0.36 CME

The Future of Diabetes Care: Technological Advances

वक्ता: डॉ. अमित गुप्ता

Vice Chairperson - American Diabetes Association (ADA) Executive Council Member National RSSDI

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विवरण

Diabetes significantly impacts kidney health, leading to a condition known as diabetic kidney disease (DKD). Individuals with diabetes are at higher risk of developing kidney complications, including nephropathy and kidney failure. Controlling blood sugar levels through proper medication and lifestyle management is crucial in preventing kidney damage. Regular monitoring of kidney function through urine and blood tests is essential for early detection of DKD. Lifestyle modifications such as maintaining a healthy weight, following a balanced diet, and staying physically active can help mitigate the risk of kidney complications in diabetes. Hypertension management is imperative in diabetes to preserve kidney function and prevent further damage. Diabetic patients should prioritize annual comprehensive eye exams as diabetic retinopathy is often associated with kidney disease.

सारांश

  • Digital health encompasses technologies and platforms for lifestyle, wellness, and health purposes, while digital medicine focuses on evidence-based software or hardware products that measure and intervene in human health. Digital therapeutics delivers evidence-based therapeutic interventions to prevent, manage, or treat disorders or diseases, such as an approved insulin dose calculator.
  • Continuous glucose monitors (CGMs) are increasingly available in India, providing real-time monitoring options for individuals with diabetes. CGMs eliminate the need for finger-stick glucose testing, using a small sensor placed under the skin to measure interstitial glucose levels, transmitting data to a receiver or smartphone. CGMs are categorized into real-time CGMs, which continuously transmit data, and intermittently scanned CGMs, which require scanning to display data.
  • CGMs are particularly useful for individuals with hypoglycemia unawareness, elevated HbA1c, glucose variability, those requiring multiple daily glucose checks, or those seeking to avoid finger-stick testing. Automated insulin delivery systems (AID), also known as insulin pumps, are gaining popularity in India, delivering a continuous supply of insulin and mimicking the natural insulin secretion process.
  • Mobile applications and telemedicine platforms offer glucose tracking, carbohydrate counting, medication reminders, personalized insights, and access to specialized care in areas with limited resources. Connected glucometers, which are Bluetooth-enabled and can connect to smartphones, allow for longitudinal tracking of patient glucose data.
  • Connected pens electronically register and record insulin doses, addressing the problem of patients forgetting their last dose. Image-based meal analysis apps calculate calories and macronutrient distribution, simplifying carb counting for patients. Wearable devices like fitness bands and smartwatches can track physical activity parameters.
  • AI-enabled fundus cameras can screen for diabetic retinopathy without pupil dilation, while customized sensory insoles can monitor foot pressure and identify areas at high risk for developing pressure sores. AI can also analyze wound images to guide antibiotic selection, reducing antimicrobial resistance.

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