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New Technologies on the Horizon
There are several new products coming to market in the next couple of years that will help people with diabetes. The trend is toward delivering more information to the patient and the healthcare team with the emphasis on having patients take a more active role in the own healthcare. These technologies are now all somewhere between the prototype stage and finished product newly on the market.
Watson app by Medtronic This app has the capability to predict hypoglycemia three hours in advance of its occurrence. It will synthesize information from Medtronic insulin pumps and CGM devices. YoFi Meter This device allows patients to wirelessly transmit their blood sugar results plus "other biometric data and voice notes" to providers and caregivers using AT&T’s network. The device takes a blood sample and transmits it all with one press of a button. This allows for near real-time monitoring of blood glucose levels by the healthcare team. VisioMed's Bewell Connect App + Meter This combination of a smartphone app with a blood glucose meter or other select devices (a glucose meter, thermostat, blood pressure monitor, and blood oxygen sensor are all slated to become available) is being touted as a “virtual checkup” toolset, but it goes beyond that by allowing the user to share the data with a physician just by pushing a button on the mobile app. Lumee Body Chemistry Biosensor A single sensor attached to the body continuously monitors a variety of body chemistry stats, including glucose and oxygen levels, heart rate, respiration and more, and securely transmit the data anywhere via the smartphone app. DietSensor, Made by D-Parents This device uses SCiO, a molecular sensor that determines the chemical makeup of food or drinks by analyzing how the molecules interact using light. To use the DietSensor, the small scanner (about the size of a pager) is held over the food while it takes a photo and transmits that to the smartphone DietSensor app to judge the volume. Then DietSensor reports back with the nutritional value of the food scanned based on the information stored in its database. Quell for Diabetic Neuropathy Massachusetts company NeuroMetrix announced FDA approval of its second-generation pain relief wearable device Quell. This device alleviates chronic pain through neural pulses — delivered by a band wrapped just below the knee and a companion app allows users to change settings and track sessions using their smartphone. It has been clinically proven to start relieving chronic pain in as little as 15 minute by stimulating nerves and blocking pain signals in the body.
Summary We have seen that the three types of diabetic neuropathy are major contributors in the development of a diabetic foot wound. Although the threat of wounding and the potential for amputation is ever present, we have shown that with proper care and education, the correct use of offloading devices, and appropriate product selection diabetic foot wounds can be managed effectively. Many options are available to the care team when treating diabetic foot wounds. Proper therapy selection, used appropriately and at the right time, can make the difference between the patient heading down the road toward amputation, or to appropriate and timely wound healing. Early intervention is key, with the emphasis on patient self-analysis and intervention coupled with an integrated healthcare team, being the first step.
That concludes our presentation, and it’s time to take the course evaluation and post-test. The organizations that provide this course’s continuing education accreditations, and your credits for this course, require each of you to fill out a course evaluation and to pass the post-test with eight or more correct answers in order to receive CE credit.
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