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CurrentDiabetesMonitoring

Systems
MaraHemminger
UniversityofMaryland
DepartmentofInformationStudies
HCILConference,2004

Overview
Whatisdiabetes?
Whatmetersarecurrentlyavailable?
Whatrecordkeepingsystemsarecurrently
available?
Whatresearchinitiativesexist?
Whataresomeuserinterfaceissues?

WhatIsDiabetes?
Bodycannotprocesssugarproperly.
Insulincontrolstheamountofsugarinblood.
Diabeticspancreascannotproduce/properlyprocess
insulin.

Types
Type1
Bodyproduceslittle/noinsulin(insulininjectionsneeded)
Typicallyhitspeopleunderageof30

Type2
Bodyproducesinsufficientamountsof/improperlyprocesses
insulin(noinsulininjectionsneeded)
Typicallyhitsadultsoverageof40

Gestational(duringpregnancy)

WhatIsDiabetes?
Cancause:
Blindness
Heartattack
Poorcirculation
Gangrene
Kidneydisfunction
Death.
Nocure,butmonitoringcanpreventlongterm
problems

WhatMetersAreCurrentlyAvailable?
Types:
Bloodglucose
monitors*
Bloodpricking
Minimallyinvasive
Noninvasive

Urineglucosemonitors
A1cmonitors

Features:

Testinglocation
Testingspeed
Bloodamountrequired
Storageofreadings
High/lowvalues
Size
Costofmeter
Costofstrips

BloodPrickMeters:HandLogs
(Accutech)

Dropbloodontometer
Wait2minutes
Readresultson
thermometerlikedisplay
Comparereadingwith
chartofaveragereadings

BloodPrickMeters:PCBased
(LifeScan)

Meter
Armorfingerprick
Digitaldisplayofreading

Recordkeepingsystem
Glucose
Measurementsbefore
andaftermeals
Colorsindicatelevels
above/belowtarget

Medications
Meals(carbohydrates)
Bar/piecharts,graphs
Bydate
Bytimeofday
Bytargetlevels

BloodPrickMeters:PDABased
(TherasenseFreeStyle)

Meter
Multipletestingsites
Digitaldisplayof
reading

Recordingkeeping
system

Glucoselevels
Medications
Meals
Exercise

MinimallyInvasiveMeters
(MiniMedCGMS)

Insertsensorunder
abdominalskinfor72
hours
Sensorreadsinterstitial
fluidglucoselevel
Patientcanentermeals,
exercise,medsinmonitor
Physicianreadssensor
results
Usermustcalibratesensor
viaafingerprick4x/day

NonInvasiveMeters
(CygnusGlucoWatch)

AutoSensorfitsonback
ofwatch
Monitorsglucose(u/i
method);nobloodpricks
Usercanentermeals,
exerciseinfo
Usercansethigh/lowalert
Biographerstores8,500
readings
Datacanbedownloaded
toPCasgraphs,charts,
stats

WhatRecordKeepingSystemsAre
CurrentlyAvailable?
Types

Handlogs
Spreadsheets
Internetlogs(hand)
PCbased(here)*
PDAbased

Here:(WinGlucoFacts)
Daily/weekly/mostats
Barchart,dotgraphs

WhatResearchInitiativesExist?
(MIT/Frost&Smith)

Webbasedtool
Patientsphotograph
dailyhabits
Glucosereadings
storedandcolorcoded
(red=high,blue=low)
Glucosereadings
mappedtophotos
Goal:highlightbad
habits

WhatResearchInitiativesExist?

(UniversityofPittsburgh/Schultz&Ballerstadt)
Sensorimplantedbelow
skin
Sensorfluorescence
reflectsbloodsugarlevel
Photometersitsatopskin
Photometermeasures
intensityoffluorescence
ReminiscentofCGMS,but
measurementmethodis
knownhere

WhatAreSomeUserInterfaceIssues?
Meters
Eliminatebloodprickstrips
Showtestcountdown
Showmorethanonereadingatatime

RecordKeepingSystems

Showpersonalhigh,lowandaverage
Trackseveralfactors(glucose,ketones,A1c,insulin)
Provideanalysis(onlyafewdo)
Multitask:Measure,log,analyze,andinjectinsulin
allinonefellswoop!

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