Health Informatics And Technology : Diabetes

1940 Words8 Pages
Health Informatics & Technology
Matt Christiansen

In the US, diabetes contributes significantly to excess morbidity and mortality. When uncontrolled, it is a major cause of stroke, heart attacks, chronic kidney disease, diabetic retinopathy, neuropathy, and is the major cause of non-traumatic amputations. It is also increases the risk of death two-fold compared to someone without diabetes . However, among those patients with better control, a reduction in hemoglobin A1C has been shown to decrease the risk of kidney disease , progression of CHF , and an overall decrease in microvascular complications . There is a definite benefit of close blood glucose monitoring and control. In type 2 diabetes, characterized by insulin resistance, the standard of care for mild-moderate disease is oral agents, with transition to subcutaneous insulin as the disease progresses. In type 1 diabetes, characterized by lack of insulin, the treatment depends on either an insulin pump or subcutaneous insulin therapy. Unfortunately, in those patients with insulin dependent diabetes, compliance with finger stick glucose measurements is poor, making insulin administration dependent on those measurements imprecise . One solution to this problem that has been proposed is continuous glucose monitoring (CGM). This system consists of a subcutaneously implanted glucose sensor that wirelessly transmits data to a recorder worn on the body. This allows for frequent (generally a few times an
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