Blood glucose monitoring

The value of blood-glucose monitoring

One of the paradigms of managing patients with Type II diabetes includes regular home testing of blood glucose levels using one of the widely available blood glucose monitors. The American Diabetes Association, one of the leading organizations that advocate for and provide information about diabetes, recommends home glucose monitoring for patients who have diabetes and are:

  • taking insulin or diabetes pills
  • on intensive insulin therapy
  • pregnant
  • having a hard time controlling your blood glucose levels
  • having severe low blood glucose levels or ketones from high blood glucose levels
  • having low blood glucose levels without the usual warning signs

These are probably good recommendations, based on good evidence. Controlling blood glucose in those patients with Type 2 diabetes has strong positive benefits for reducing risks of chronic and acute diseases, such as
peripheral artery disease, hypertension, diabetic dyslipidemia, heart attack and stroke.

Recently, a
clinical trial published in the British Medical Journal analyzed the medical usefulness of home blood glucose monitoring in patients with Type II diabetes. The trial was well designed enrolling 184 individuals with recently diagnosed type 2 diabetes mellitus. The patients were randomized into two groups: one that utilized a monitor and one that did not. The patients were observed for one year. Read More...

Designing better medical products

I am an early adopter of any new technology, not only because I like new gadgets, but because I always expect the newer technology will have improved quality, power, and ease-of-use. Sometimes, I am quite pleased with the results, my iPhone from Apple being one of the better examples. More often than not, I find myself quite disappointed.

Without intending to be an uncritical fan of Apple (you can find those discussions in
several other locations on the web), there are real reasons that the iPhone is simply the best cell phone on the market. First, it holds a good sampling of my music collection, eliminating one other device to carry with me. And that music is transferred to my iPhone by simply the most elegant piece of software I’ve ever used: iTunes. I hear people tell me that they can get music on their phones, but it takes work. I have no time to figure out arcane programming steps to get music on some other device. The music simply gets onto my iPhone, I can access it. That’s the ballgame for me.

Second, I have downloaded and installed onto my iPhone dozens of
Apps, which are the programs for the iPhone. I have games, access to sports scores real time, business news, stock prices, maps, movies, Kindle books (this is a whole story in itself), and an amazing program that listens to music and identifies it (and it’s free). Using iTunes, I can buy the apps (many are free, but you still have to “purchase” them) at the iTunes store, and upload them to my iPhone. At its essence, iPhone has made my life easier. Read More...