Digital technology at the service of diabetic patients

Digital technology at the service of diabetic patients

Smart pumps and monitoring sensors support treatment and reduce risks


Friday – Shawwal 5 1443 AH – 6 May 2022 AD Issue No. [
15865]


Jeddah: Dr. Abdul Hafeez Yahya Khoja *

Type 1 diabetes patients, who depend on insulin in their treatment, have managed to coexist and control much of their disease until they are called “diabetes friends”, as technological dominance and the digital revolution play a major role in played their lives by dealing with high-precision technical devices, and thus it was possible Reducing the percentage of risks to which they may be exposed from high or low blood sugar indicators, as early and urgent intervention is taken to deal with it.
diabetes technology
Talk to “Your Health” Prof. Dr. Abdel Moeen Eid Al-Agha, Professor and Consultant of Pediatric Endocrinology and Diabetes at King Abdulaziz University in Jeddah – explains that diabetes technology worldwide is divided into two main categories: insulin pump technology, and continuous glucose monitoring sensor technology throughout the watch without the need for a finger. to prick and bloom.
> Blood glucose monitoring sensors. Modern technology, whether for insulin pumps or sensors, has contributed to the provision of safety and control of diabetes, and for patients to receive immediate and immediate warnings in case of an imbalance in the blood sugar level in the body, in addition to obtaining insulin treatment timely and in the required doses with extreme accuracy, as international companies in The field of medical technology aim to manufacture “monitoring sensors” for blood sugar levels that are easy to use by patients, and above all, they are accurate in alerting the patient when he notices any change in his sugar level.
Some of the key high-tech features of these sensors are the following:
– The ability to activate an audible alarm as soon as a high or low blood sugar level occurs or is expected in a patient, and this is of course especially important for patients who may experience a low or high blood sugar episode during sleep, or when they do not feel symptoms of low blood sugar level in the blood.
– The ability to track the sugar rate at different times, such as after eating to see the effect of the diet, or after exercise and others.
Reduces the need for examination by finger prick, which has become one of the traditional methods of measuring diabetes to improve and maintain the health of the patient as it can manage the sugar level.
– Easy to use comfortably and safely after patients have been educated and educated on how to use, and analyze the recorded data, which helps in predicting changes that take place.
– The ability to share the information and data issued by the device with the attending physician or parents by sending it to the smartphone, which plays a major role in helping patients with daily diabetes self-management and routine follow-up.
Insulin pumps
> Insulin pumps. Professor Abdel Moeen Al-Agha continues his talk on the technology of insulin pumps as part of digital technology and its role in serving patients with diabetes, and that it has come in stages, the most important of which: In 1963, the beginning of this technology was then the American scientist Dr. Arnold Kadish started the idea of ​​inventing insulin pumps that pump insulin Through an electronic device this idea was initially unsuccessful as the size of the device was too large and the patients did not accept it.
In 1990, better types of insulin pumps were manufactured, and the pumping industry has evolved from that time until today. There are many companies that manufacture this pump, which pumps insulin through the programmed device by the attending physician in doses determined by the patient. This technology has developed and demonstrated that technology has been adapted to benefit the diabetic patient as it has saved him from acupuncture in addition to improving his quality of life as the insulin pump mimics the work of the pancreas in the body through this technology.
> Smart insulin pumps. Professor Al-Agha pointed out that the insulin pump is a small electronic device, as big as a “pager” device that can be attached to a bag or clothes, and it consists of several sections, including the insulin tank, a thin plastic tube with its head attached to a small needle installed under the skin, and the device pumps insulin in a way Continuously to the human body, and is programmed by the diabetes doctor to deliver the required amount of insulin to pump, and the pump depends on the amount of carbohydrates and sugars the patient eats during the day.
The modern pumps we currently have in the Kingdom work with artificial intelligence (AI) technology. This is done through direct communication between the sugar sensors and the insulin pump, where the pump can make decisions for the safety of the patient alone without the intervention. from the patient or the treating physician based on the information received from the diabetes sensor. For example, when the sugar readings decrease and occur before the hypoglycemia, the pump stops pumping insulin, and when the readings return to rise, the pump resumes its work of pumping insulin and thus the balance of sugar is restored as well as who did it. the ability to give corrective doses when blood sugar rises.
This technology not only contributes to the improvement of the levels of “cumulative sugar”, but also another concept is generated from it, which is the term “time in the target.” Only percent, but the target sugar readings should be above 70 percent of the time in normal levels.
Improving the quality of life
This technological revolution plays an important role in the better management of diabetes, which is reflected in the avoidance or reduction of the occurrence of complications affecting the heart, arteries, limbs, retina and others. Studies of children with diabetes using an insulin pump have shown that their lives are better than those following the classic daily injection method, in addition to better controlling blood sugar levels, reducing the risk of hypoglycemia and helping to reduce cumulative blood sugar. , achieving the target and recommended levels, preventing or delaying diabetic complications, as well as improving the quality of life. Therefore, it becomes clear to us how important it is to control the health problems associated with diabetes through advanced technologies to manage the dangerous cases and seizures to which a diabetic patient may be exposed.
The time of the other positive dimensions is that the technical devices for diabetes not only stopped serving diabetic patients but also helped the treating physicians to study and know all the details of the diabetic patient by providing important information obtained, including e.g. , the times when the patient is exposed to high or low blood sugar.and what happens when the patient sleeps, eats or exercises, which of course helps to adjust treatment so that the patient’s control of sugar levels can be improved without increasing the risk of hypoglycemia.
In this regard, many international studies have shown the feasibility and ability of modern technology to change the lives of people with type 1 diabetes, as it has improved their quality of life, removing their families from worrying about sugar levels or medication, and their ability to coexist with the disease far away On the psychological repercussions due to diabetes mellitus.
In the coming years, more advanced technological devices are expected to be manufactured to help control and treat diabetes in all areas, which will change healthcare protocols and reduce costs instead of increasing them.
Finally … We refer to the difference between the first and second type of diabetes, as the first type occurs due to damage to the insulin-producing cells of the pancreatic gland, called “beta cells”, the type whose treatment is insulin dependent, and often affects children, adolescents and young adults.They are under the age of forty, and it mostly affects non-obese people.
As for the second type, it is the type that is not dependent on insulin treatment, but its treatment depends on drugs and diet, and it often affects obese people, as obesity is one of the main causes of this type of disease. With the increase in the rate of obesity at present among various segments of society, the incidence of this type of diabetes has increased, especially in the Kingdom of Saudi Arabia and in the world due to the association with obesity.
Professor Agha pointed out that the complications of diabetes do not occur in all patients, but that the chance of them occurring increases with poor regulation of blood sugar, which takes several years to appear, and for this the blood sugar level must be within the required rates , and the advice of the medical team should be followed and not neglected. .
In order for the patient to overcome his illness, it is important to talk about his concerns with the members of the medical team treating him, to make him aware of the nature of the diet to be followed and the way he also family members to treat a diabetic patient like any other healthy individual, such as not only assigning him a meal, but an effort to prepare healthy food for all family members, reduce sweets at home and not soft drinks for sale. , as it is not permissible to eat forbidden foods in front of him and prevent him from doing so, and he should also exercise or walk in public places, all this behavior encourages Diabetes to keep up and also benefit the whole family.

Community Medicine Consultant


Saudi Arabia

Saudi Arabia

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