Re: Endocrinologists and frequent BG measurement, can they interpret?



In article <pan.2007.07.22.01.11.08.254413@xxxxxxxxx>,
Eric <reply.in.group@xxxxxxxxx> wrote:

I'm serving as a software consultant to a research project that involves
using continuous-blood-glucose measurement devices to help an
endocrinologist determine appropriate insulin dosage almost on a
minute-by-minute basis.

I'm wondering if there are any endocrinologists in the world who are
familiar with managing blood glucose on a 5- or 10-minute-interval basis.

Don't most diabetics, and their doctor, manage their blood sugar at an
interval no more often than two or three hours to three or five times a
day? It seems that's a completely different mind-set than trying to manage
it at five or ten minute intervals, and I wouldn't expect anybody who
hasn't actually done that kind of research to be familiar with it, no
matter their expertise and experience level in endocrinology.

However, I am neither an endocrinologist (nor any other kind of doctor)
nor a diabetic. So, am I right or wrong?

Talk to your users, the scientists doing the research. They should
know why they want to do this, and if they want good, useful work out
of you, they should be eager to explain the problem and their
objectives.

Off hand, I wonder if they are developing an 'artificial pancreas',
i.e. a device that monitors blood glucose and supplies insulin as
required. A lot of data would have to be collected and analysed to
figure out how something like that should be programmed to work
optimally, e.g. without overshooting. The better blood sugar can be
maintained within a desirable range, the longer the long-term effects
of diabetes (blindness, kidney failure, amputations, peripheral
neuropathy, etc) can be delayed. The current technology, with frequent
blood testing made easy for the consumer is a huge advance over the old
method of testing urine, which is only positive when blood sugar is way
out of bounds, but it still isn't as good as not being diabetic.

.



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