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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

#191

Earlier quoted context omitted.

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

It is very efficient until it's not. When it's not, it sucks. You don't have to have full on diabetes to experience the suck.

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

#192

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

> very low sugar, more veggies Wearing a glucose monitor for a while showed me that some veggies are worse than the usual suspects: 80g of rice with fish gave me a glucose spike higher than a Nutella sandwich. Other veggies, like beans, surprisingly low.

Rice is not a veggie ffs, its not very healthy even in its best forms. Just a lot of simpler sugars. You are not doing anything healthy by eating it, and that glucose spike is very much expected just like from other junk food.

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

#193
post #110

As someone who has to deal with type 1 diabetes every day, this is marketing nonsense. No one needs ketones in the sensor - we need high-quality sensors, and Abbott's are only mediocre at best. They are not as bad as Dexcom, which is appalling, but they are still far from the superior quality of Medtronic/MiniMed which measure glucose exceptionally well. Ketones are rare. They can kill you, but before that happens, y…

I tend to agree that making the sugar measurements more robust is worth more than measuring the ketones at all. However, low sugar and high ketones can happen. And just getting notified when ketones pick up can be worth something too. The additional measurement is not useless seen from my perspective. As an example: I was on a study that gave T1D patients Dapagliflozin (Farxiga). During the study, while on a long hik…

Yes, this is true. There were also news about some Americans rationing insulin due to cost. Their blood sugar levels were normal, but they had high ketones and unfortunately died of DKA. When I got first diagnosed, we were given ketone urine strips and told to use them, with the advance of glucometers, we forgot about ketone testing.

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

#194

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!

I'm in biotech and if I had a dollar for every engineer I've met who dreamed of or worked-at-a-place-that-tried or even tried-in-their-freetime to make a non-invasive glucometer, I'd have at least enough to buy a coffee, which is a lot.

There is an ever-growing bodycount in the NIO-GM graveyard [0], but I too hope that one day, it'll get figured out. My old roommate and good friend was T1 and monitoring one's glucose and remembering not to eat too much/little is half your life.

[0] https://pmc.ncbi.nlm.nih.gov/articles/PMC8655290/

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

#195
post #113

A friend died of diabetic ketoacidosis. He loved technology and seeing people succeed. Thinking of him with this news. Miss you Dan. Grateful we're moving forward on so many fronts in the world.

He was my roommate in 2001 in San Jose. We came up with the idea of having a place where nerds could come together to hang out and learn from each other and we decided to call the concept "Hacker Dojo". I had a sign laser engraved in 2002 at a state fair to memorialize the idea but we didn't actually get to open a Hacker Dojo until 2009. There's a conference room in it called Kaminsky. Dan was not a very good roommat…

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

#196

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.

We have functional machines that replace heart and lungs (for a while). Unfortunately they also mess up your blood cells and there is of course a risk of sepsis.

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

#197

I am a founder and researcher at https://replica.health and co-creator of https://metabo-net.org . This is super exciting and cant wait to see what we can learn once large datasets of overlapping ketones + glucose + insulin data become available. One point I discussed with other researchers at ADA this year: in theory automated insulin delivery does not stand to benefit much from ketone sensors, since diabetic ketoac…

Ketoacidosis can also happen with stable blood sugars if you don't get enough insulin. There were people rationing insulin due to cost and some of them died of DKA even if their blood glucose was perfectly stable. Another possibility of DKA with good blood sugars is when you are sick. I think this data would be helpful.

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

#198

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

> very low sugar, more veggies Wearing a glucose monitor for a while showed me that some veggies are worse than the usual suspects: 80g of rice with fish gave me a glucose spike higher than a Nutella sandwich. Other veggies, like beans, surprisingly low.

Rice is not a vegetable. It's not even the whole seed of a vegetable. It's just the starchy part.

Try eating wholegrain rice.

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

#200
My younger brother has been using the open-source system Loop for his diabetes T1 since he was six years old. It automates the bloodsugar monitoring and insulin delivery. All running on his iPhone. This technology has permitted him to live almost as if he did not have the condition. Truly revolutionary, and the project is being developed by an amazing community of volunteers (total heroes!).
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