Non-invasive detection of hypoglycaemia using a novel, fully biocompatible and patient friendly alarm system
| العنوان: | Non-invasive detection of hypoglycaemia using a novel, fully biocompatible and patient friendly alarm system |
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| المؤلفون: | Gareth R. Williams, Natt Williams, Candy Williams, Mark J. Daly, Mimi Chen, Susie Williams |
| المصدر: | BMJ. 321:1565-1566 |
| بيانات النشر: | BMJ, 2000. |
| سنة النشر: | 2000 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, medicine.medical_treatment, Hypoglycemia, Diabetes Complications, ALARM, Dogs, Diabetes mellitus, Diabetes Mellitus, Animals, Humans, Insulin, Medicine, Risk factor, Intensive care medicine, Aged, General Environmental Science, Type 1 diabetes, Behavior, Animal, business.industry, General Engineering, Practice and Research, General Medicine, Middle Aged, medicine.disease, Biocompatible material, Surgery, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, General Earth and Planetary Sciences, Female, business, Complication |
| الوصف: | Hypoglycaemia is a common complication of diabetes treatment with either insulin or sulphonylureas and is particularly common with intensified insulin regimens.1 Episodes are often distressing and carry the risk of serious neurological and cardiovascular sequelae.1 Hypoglycaemia is especially hazardous in patients with longstanding type 1 diabetes who have lost the early warning symptoms of falling blood glucose levels.1 Nocturnal episodes are also potentially dangerous and have been implicated when diabetic patients have been found unexpectedly dead in bed.2 Hypoglycaemia is one of the complications of diabetes most feared by patients, on a par with blindness and renal failure.3 Fig 1. Canine hypoglycaemia alarm (Candy): (top) alert mode; (bottom) activated Intensive research has been devoted to the development of hypoglycaemia alarms, exploiting principles that range from detecting changes in the electroencephalogram or skin conductance (due to sweating) to measurements of subcutaneous tissue glucose concentrations by glucose sensors. 4 5 As yet, however, none has proved sufficiently reliable or unobtrusive to be useful in clinical practice. We describe here a novel alarm system that can detect hypoglycaemia before the patient notices any symptoms and that operates robustly in a uniquely, patient friendly fashion. The reports were volunteered spontaneously and independently by the patients. #### Summary points The reliable detection of hypoglycaemia has long been a major preoccupation for diabetic patients and researchers alike Many previous approaches have been … |
| تدمد: | 1468-5833 0959-8138 |
| DOI: | 10.1136/bmj.321.7276.1565 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fe2c48530cc3c6cfdea7c8c30c3b2639 https://doi.org/10.1136/bmj.321.7276.1565 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fe2c48530cc3c6cfdea7c8c30c3b2639 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14685833 09598138 |
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| DOI: | 10.1136/bmj.321.7276.1565 |