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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

#241

Post by xethos »

ButlerianJihad wrote: post #230
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.

Why should hospitals be motivated to shorten stays and reduce expenditures when those stays and expenditures mean that their profits will increase? Why don't they want to maximize profits from the suffering of sick people?

Outside America, profit does not push every other motivation to the bottom of the pool to drown

Though for the more terminally American founders here: reception filling in intake forms and charging one-time admission and diagnostic fees for new patients may have better margin than doctors charging billable hours

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

#242

Post by johen8 »

cogman10 wrote: post #29
johen8 wrote: post #14

Earlier quoted context omitted.

I also think there's no financial incentive from incumbents to develop something like this. Why would abbott develop something that works "forever" if they can milk people buying new sensors every 10~14 days.

For abbott, no. But what about for Garmin, Apple, Samsung, or Google? Diabetics would snap up a smart watch which does accurate glucose monitoring in a heartbeat.

Yes, yes, that's what I meant. The current glucose monitoring manufacturers don't have the incentive, we'll have to wait for someone to disrupt the market with something more permanent

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

#243

Post by fkdupman »

otherme123 wrote: post #178
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

> 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 will do that, especially if it's white. Try 80g of cauliflower rice with fish and see if it still happens.

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

#246

Post by jablongo »

terminalcommand wrote: post #197
jablongo wrote: post #166

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.

Yea I'm all about finding the uses for this after the fact. However, it seems unlikely that people who are struggling to afford (or get insurance to cover) insulin would be able to afford a cgm or cgm/ckm in this scenario. Also not sure how it's possible to ration insulin and keep your bg stable, but I wouldn't put it past the most skilled T1s out there. In the sick w/ flu case, thats true, but then whats the treatment action? I still think euglycemia + DKA is an edge case.

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

#247

Post by jablongo »

cynicalsecurity wrote: post #41

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'm pretty sure this isn't designed to be marketed towards T1Ds and any benefits will be a happy coincidence. I think this is going to be aimed at health nerds who want to monitor their planned ketosis.

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

#248

Post by jablongo »

hacknews20 wrote: post #132

Understanding why children's pancreases stop delivering insulin in the first place, which remains one of the big medical mysteries, would be a huge breakthrough for preventative medicine.

This is understood I think. It's just how to effectively prevent it or reverse it thats not known.

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

#249

Post by cogman10 »

johen8 wrote: post #242
cogman10 wrote: post #29

Earlier quoted context omitted.

For abbott, no. But what about for Garmin, Apple, Samsung, or Google? Diabetics would snap up a smart watch which does accurate glucose monitoring in a heartbeat.

Yes, yes, that's what I meant. The current glucose monitoring manufacturers don't have the incentive, we'll have to wait for someone to disrupt the market with something more permanent

Gotcha. Yeah, I misread your comment then. I thought you were suggesting that innovation here is stalled because the likes of abbott aren't incentivized to build it. My point was mostly that I don't think that's the case since there are other pretty large companies who would benefit from bringing a non-invasive monitor to market.

IDK that it's really possible to get accurate glucose measurements without at least a little bit of invasiveness. I don't even think the lifespan of the current CGMs are being artificially shortened. I do think they are overpriced. But my understanding of how they work (silver coating on the spike generates a voltage) it makes sense that they have a limited lifespan.

The telling part, to me, that they are overpriced is that finger stick glucose monitors come out to roughly the same cost per month because of test strips are really expensive. The fact the both manufacturers have identical pricing is also pretty suspicious.

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

#250

Post by agumonkey »

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…

no actually reducing food intake and going low sugar / more veggies made most of this almost disappear
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