't mean you won't suffer from the negative effects of it needing to do so. Maintaining consistent glucose levels improves mental health, weight management, sleep quality, muscle…

Do you think CGM + alerting is a good solution for this compared with just, like, low-dose GLP-1s?

Recall that GLP-1s were originally designed as next-generation long acting insulin modulators; they're a form of passive control. The CGM gives you data to act on, or at the very least observe. I find, from my experience wearing them as a person without diabetes, they give really interesting insights into my own life by giving numbers to stressful moments, which can be good insight to have. That's called stress induced hyperglycemia. Everyone has a unique and continuously evolving glucose system, so YMMV.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#149

Post by disillusioned »

ijustlovemath wrote: post #129
lokar wrote: post #127

Earlier quoted context omitted.

Why is hospital use so important?

If the large studies are to be believed, you could save hundreds of thousands of lives and many billions in excess expenditure, because stable blood glucose shortens length of stay. People with diabetes alone account for 60% of hospital expenditure, so improving their care improves the system in a big way.

>People with diabetes alone account for 60% of hospital expenditure

That number seemed too large to be true, and I think you might be conflating some numbers...

The NIH study about Economic Costs of Diabetes in the US in 2022 [1] states:

>For cost categories analyzed, care for people diagnosed with diabetes accounts for 1 in 4 health care dollars in the U.S., 61% of which are attributable to diabetes.

So, 25% of health care (not hospital) dollars in the US are apportioned to people with diabetes, and in 61% of those cases, the cause is directly attributable to diabetes itself.

Similarly, an NHS study [2] revealed that 60% of overall diabetes spend goes towards diabetes-related complications.

Finally, this presentation [3] states that: "hospital stays involving patients with diabetes contributed almost $83 billion or 23% of the total hospitalization costs in the United States," and, of course, not all of those were directly diabetes-related.

Obviously that is still a staggering amount of money spent on diabetes every year, and represents a huge burden on our healthcare system. But 60% for all hospital expenditure just doesn't track from my cursory Google-ing here.

[1] https://pubmed.ncbi.nlm.nih.gov/37909353/

[2] https://www.diabetes.org.uk/about-us/news-and-views/cost-com...

[3] https://www.bu.edu/csmet/2020/08/04/healthcare-data-analytic...

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#150

Post by ijustlovemath »

disillusioned wrote: post #149
ijustlovemath wrote: post #129

Earlier quoted context omitted.

If the large studies are to be believed, you could save hundreds of thousands of lives and many billions in excess expenditure, because stable blood glucose shortens length of stay. People with diabetes alone account for 60% of hospital expenditure, so improving their care improves the system in a big way.

>People with diabetes alone account for 60% of hospital expenditure That number seemed too large to be true, and I think you might be conflating some numbers... The NIH study about Economic Costs of Diabetes in the US in 2022 [1] states: >For cost categories analyzed, care for people diagnosed with diabetes accounts for 1 in 4 health care dollars in the U.S., 61% of which are attributable to diabetes. So, 25% of heal…

oof, that's what I get for commenting late! I was thinking of that 23% number.
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