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Hope and hype: Inside the push for wearable diabetes technology


 

As tech advances, questions remain

San Diego’s Scripps Whittier Diabetes Institute is another player in the diabetes/digital health world. It’s currently working on several clinical trials of diabetes technology, including a study into whether older adults with type 1 diabetes will benefit from a continuous glucose monitoring device with a wireless connection.

Dr. Athena Philis-Tsimikas, corporate vice president of San Diego’s Scripps Whittier Diabetes Institute

Dr. Athena Philis-Tsimikas

But Athena Philis-Tsimikas, MD, a corporate vice president with the institute, cautioned that wearable technology in diabetes is no cure-all. “Wearables and apps are never as easy as those who are selling them makes them sound,” she said. “They’re always more complex than the engineers that design them feel they are. And who has enough time to train them [patients] and fix the glitches?”

Devices that measure glucose can also suffer from errors in transmission, she said. And the existing continuous glucose monitors have trouble with accuracy at the very highest and lowest glucose levels, she said, although they are improving.

There are other questions about future wearable technology for diabetes: Will the devices cost more than continuous glucose monitoring systems (CGM), which are already pricey? How will private health information be protected? (As Mr. Ballinger noted, “wearable data itself is out of the scope of HIPAA.”) And will patients actually take action when their devices diagnose diabetes or warn them that their glucose levels are out of whack?

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