Live data from Hacker News

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

fda.gov

61–70 of 255 posts

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

#61
post #48

Earlier quoted context omitted.

> Automated glucose control will be the next frontier in so many areas of healthcare. What areas do you have in mind outside of diabetes management?

Ketones have some dieting and weight loss applications, so I guess you could do better real time tracking of how you're digesting carbs and when it's okay to eat? maybe

They are specifically relevant to trying to enter a fasted state.

The presence or absence of ketones in your blood can tell you whether or not (say) that coffee you just drank took you out of the fasted state (that you were in for not eating overnight).

Whether or not you are in a fasted state matters not just for weight loss, but also for things like longevity (when you are in a fasted state your body cleans up dead cells that contribute to things like cancer, whereas in a non-fasted state it leaves them lying around).

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

#62
post #48

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 will be the next frontier in so many areas of healthcare. What areas do you have in mind outside of diabetes management?

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…

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

#63
post #48

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 will be the next frontier in so many areas of healthcare. What areas do you have in mind outside of diabetes management?

Metabolic psychiatry is rising, though very slowly. You do "epilepsy keto diet", and may work in bipolar/schizophrenia (need GKI 1-2, it's not keto for weight loss). But you don't need the continuous monitor, normal ketone monitor is fine, because the food list is very narrow.

The continuous monitor should help until you get the hang of the diet, it's a bit hard to maintain, but if it works, worth it.

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

#64
post #7

Looked after my son who has T1D for now 5 years, checked keytones maybe 20 times. Compared to blood glucose which we check look at every 5 minutes. Maybe this is more for Type 2 or other diabetes, or for people prone to DKA. Or it is for people with a working pancreas who think looking at their blood sugars (and now keytones) tells them something like soothsayers reading tea leaves

Considering that DKA accounts for 160k hospital admissions a year, your lived experience translates poorly to such a flippant dismissal. [0] https://www.cdc.gov/diabetes/about/diabetic-ketoacidosis.htm...

A CGM that has ketone levels is quite literally pointless. If you have a CGM in the first place you would know if your sugars were high enough for long enough to get DKA.

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

#65

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 wonder if there are any legs in an internal sensor that pushes out its reading every x? That seems pretty plausible.

You got me thinking about possible hollow spots INSIDE my leg to put a sensor :P

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

#66
post #8

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

The difference is that these only measure blood sugar, while the new system also measures ketones, of keto diet fame, which are leading indicators of a really dangerous situation called diabetic ketoacidosis. It's treatable with a hospitalized IV insulin drip, but can be avoided if you have some advance notice.

My mom had T1D onset in her 50s. (It's usually thought of as a children's disease.)

She figured it out because she recognized the symptoms of ketoacidosis. That sent her to the hospital, which has thankfully allowed her to outlive her pancreas.

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

#67
post #48

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 will be the next frontier in so many areas of healthcare. What areas do you have in mind outside of diabetes management?

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.

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

#68
post #2

bet marathoners and ultra runners will start using this to improve performance (don't have a problem with that, but it's predictable) too bad it's not "wearable" like a watch but that might be coming eventually too since Garmin has a patent on it * https://the5krunner.com/2026/02/06/garmin-non-invasive-blood... (btw Fenix 9 launched today but it's same hardware as Fenix 8 and no glucose feature)

Amateur cyclists already wear CGMs, and as a type 1 myself, they see mine and start asking all about CGMs. It must be so boring for them to worry about fluctuations between 85 and 120.

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

#69
post #59
post #47

Earlier quoted context omitted.

A good read on this topic is The Pursuit of Noninvasive Glucose: 'Hunting the Deceitful Turkey'.

seems to be: https://nolanhergert.github.io/notes_old/0media/physics/noni...

That’s the one
Post reply on HN