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The Question
03/05/10 09:51 PM

"When will they invent an automated glucose meter that alerts you when you go below 65 & above 250? This would provide peace of mind during the night. "
Asked By: billgiovinetti  
Category: Blood Glucose Monitoring

Background Info Hide
I have had Type I diabetes for 36 years. My last H1C was 6.1. I currently take Novolog & Lantus. __Night-time can be quite stressful since (while alone), if I have an insulin reaction, no one can help me, especially if I'm incoherent and cannot consume fact acting glucose. __I frequently go hiking, but sometimes my glucose drops so fast, I don't notice it. A watch-like monitor would be extremely helpful. __Bill G. San Diego, CA

Expert Answers (1)

03/20/10 05:40 PM

Hello BillgioVinetti; Thank you for asking dLife.com however, I think the technology is already here. Dr. Anthony Fabricatore, PhD of the University of Pennsylvania, Philadelphia, PA. is focusing on a study to document the effectiveness of the glucowatch device. Dr. Fabricatore, suggest; finger-sticks may not provide a complete enough picture to inform diabetes management decisions, as you are aware. Most researchers suggest that HbA1c is not the only important measure of glucose control. Glucose fluctuations also predict diabetic complications. Continuous glucose monitoring (CGM), which uses a small sensor inserted under the skin to measure glucose every 5 minutes, detects those fluctuations. CGM can also show glucose trends over several hours and predict how glucose is likely to change in the near future, it offers an alarm of impending low! They speculate that CGM will result in better glucose control (e.g., less fluctuation, have less oxidative stress), and achieve greater improvements in diet and exercise, than those who observe lifestyle modification alone. I have included a link for more investigation: Click here to read it.

Please explore this website for more direction on hypoglycemia and exercise, post-exercise syndrome can impact up to 48 hours after, dependent on duration and intensity, check out this site for needed food/snack provisions based on pre-during and after exercise practices. Do you think a goal would be to eliminate those hypo-risks by treating with meal and medication changes? Be your best, regards Sue

Answered By: Susan Throop
Accreditations: RD, CDE, MA
Sources Show

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