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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

#181

Automated glucose control will be the next frontier in so many areas of healthcare. I'm still skeptical that anyone will be able to noninvasively and accurately sense blood sugar, but I'm glad people (especially kids with T1) will have one more tool to help them. I hope they can figure out the reimbursement side to get it into the most hands possible!

A device like this only really changes outcomes if people can actually afford to wear one continuously, not just during periods when they're already at higher risk

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

#183

Automated glucose control will be the next frontier in so many areas of healthcare. I'm still skeptical that anyone will be able to noninvasively and accurately sense blood sugar, but I'm glad people (especially kids with T1) will have one more tool to help them. I hope they can figure out the reimbursement side to get it into the most hands possible!

Automated glucose control is already available via wearable insulin pumps combined with CGMs in a 'closed loop' system.

Minimed 780g user here, it is not perfect. For a true closed loop we need a system that can give glucagon as well. The current closed loop only gives you insulin to lower your blood glucose. When it gives too much it wakes you up and asks you to treat it. You also have to accurately count carbs of meals you eat, enter when you exercise. The sensors are also not quite reliable so sometimes it freaks out and you calibrate and go manual.

For a closed loop we need insulin and glucagon in conjunction to keep the bg stable without user intervention.

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

#184
post #88

Ketones are only going to be present if you are exceptionally bad (very high carb diet) or exceptionally good (very low carb diet) at managing your blood sugar. It's not going to be terribly useful for your average diabetic who has fairly good control over their blood sugars.

Parents of T1D children will certainly be happy about this.

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

#188
In Europe there is ketone-only continuous meter SiBio that goes for 86 EUR for 2 weeks.

A healthmaxxer goes with CGM to the left arm; CKM to the right arm and gets his glucose and ketones data for roughly 200-300 EUR per month. I did consider running this out of curiosity.

Having 2-in-1 is much nicer. Esp if you are diabetic.

[1] https://www.sibiosensor.com/products/sibio-ks3-ckm-continuou...

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

#189
post #73

Earlier quoted context omitted.

Preventive medicine is a bit one. If your fitness watch could measure blood glucose, I think it would be a ton more impactful in terms of health outcomes.

In what way? Nondiabetic folks self regular glucose just fine on their own.

High blood glucose causes a host of bad health issues even in non-diabetic people: visceral fat, liver fat, inflammation, cardiac disease... You don't need to wait to be diabetic to embrace good dietary habits, and a glucose monitor would go a long way helping people make that transition.

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

#190

Automated glucose control will be the next frontier in so many areas of healthcare. I'm still skeptical that anyone will be able to noninvasively and accurately sense blood sugar, but I'm glad people (especially kids with T1) will have one more tool to help them. I hope they can figure out the reimbursement side to get it into the most hands possible!

Automated control of every major component of the circulatory system should be coming up in the future of medicine if society doesn't implode first. Stabbed through the heart and lung? Plumb in an artificial blood pump and gas exchange unit until they can be surgically treated. There's no reason we can't duplicate the functionality of the heart, lungs, liver, or kidneys. It could save tons of lives if we get there.
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