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	<title>EHSLibrary &#187; blood glucose levels</title>
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	<link>http://library.med.utah.edu/blog/eccles</link>
	<description>Spencer S. Eccles Health Sciences Library Blog</description>
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		<title>Using smartphones to boost healthy behavior against juvenile diabetes</title>
		<link>http://library.med.utah.edu/blog/eccles/2012/02/28/using-smartphones-to-boost-healthy-behavior-against-juvenile-diabetes/</link>
		<comments>http://library.med.utah.edu/blog/eccles/2012/02/28/using-smartphones-to-boost-healthy-behavior-against-juvenile-diabetes/#comments</comments>
		<pubDate>Tue, 28 Feb 2012 15:22:07 +0000</pubDate>
		<dc:creator>Todd Vandenbark</dc:creator>
				<category><![CDATA[iPhone]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[mobile]]></category>
		<category><![CDATA[blood glucose levels]]></category>
		<category><![CDATA[blood glucose monitoring]]></category>
		<category><![CDATA[diabetes]]></category>
		<category><![CDATA[juvenile diabetes]]></category>

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		<description><![CDATA[Using a smartphone app to encourage blood glucose monitoring compliance in adolescents with diabetes that includes a points reward system redeemable in the iTunes store.]]></description>
				<content:encoded><![CDATA[<p><a href="http://bit.ly/w34b0m"><img class="alignleft size-full wp-image-1028" style="border: 0pt none; float: left; padding:0.5em;" title="Medical App Reviews" src="http://library.med.utah.edu/blog/eccles/files/2011/09/logoReviews.png" alt="medical app reviews" /></a>As presented in a <a title="link to article on this topic" href="http://bit.ly/zs5N78">recent iMedicalApps post</a>, Joseph Cafazzo, PhD PEng, and his colleagues at Toronto General Hospital, have developed <em>bant</em> (yes, it&#8217;s spelled all lowercase), a next-generation remote patient monitoring system to help adolescents afflicted with juvenile diabetes more-effectively monitor their health. Their approach to the challenge of encouraging young people to monitor their blood glucose (BG) levels is realistic and refreshing:</p>
<p style="padding-left: 30px;"><em>These are the kids that are learning independence, that are leaving the house more often, that aren&#8217;t eating right, or listening to their nagging parents. Now imagine them with a chronic illness such as diabetes. These kids are notorious for taking fewer and fewer blood glucose readings per day, eating improperly, and generally having a defiant streak in them.</em></p>
<p>Adolescents who used this device got points for compliance with the regular BG monitoring regimen, which earned them music and apps through the iTunes store. This pilot test of the system with twenty kids saw an increase in regular BG measurements of 49.5%, clearly demonstrating the need for a bigger study. The app also offered a Twitter-like microblog community capability for peer support and encouragement. Below is a video demonstrating use of the bant system.<br />
<iframe src="http://player.vimeo.com/video/23091776?title=0&amp;byline=0&amp;portrait=0" frameborder="0" height="300"></iframe></p>
<p>One idea in this blog post caught my attention: their focus on developing an app to provide a solution in a way that can be clearly demonstrated:</p>
<p style="padding-left: 30px;"><em>Although we take the design and development of this smartphone platform very seriously, we aren&#8217;t interested in creating gadgets. As a research hospital, we take the opportunity cost of building such a system seriously. We need real tangible results. Hence, we spend more time and money evaluating the technologies that we develop than on building them. Our findings feed the next iteration of the technology. This is an example of <strong>evidence-based design</strong>. Consider it <strong>user-centered design</strong> on steroids.</em></p>
<p>After working for over two years to support evidence based research, it seems a natural next-step to consider applying such a standard to the development of medical devices and apps. I look forward to reading about a follow-up study on this devices.</p>
<p>Do you or someone you know struggle with juvenile diabetes? Would a system like this be helpful in encouraging healthy behavior? Why or why not? Tell us about it!</p>
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		<title>An app for tracking blood glucose levels?</title>
		<link>http://library.med.utah.edu/blog/eccles/2011/07/26/an-app-for-tracking-blood-glucose-levels/</link>
		<comments>http://library.med.utah.edu/blog/eccles/2011/07/26/an-app-for-tracking-blood-glucose-levels/#comments</comments>
		<pubDate>Tue, 26 Jul 2011 15:37:05 +0000</pubDate>
		<dc:creator>Todd Vandenbark</dc:creator>
				<category><![CDATA[medicine]]></category>
		<category><![CDATA[mobile]]></category>
		<category><![CDATA[technology]]></category>
		<category><![CDATA[blood glucose levels]]></category>
		<category><![CDATA[iPhone]]></category>
		<category><![CDATA[medical mobile apps]]></category>
		<category><![CDATA[mobile medical apps]]></category>

		<guid isPermaLink="false">http://library.med.utah.edu/blog/eccles/?p=950</guid>
		<description><![CDATA[According to the Technology Review website published by MIT, using a nanosensor &#8220;tattoo&#8221; and a modified iPhone, cyclists could closely monitor sodium levels to prevent dehydration, and anemic patients could track their blood oxygen levels. A team at Northeastern University&#8217;s Department of Pharmaceutical Sciences is working to make this possible. They have created a specialized, [...]]]></description>
				<content:encoded><![CDATA[<a href="http://library.med.utah.edu/blog/eccles/files/2011/07/skintattoo.jpg"><img class="size-full wp-image-951  " style="border: 0pt none;float: left;padding:0.5em" title="Skin tattoo" src="http://library.med.utah.edu/blog/eccles/files/2011/07/skintattoo.jpg" alt="Photo showing use of a modified iPhone to check sodium and blood glucose levels." /></a>
<p>According to the <a href="http://www.technologyreview.com/read_article.aspx?id=38065&amp;a=f[url]&amp;a=f">Technology Review website</a> published by MIT, using</p>
<p style="padding-left: 30px"><em>a nanosensor &#8220;tattoo&#8221; and a modified iPhone, cyclists could closely monitor sodium levels to prevent dehydration, and anemic patients could track their blood oxygen levels.</em></p>
<p>A team at Northeastern University&#8217;s Department of Pharmaceutical Sciences is working to make this possible. They have created a specialized, invisible &#8220;tattoo&#8221; with nanosensors to detect sodium and glucose levels without breaking the skin. Once the tattoo is applied, the end user slips a case over their iPhone which contains &#8220;a nine-volt battery, a filter that fits over the iPhone&#8217;s camera, and an array of three LEDs that produce light in the visible part of the spectrum&#8221; which can read the tattoo. For now, researchers are exporting the data to a computer for analysis. In the future, it is hoped that an app can be developed to do this work.</p>
<p>No doubt diabetics and others who have to take their own blood samples on a regular basis would welcome an end to needle sticks! Do you have an idea for an app that could replace a regular and annoying medical procedure? Tell us about it!</p>
<p>(Thanks to the <a href="http://www.imedicalapps.com/2011/07/modified-iphone-nanoparticles-track-glucose-sodium-levels-patients/">iMedicalApps blog</a> for this information!)</p>
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