Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How technology removes the pain point from diabetes management

David Ahn, MD
Conditions
November 17, 2018
Share
Tweet
Share

There is a wealth of information about your health circulating in your blood. For people with diabetes, accessing that information can be a matter of life or death.

For nearly 30 years, the prevailing technology for checking the blood sugars of someone with diabetes has been the fingerstick. People with diabetes are often asked to stick their fingers and check their blood multiple times a day to assess whether their blood sugar levels are too high or too low. If their blood sugar, or glucose levels, are too high at a given point, they might need to take medication. If the levels are too low, they might benefit from eating something.

Because glucose levels fluctuate constantly, some patients require checking their blood sugar levels six to eight times a day. While the fingerstick has been keeping people alive, preventing organ failure and vision damage, it is a major pain point (pun intended) for people with diabetes.

Even as an endocrinologist, I have to admit it is imperfect, uncomfortable and inconvenient. That is why I get excited to share advances in glucose monitoring technology with patients. Continuous glucose monitoring (CGM) devices are now on the market that are changing the paradigm of diabetes management.

There are two products approved on the market today, and likely more in the works. These CGM products differ slightly from one another in methodology and price, but what they have in common is the ability to eliminate (or, in some cases, nearly eliminate) the need for a patient to stick his or her finger.

Dexcom G6 and the FreeStyle Libre are two products that provide continuous monitoring of glucose levels through tiny filaments that penetrate the skin. These devices use interstitial fluid, or the natural fluid in your tissue, to assess the glucose levels in your blood.

There are rarely “happy” surprises that I can share with patients, so I really enjoy telling patients that staying on top of their health just got easier.

In fact, these devices have improved diabetes management for doctors as well. By continuously monitoring glucose levels, these devices provide the equivalent of up to 300 fingersticks’ worth of information a day. I liken it to reliving an event through video rather than through photographs. The amount of information provided by this new technology renders the older technology incomplete.

For many people, CGM has made all the difference. One of my patients, for example, followed all the rules, diligently sticking his finger at mealtimes to check his levels. Even so, one of his blood scores would consistently read abnormally high, and we couldn’t figure out why. By continuously monitoring his glucose, we were able to discover that well after his meals his blood sugar levels spiked. This was an unexpected finding, and one that allowed us to switch up his medicine and regulate his levels.

He feels better physically, and he feels reassured knowing he can better monitor his health. I have noticed this feeling of empowerment with a lot of my patients, and I suspect this new technology could even act as a behavior modification tool. When you see your sugars go down because you’ve exercised or spike because you ate lunch at the drive-thru, you are given this impossible-to-ignore mechanism to enforce good habits.

Time will tell if I’m right. But by eliminating the fingerstick, this new technology is making diabetes management easier, more detailed and less painful. It’s a lifestyle change that’s easy to stick with.

David Ahn is an endocrinologist and program director, Mary & Dick Allen Diabetes Centers, Hoag Hospital, Newport Beach, CA.

Image credit: Shutterstock.com

ADVERTISEMENT

Prev

The stories of rural physicians

November 17, 2018 Kevin 1
…
Next

A beloved mentor falls

November 17, 2018 Kevin 0
…

Tagged as: Diabetes, Endocrinology

Post navigation

< Previous Post
The stories of rural physicians
Next Post >
A beloved mentor falls

ADVERTISEMENT

More by David Ahn, MD

  • Insurance companies cannot dictate which medical devices we prescribe

    David Ahn, MD
  • Nike abandons the FuelBand: What does this mean for wearables?

    David Ahn, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Is the iPad too big for medicine?

    David Ahn, MD

Related Posts

  • A paradigm shift in acute pain assessment and management

    Myles Gart, MD
  • Using low-dose naltrexone to treat pain

    Alex Smith
  • Why staying ahead of your pain with opioids is the wrong advice

    Myles Gart, MD
  • 5 things I wish I had known earlier about chronic pain

    Tom Bowen
  • Suboxone for pain makes sense. Why don’t more doctors prescribe it?

    Hans Duvefelt, MD
  • How do we manage pain in the era of the opioid crisis?

    Rita Agarwal, MD

More in Conditions

  • How movement improves pelvic floor function

    Martina Ambardjieva, MD, PhD
  • How immigrant physicians solved a U.S. crisis

    Eram Alam, PhD
  • Pediatric leadership silence on FDA ADHD recall

    Ronald L. Lindsay, MD
  • The ethical conflict of the Charlie Gard case

    Timothy Lesaca, MD
  • The ethics of mandatory Tay-Sachs testing

    Sheryl J. Nicholson
  • Why toys matter in the exam room

    Diego R. Hijano, MD
  • Most Popular

  • Past Week

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Female athlete urine leakage: A urologist explains

      Martina Ambardjieva, MD, PhD | Conditions
    • AI in medical imaging: When algorithms block the view

      Gerald Kuo | Tech
    • Are you neurodivergent or just bored?

      Martha Rosenberg | Meds
    • The danger of dismantling DEI in medicine

      Jacquelyne Gaddy, MD | Physician
    • Why the 4 a.m. wake-up call isn’t for everyone

      Laura Suttin, MD, MBA | Physician
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Systematic neglect of mental health

      Ronke Lawal | Tech
    • Silicon Valley’s primary care doctor shortage

      George F. Smith, MD | Physician
  • Recent Posts

    • Transforming patient fear into understanding through clear communication [PODCAST]

      The Podcast by KevinMD | Podcast
    • How movement improves pelvic floor function

      Martina Ambardjieva, MD, PhD | Conditions
    • How immigrant physicians solved a U.S. crisis

      Eram Alam, PhD | Conditions
    • Pediatric leadership silence on FDA ADHD recall

      Ronald L. Lindsay, MD | Conditions
    • How relationships predict physician burnout risk

      Tomi Mitchell, MD | Physician
    • The ethical conflict of the Charlie Gard case

      Timothy Lesaca, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 3 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Female athlete urine leakage: A urologist explains

      Martina Ambardjieva, MD, PhD | Conditions
    • AI in medical imaging: When algorithms block the view

      Gerald Kuo | Tech
    • Are you neurodivergent or just bored?

      Martha Rosenberg | Meds
    • The danger of dismantling DEI in medicine

      Jacquelyne Gaddy, MD | Physician
    • Why the 4 a.m. wake-up call isn’t for everyone

      Laura Suttin, MD, MBA | Physician
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Systematic neglect of mental health

      Ronke Lawal | Tech
    • Silicon Valley’s primary care doctor shortage

      George F. Smith, MD | Physician
  • Recent Posts

    • Transforming patient fear into understanding through clear communication [PODCAST]

      The Podcast by KevinMD | Podcast
    • How movement improves pelvic floor function

      Martina Ambardjieva, MD, PhD | Conditions
    • How immigrant physicians solved a U.S. crisis

      Eram Alam, PhD | Conditions
    • Pediatric leadership silence on FDA ADHD recall

      Ronald L. Lindsay, MD | Conditions
    • How relationships predict physician burnout risk

      Tomi Mitchell, MD | Physician
    • The ethical conflict of the Charlie Gard case

      Timothy Lesaca, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How technology removes the pain point from diabetes management
3 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...