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November 28, 2007

The Future of Glucose Monitoring ...

... is embodied in Dexcom, Inc.'s homerun:

"It's absolutely changed my life and my outlook," said Joel Mason, who's been living with Type 2 diabetes for seven years. "For the first time in a long time, I have greater peace of mind."

About three months ago Mason was fitted with a continuous glucose monitoring system. A glucose sensor is placed under the skin and information is sent to a wireless electronic receiver worn like a pager. It monitors glucose levels every five minutes and can send off a signal when sugar levels get too high or too low.

"Instead of waiting to see what my reaction is, I can act," Mason said.

 The continuous monitor not only provides frequent and convenient glucose readings, it enables the user to consider trends in addition to absolute glucose levels.  In addition, the new sensors give previously unavailable information - glucose readings between episodic finger stick values.  To some the knownledge will be revolutionary and enable better lifestyle and treatment choices. 

However, as with all new technology, continuous monitoring is not for everyone.  The devices require what some may consider an arduous calibration procedure which involves multiple finger sticks.  And, not every sensor insertion will be successful.  Add to this the fact that the FDA has approved continous monitoring for adjunctive use (i.e., take a fingerstick before any treatment decision) and many will be reluctant to spend their savings for extra information insurance companies may not cover.

In my opinion, despite these imperfections, continuous monitors will revolutionize diabetes treatment and early adopters are likely to benefit later in life by reducing the likelihood of significant health complications related to diabetes.  

Posted by Vital at November 28, 2007 9:59 PM