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Journal of Diabetes Science and Technology

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https://www.readbyqxmd.com/read/27920271/the-need-for-a-privacy-standard-for-medical-devices-that-transmit-protected-health-information-used-in-the-precision-medicine-initiative-for-diabetes-and-other-diseases
#1
David C Klonoff, W Nicholson Price
Privacy is an important concern for the Precision Medicine Initiative (PMI) because success of this initiative will require the public to be willing to participate by contributing large amounts of genetic/genomic information and sensor data. This sensitive personal information is intended to be used only for specified research purposes. Public willingness to participate will depend on the public's level of trust that their information will be protected and kept private. Medical devices may constantly provide information...
December 4, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27920270/think-like-a-hacker-insights-on-the-latest-attack-vectors-and-security-controls-for-medical-device-applications
#2
Mandeep Khera
Ready or not, the Internet of things (IoT) is here. No longer just a buzz term, it'll continue to grow at an unprecedented pace over the next few years expecting to reach over 25 billion connected devices by 2020. History shows us that most fast growth technology solutions focus on solving business problems first and security is an afterthought. Unfortunately, IoT is following the same trend. Most IoT devices, apps, and infrastructure were developed without security in mind and are likely going to become targets of hackers...
December 4, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27913660/pilots-and-diabetes-technology-functional-health
#3
EDITORIAL
Johan Jendle, Kurt Rinnert, Anton Westman, Lutz Heinemann
No abstract text is available yet for this article.
December 2, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27898390/novel-concentrated-insulin-delivery-devices-developments-for-safe-and-simple-dose-conversions
#4
REVIEW
Jeremy L Johnson, Jessica M Downes, Cassandra K Obi, Nana B Asante
To aid the burden of large dosing volumes, concentrated insulin products have been available in some form since the 1950s, albeit requiring significant and cumbersome detail in prescribing, converting doses from other products, and educating patients on how to administer. In 2015 and 2016, new concentrated products have been introduced that are available exclusively in pen devices that perform the conversion automatically, and thus, help to bypass the necessity for confusing calculations or administration. Providers and patients accustomed to traditional methods must recognize the differences and utility of these products to avoid dosing errors, as there are major differences in dosing procedures as well as their role in clinical practice...
November 27, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27898389/half-unit-insulin-pens-disease-management-in-patients-with-diabetes-who-are-sensitive-to-insulin
#5
REVIEW
David C Klonoff, Irina Nayberg, Udo Stauder, Hamid Oualali, Catherine Domenger
BACKGROUND: Insulin pens represent a significant technological advancement in diabetes management. While the vast majority have been designed with 1U-dosing increments, improved accuracy and precision facilitated by half-unit increments may be particularly significant in specific patients who are sensitive to insulin. These include patients with low insulin requirements and in those requiring more precise dose adjustments, such as the pediatric patient population. This review summarized functional characteristics of insulin half-unit pens (HUPs) and their effect on user experience...
November 27, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27898388/impact-of-hba1c-testing-at-point-of-care-on-diabetes-management
#6
REVIEW
Oliver Schnell, J Benjamin Crocker, Jianping Weng
Diabetes is a highly prevalent disease also implicated in the development of several other serious complications like cardiovascular or renal disease. HbA1c testing is a vital step for effective diabetes management, however, given the low compliance to testing frequency and, commonly, a subsequent delay in the corresponding treatment modification, HbA1c at the point of care (POC) offers an opportunity for improvement of diabetes care. In this review, based on data from 1999 to 2016, we summarize the evidence supporting a further implementation of HbA1c testing at POC, discuss its limitations and propose recommendations for further development...
November 27, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27872168/accurate-carbohydrate-counting-is-an-important-determinant-of-postprandial-glycemia-in-children-and-adolescents-with-type-1-diabetes-on-insulin-pump-therapy
#7
Asma Deeb, Ahlam Al Hajeri, Iman Alhmoudi, Nico Nagelkerke
BACKGROUND: Carbohydrate (CHO) counting is a key nutritional intervention utilized in the management of diabetes to optimize postprandial glycemia. The aim of the study was to examine the impact of accuracy of CHO counting on the postprandial glucose in children and adolescents with type 1 diabetes on insulin pump therapy. METHODS: Children/adolescents with type 1 diabetes who were on insulin pump therapy for a minimum of 6 months are enrolled in the study. Patients were instructed to record details of meals consumed, estimated CHO count per meal, and 2-hour postprandial glucose readings over 3-5 days...
November 20, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27837162/sensor-life-and-overnight-closed-loop-a-randomized-clinical-trial
#8
Martin Tauschmann, Janet M Allen, Malgorzata E Wilinska, Yue Ruan, Hood Thabit, Carlo L Acerini, David B Dunger, Roman Hovorka
BACKGROUND: Closed-loop (CL) systems direct insulin delivery based on continuous glucose monitor (CGM) sensor values. CGM accuracy varies with sensor life, being least accurate on day 1 of sensor insertion. We evaluated the effect of sensor life (enhanced Enlite, Medtronic MiniMed, Northridge, CA) on overnight CL. METHODS: In an open-label, randomized, 2-period, inpatient crossover pilot study, 12 adolescents on insulin pump (age 16.7 ± 1.9 years; HbA1c 66 ± 10 mmol/mol) attended a clinical research facility on 2 overnight occasions...
November 10, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27837161/design-of-hack-resistant-diabetes-devices-and-disclosure-of-their-cyber-safety
#9
Jonathan Sackner-Bernstein
BACKGROUND: The focus of the medical device industry and regulatory bodies on cyber security parallels that in other industries, primarily on risk assessment and user education as well as the recognition and response to infiltration. However, transparency of the safety of marketed devices is lacking and developers are not embracing optimal design practices with new devices. ACHIEVING CYBER SAFE DIABETES DEVICES: To improve understanding of cyber safety by clinicians and patients, and inform decision making on use practices of medical devices requires disclosure by device manufacturers of the results of their cyber security testing...
November 10, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27810995/a-mobile-computerized-decision-support-system-to-prevent-hypoglycemia-in-hospitalized-patients-with-type-2-diabetes-mellitus-lessons-learned-from-a-clinical-feasibility-study
#10
Stephan Spat, Klaus Donsa, Peter Beck, Bernhard Höll, Julia K Mader, Lukas Schaupp, Thomas Augustin, Franco Chiarugi, Katharina M Lichtenegger, Johannes Plank, Thomas R Pieber
BACKGROUND: Diabetes management requires complex and interdisciplinary cooperation of health care professionals (HCPs). To support this complex process, IT-support is recommended by clinical guidelines. The aim of this article is to report on results from a clinical feasibility study testing the prototype of a mobile, tablet-based client-server system for computerized decision and workflow support (GlucoTab®) and to discuss its impact on hypoglycemia prevention. METHODS: The system was tested in a monocentric, open, noncontrolled intervention study in 30 patients with type 2 diabetes mellitus (T2DM)...
November 2, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27807015/long-term-adherence-to-automated-bolus-calculators
#11
LETTER
Signe Schmidt, Kirsten Nørgaard, Kirsten Neergaard, Thomas Almdal, Eva E Hommel
No abstract text is available yet for this article.
November 1, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27807014/continuous-glucose-monitoring-cgm-adherence-in-youth-with-type-1-diabetes-associations-with-biomedical-and-psychosocial-variables
#12
Elisa Giani, Rebecca Snelgrove, Lisa K Volkening, Lori M Laffel
BACKGROUND: Continuous glucose monitoring (CGM) remains underutilized in youth with type 1 diabetes (T1D). There is a need to investigate factors associated with CGM use. METHOD: In 61 T1D youth, CGM use was ascertained by downloads reflecting the 4-week periods preceding 3- and 6-month study visits. Demographic and clinical data were obtained from chart review and interview. Youth and parents completed validated psychosocial surveys at baseline and 6 months. RESULTS: Youth (52% male, 93% Caucasian, 80% pump treated) were 12...
November 1, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27784830/accuracy-evaluation-of-one-glucose-monitoring-system-following-iso-15197-2013-standards
#13
LETTER
Kyungso Jeon, Miseon Shin
No abstract text is available yet for this article.
October 26, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27784829/coordination-or-collision-the-intersection-of-diabetes-care-cybersecurity-and-cloud-based-computing
#14
Scott Thiel, Jennifer Mitchell, Jim Williams
Diagnosis and treatment of diabetes changed little from the Middle Ages through the early 19th century, when the first chemical test for the condition was developed. In the 20th century, advances in diabetes management gained momentum with home-use diagnostic devices and mass-produced insulin. In the 21st century, technological developments around diabetes are advancing so rapidly that a small, discrete system of medical devices that serve as an artificial pancreas are now possible. In this article, we assert that medical device interoperability and cyber security are necessary preconditions for safe, effective, and reliable widespread use of the artificial pancreas system...
October 26, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27777371/ambulatory-glucose-profile-applied-to-flash-glucose-monitoring-in-real-life-an-expert-opinion
#15
Alberto Maran, Katherine Esposito, Sofia Toni, Carla Giordano
No abstract text is available yet for this article.
October 24, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27707915/accuracy-evaluation-of-a-ce-marked-glucometer-system-for-self-monitoring-of-blood-glucose-with-three-reagent-lots-following-iso-15197-2013
#16
Bernd Hehmke, Sabine Berg, Eckhard Salzsieder
Continuous standardized verification of the accuracy of blood glucose meter systems for self-monitoring after their introduction into the market is an important clinically tool to assure reliable performance of subsequently released lots of strips. Moreover, such published verification studies permit comparison of different blood glucose monitoring systems and, thus, are increasingly involved in the process of evidence-based purchase decision making.
October 4, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27707914/patients-with-diabetes-monitoring-programs-the-evidence-commands-reform
#17
Patricia M Cisarik, David L Smalley
No abstract text is available yet for this article.
October 4, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27707913/need-for-outcome-scenario-analysis-of-clinical-trials-in-diabetes
#18
Rosa Garcia-Verdugo, Michael Erbach, Oliver Schnell
Since the FDA requirement for cardiovascular safety of all new antihyperglycemic drugs to enter the market, the number and extent of phase 3 clinical trials has markedly increased. Unexpected trial results imply an enormous economic, personal and time cost and has deleterious effects over R&D. To prevent unforeseen developments in clinical trials, we recommend performing a comprehensive prospective outcome scenario analysis before launching the trial. In this commentary, we discuss the most important factors to take in consideration for prediction of clinical trial outcome scenarios and propose a theoretical model for decision making...
October 4, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27697848/comparative-accuracy-of-17-point-of-care-glucose-meters
#19
Laya Ekhlaspour, Debbie Mondesir, Norman Lautsch, Courtney Balliro, Mallory Hillard, Kendra Magyar, Laura Goergen Radocchia, Aryan Esmaeili, Manasi Sinha, Steven J Russell
BACKGROUND: The accuracy of point-of-care blood glucose (BG) meters is important for the detection of dysglycemia, calculation of insulin doses, and the calibration of continuous glucose monitors. The objective of this study was to compare the accuracy of commercially available glucose meters in a challenging laboratory study using samples with a wide range of reference BG and hemoglobin values. METHODS: Fresh, discarded blood samples from a hospital STAT laboratory were either used without modification, spiked with a glucose solution, or incubated at 37°C to produce 347 samples with an even distribution across reference BG levels from 20 to 440 mg/dl and hemoglobin values from 9 to 16 g/dl...
October 3, 2016: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/27694284/biochemical-physiological-and-psychological-changes-during-endurance-exercise-in-people-with-type-1-diabetes
#20
Neil E Hill, Christopher Campbell, Paul Buchanan, Midge Knight, Ian F Godsland, Nick S Oliver
BACKGROUND: Increasing numbers of people with diabetes are adopting exercise programs. Fear of hypoglycemia, hypoglycemia itself, and injuries are major issues for many people with diabetes undertaking physical activity. The purpose of this study was to investigate the effects of type 1 diabetes mellitus on the risk of hypoglycemia, glycemic variability, exercise performance, changes in body composition, changes in insulin dosage, and psychosocial well-being during a multiday endurance exercise event...
September 30, 2016: Journal of Diabetes Science and Technology
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