Glucose Control – With the Emphasis on Control

Self-monitoring blood glucose (SMBG) with paper strips and a home glucometer has been the standard for years. But it brings with it some disadvantages, such as pain from needles, only being able to test when a machine is nearby, and the cost of the consumables.

Enter non-invasive blood glucose monitoring (NIBG) NIBG monitoring refers to the detection of human blood glucose without causing damage to human tissues. [KS1] Methods are divided into three categories, including optics, microwave, and electrochemical methods. It delivers real-time information to consumers and has the potential for a precise, closed-loop drug delivery system.

App-based delivery of insulin

Last month, the FDA cleared the first smartphone app for insulin delivery. Optimizing control over blood glucose with the convenience of the app allows the patient to hide the insulin pump under his or her clothing without the hassle of having to access it throughout the day. Let's hope for broad adoption and enhanced diabetes control, as well as some relief for us foot and ankle surgeons who may be swamped in work related to diabetes complications.