Wednesday, January 15, 2020

AI can spot low-glucose levels without fingerprick test, finds study

Researchers have developed a new Artificial Intelligence (AI)-based technique that can detect low-sugar levels from raw ECG signals via wearable sensors without any fingerprint test.

Current methods to measure glucose requires needles and repeated fingerpicks over the day. Fingerpicks can often be painful, deterring patient compliance.

The new technique developed by researchers at University of Warwick works with an 82 per cent reliability, and could replace the need for invasive finger-prick testing with a needle, especially for kids who are afraid of those.

"Our innovation consisted in using AI for automatic detecting hypoglycaemia via few ECG beats. This is relevant because ECG can be detected in any circumstance, including sleeping," said Dr Leandro Pecchia from School of Engineering in a paper published in the Nature Springer journal Scientific Reports.


Two pilot studies with healthy volunteers found the average sensitivity and specificity approximately 82 per cent for hypoglycaemia detection.

"Fingerpicks are never pleasant and in some circumstances are particularly cumbersome. Taking fingerpick during the night certainly is unpleasant, especially for patients in paediatric age," said Pecchia.

The figure shows the output of the algorithms over the time: the green line represents normal glucose levels, while the red line represents the low glucose levels.

"Our approach enable personalised tuning of detection algorithms and emphasise how hypoglycaemic events affect ECG in individuals. Basing on this information, clinicians can adapt the therapy to each individual," the authors wrote.


this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     
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Saturday, August 17, 2019

How to Know if You're Over-Managing Your Diabetes

Treating type 1 and type 2 diabetes with medication is more complicated than you might think. And finding the right balance may be more difficult than anticipated.

A recent study concluded that some people with diabetes are being over-medicated, and their treatment plan is actually too intense.

Some past research has indicated that the majority of people with type 2 diabetes aren’t being treated aggressively enough and aren’t seeing improvements in their blood sugar levels.

However, the more recent study reports that a number of people taking insulin or other diabetes medications are experiencing hypoglycemia (low blood sugar levels) severe enough to send them to the emergency room.

The research discovered that when patients in the United States received more medication than required in order to achieve their HbA1c goals, it directly contributed to 4,774 hospitalizations and 4,804 emergency room visits over the course of two years.

The research estimates that about 20 percent of adults with diabetes in the United States are being overtreated — especially those with type 2 diabetes. This translates to approximately 2.3 million people being overtreated between 2011 and 2014, explained the study.

“This isn’t break-through science,”  an endocrinologist and primary care physician and a lead researcher on the study told.

“But it demonstrates the real human impact of overly intensive treatment in a patient with diabetes,” she explained.

“We know as clinicians that we shouldn’t be overtreating older patients or those with multiple health conditions, but other patients can be overtreated, too. The toll it takes on a patient’s life is real, especially if they are winding up in the emergency room.”

While a person could take an oral or an injectable diabetes medication or have insulin injections to treat diabetes, the way those medications work are vastly different.

In addition, the amount of insulin a person needs for different times of day or different aspects of blood sugar management varies.

The amount of medication or insulin a person needs is based on a number of variables, including body weight, age, activity level, diet, stress, and overall beta-cell function.

These factors largely determine whether a person with type 2 diabetes will eventually need insulin or not.

“Even though type 1 diabetes is incredibly challenging to live with and very complicated, we at least understand why low blood sugars are happening,” said the Dr., “and as clinicians, we generally know where to start when making adjustments in their treatment to reduce those severe and recurring hypoglycemic events.”

She added, “With type 2 diabetes, it’s much harder to pinpoint the exact problem — especially when a patient’s A1c is still high but they’re experiencing frequent hypoglycemia, and they’re taking multiple medications.”

The Dr. said that many clinicians don’t realize how easily a person with type 2 diabetes can experience hypoglycemia. Overall, the rate of low blood sugars in those with type 2 diabetes is lower compared to those with type 1, but its occurrence in people with type 2 is more than previously thought.

“One issue that contributes to the problem is that the risk of hypoglycemia for a patient with type 2 diabetes doesn’t come right away when they are first diagnosed,“ explained the Dr.

“First, they try to manage their diabetes through diet, exercise, and metformin — which cannot cause low blood sugars.”

In a person with type 1 diabetes, he said hypoglycemia is expected and is essentially part of the diagnosis package.

A person with type 1 diabetes immediately receives an education about the signs and symptoms of low blood sugars, what can cause them, how to treat them, and how to prevent them from occurring too often.

A person with type 2 diabetes will only get financial reimbursement from their health insurance plan to see a diabetes educator for a specific number of years after the initial diagnosis.

By the time they are starting more intensive diabetes medications or insulin, the opportunity for a thorough education on blood sugar management may be minimal because of cost.

“Only a small fraction of patients with type 2 are getting proper education because there are not enough diabetes educators, not enough time with practitioners, and not enough financial reimbursement years down the road when they start taking insulin,” said the Dr.

“The risk of low blood sugar in a patient with a low A1c is actually very low because they’re not usually on an intensive treatment plan,” she added.

The higher the person’s A1c is, she explained the higher their risk of hypoglycemia is because the person’s doctor may be intensifying their treatment by increasing their dosages or by adding additional medications in an effort to lower their blood sugar levels.

THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.                                    PS- THOSE INTERESTED IN RECIPES ARE FREE TO  VIEW MY BLOG-                                                                                           https://gseasyrecipes.blogspot.com/                                                                                                                                                FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG-                                                                       https:// kneereplacement-stickclub.blogspot.com/                                                                                                                     FOR CROCHET DESIGNS                                                                                                   
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Sunday, January 19, 2014

ALL YOU WANT TO KNOW ABOUT CINNAMON

Cinnamon is a spice taken from the inner bark of several trees from the genus Cinnamomum, that is used both in sweets & savoury foods. The flavour is cinnamon is due to an aromatic essential oil that makes uo 0.5 % to 1 % of its composition. This essential oil is prepared by roughly pounding the bark, macerating it is sea water & then quickly distilling the whole thing.

HEALTH BENEFITS-
cinnamon regulates blood sugar, making it a great choice for diabetics & hypoglycaemic people alike. It is said to reduce harmful LDl cholesterol, which may help to reduce the risk of cardiovascular diseases. It has natural anti-infectious compounds & has been effective against ulcer causing H.pylori bacteria & some more pathogens. It is a natural preservative. It contains fibre, calcium, iron & manganese, though in small amounts, due to small dose of ground cinnamon used.

for recipes using cinnamon kindly see my recipe blog-


ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.
ps- those interested in recipes are free to view my blog-

http://gseasyrecipes.blogspot.com/


for info about knee replacement, you can view my blog-


http://Knee replacement-stick club.blogspot.com/


for crochet designs


http://My Crochet Creations.blogspot.com


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Thursday, July 11, 2013

Diabetes management during fasting is a must


People with diabetes have high risk of developing fasting-related complications during Ramzan. Although doctors advise against fasting and feasting for diabetics, some people insist on doing it. The best way to do this is by getting medically assessed before the the fasting month.
The American Diabetes Association recommendations for management of diabetes during Ramzan state that it is important to seek medical advice and undergo a pre-Ramzan assessment. Doctors advise that type 1 diabetics (insulin-dependent) should not fast.
City-based endocrinologists say changes in eating patterns experienced during Ramazan can put people with type 2 diabetes (those who have insulin resistance) at the risk of complications such as low blood sugar (hypoglycaemia), high blood sugar (hyperglycaemia), diabetic ketoacidosis,thrombosis  and dehydration. Endocrinologist  says the risk of hypoglycaemia in type 2 diabetics who fast is because of decreased food intake apart from certain medications. Symptoms of hypoglycaemia include sweating, dizziness, hunger and irritability.
“If left untreated, hypoglycaemia could lead to serious medical problems including loss of consciousness, convulsions or seizures,” she adds.
Diabetologist  says type 2 diabetics should monitor their blood sugar frequently during Ramzan. “Tailored management of diabetes including treatment changes could help minimise the risks associated with fasting,” Dr.  says.
 Nutritionist and Diabetes Educator , says diabetics on fast could get dehydration or excessive loss of body fluid because of limited fluid intake.
“It is important to know what to eat if you are a diabetic and are fasting. It is advisable to eat chapatti, ragi balls and cereal-based combinations during sehri. Apart from taking care to have a balanced meal and not straying away from the diabetic diet, the iftar should be split into two snacks and a meal. While breaking the fast, dates should be replaced by fruits. Non-vegetarian food and oily/fried food should be avoided,” she adds.


ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.

ps- those interested in recipes are free to view my blog-

http://gseasyrecipes.blogspot.com/

for info about knee replacement, you can view my blog-

http://Knee replacement-stick club.blogspot.com/

for crochet designs

http://My Crochet Creations.blogspot.com/

I've not given details about designs, but those interested are free to mail me for the same.


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