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The Power of Light

For decades, researchers, scientists and people living with diabetes have searched for a non-invasive way to continuously measure glucose.

Enter the power of light: C8 MediSensors’ optical glucose monitoring technology is a breakthrough in glucose monitoring science. Completely non-invasive, this new technology promises a new glucose monitoring experience.

As you are probably already aware CGM or continuous Glucose Monitors have been available to us for quite a while now and range from individual devices to combined insulin pumps with built in CGM.

I was very lucky to have received an invite from C8 MediSensors to view their new Non Invasive CGM along with some fellow bloggers from Input, Insulin Independent, Every Day Ups and Downs – A Diabetes Blog all of course are certainly worth reading.

So the day started in London at a Consultancy Company who were great and had everything prepared for us bloggers (Nice sandwiches mmmm) as we can be hard work sometimes ha ha, we were all very excited to see this new CGM device and find out just how it works – not forgetting how much it costs. All the guys were very open and the day in my mind was for us bloggers to provide feedback on what we thought of the CGM which will also be operated using a smartphone app with various functions/log books etc so we all put our pennies worth into this as well.

I have been lucky enough to trial the Medtronic Enlite CGM Sensor and the Animas Vibe CGM Sensor of which both work in conjunction with the Insulin Pump which is great but still not perfect but they are certainly getting there. Both these devices use a wireless CGM sensor that in invasive ie literally goes into your skin that I found a little uncomfortable sometimes but you did get used to it very fast, I also struggled sometimes to find space on my body to insert the sensor as I was also wearing a canular for the insulin pump. All this said the technology on these devices is incredible and gives you a good trend on your blood sugar levels however you will still need to take regular finger prick tests to calibrate the CGM and this is the same for all CGM’s at the moment.

The product itself is a non-invasive optical CGM and is currently classed as a ‘investigational device’, so not yet available for sale anywhere but hopefully this will change very soon – even this year but you all know what red tape is like. C8 MediSensors will hopefully receive European CE mark approval towards the end of this year and plan to launch in the UK and Europe first so that is good news for us.

The Power of Light: Using Raman Spectroscopy to Measure Glucose

Our technique involves shining a monochromatic light source into the skin and detecting the scattered light.  The colors generated by Raman scattering are very specific to the exact chemical structure of the molecules in the sample.  The molecules’ various shapes, sizes, atoms, and types of chemical bonds will generate unique Raman spectra, a unique Raman “fingerprint” that can be used to non-invasively read and measure glucose.

I managed to find this info video on YouTube which I found very helpful but of course the best info would be found on the C8 MediSensors own website

C8 MediSensor info which I hope you will find useful.

  • CGM uses an optical light which was taken from Raman spectrometer which in its orignal state would be the size of an oven but the team have managed to minimise this to the size of a matchbox which is truly amazing.
  • The device needs to go against the skin which needs to be clear of hair or anything that would obstruct the optical light, the device would update you on your smartphone if the light is broken.
  • There is no separate control for this CGM as it is all done through your smartphone using te C8 MediSensors App which is still being fine tuned to meet our needs, you should be able to view you BG level, log books and lots of other useful info which is still to be confirmed.
  • At the moment the CGM is designed for use only by adults but I am sure this will change in the future as we never know what is around the corner.
  • The C8 MediSensor is about the size of a match box and similar in weight to a small mobile phone, there is also a separate battery pack to power the CGM of which both items are worn in a very non sexy looking material band – please remember this is brand new so like everything I am sure the C8 team will be working on revamped accessories etc.
  • A huge plus point for me is the fact you can put it on and off whenever you want as it is non invasive – even if it is worn a=in a rather large band.
  • As this device uses optical light it can be affected when you are in very bright areas or even sunshine but the guys have a special material light shield which fits over the CGM to eliminate any sunshine issues – but to be honest you possibly would not want to be wearing this device on the beach, well not yet anyway.
  • The CGM can store a rolling 4 months worth of data which should be more than enough info for most of us.
  • Initial calibration is between 45-60 minutes and when placing the CGM Sensor onto your skin it can take 15 minutes to warm u.
  • COST – well a typical CGM Sensor alone could cost thousands of pounds per year but we were given an indication that the C8 MediSensor will retail at US$4,000 (approx £2,500 at today’s exchange rate). The shelf life would be up to 4 years so this one-off payment should in theory be it – this compared to invasive CGM would be far cheaper in comparison.

I hope the above has answered some of your questions and I must apologise if I have missed anything – please leave me a comment if you have any further questions ?

The Science Inside

Optical glucose monitoring leverages decades of technical innovation in optics, wireless, digital cameras, miniaturization and lessons learned from dozens of attempts at measuring glucose non-invasively. Utilizing a patent-protected process, our design will transmit a painless pulse of light into the skin to detect glucose levels. Paired with Bluetooth technology, the glucose reading will be transmitted wirelessly to an easy-to-use display application on an ordinary Android smartphone.

It was a real pleasure to meet the guys from C8 and Andrew from STWEM who arranged the event, it was quite refreshing to be speaking to a team that was open to the majority of our probing questions and they were free with the info, I hope that we as bloggers have given the team some valuable information to help enhance the device and I hope this will be a continued relationship with C8 – thanks again guys.

A New Experience Awaits

After eight years of research and development, we hope to make optical continuous glucose monitoring a reality for people with diabetes. Currently an investigational device and not available for sale, we plan to pursue regulatory approval and make this new technology available in Europe in 2012.

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Hi,

As you are possibly aware I have had Type 1 Diabetes all my life which is in fact 40 years – hard to believe I know 🙂

Since I was first diagnosed as a baby the technology has changed so much for products to assist people manage their Diabetes easier, I still remember having large stainless steal with glass syringes that needed to be sterilised each time you used it (Thanks to my Mum) and even checking your Glucose Levels involved urine in a tube which you added a fizzy tablet that changed the colour of the urine – oh my god.

Back to 2012 and some absolutely amazing new products to me which over the next few weeks I hope to have some more in depth Blogs about but some items that have caught my eye have been :

1 Mendor Discreet – All in one BG Meter which is amazing.

2. C8Medisensors – a new non invasive CGM due for release this year all being well, I was lucky to attend a product demo in London a few days ago – WOW. More details to follow.

3. Glooko – this is a cable the attaches to your iPhone in conjunction with an App that allows you to sync your BG results to your phone with lots of other useful add ons. I love it and Blog coming soon.

4. Cellnovo – Insulin Pump, come on guys we have been waiting such a long time for this to be released and I must say this again is technology at its best, I am looking forward to a trial of this patch pump/handset soon.

5. Sanofi – iBGStar BG meter that is tiny and actually can be used on its own or is really created to clip to the bottom of your iPhone to work again in conjunction with an App – Amazing.

Please forgive me if I have missed anything out but these are a few items I have been looking at recently, not forgetting all the Diabetes companies which have literally changed my life such as Medtronic, Animas, Lifescan, Roche, Bayer, Everymed and Sanofi (iBGStar) to mention a few – THANKS TO YOU ALL.

Thanks very much for reading and don’t forget to follow me on Twitter @MyPump1 or info on http://www.mypump.co.uk & http://www.mypumpblog.com.

Have a good weekend
Andrew

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The importance of regular eye checks – by Tim Harwood

Author: Sarah Steel at Diabetic Friend

Why is it important for diabetics to have regular eye tests?
As diabetics we constantly have all kinds of advice thrown at us in an almost threatening kind of way! We are told that unless we follow certain pieces of advice we risk all sorts of bad things to us … Such advice comes at us from many different people including the GP, diabetic nurse and the podiatrist. Well unfortunately this article plans on doing very much the same, although the person doing the advising is the Optometrist!

Depending on the area you live in, most diabetics should be on some sort of diabetic retinal screening programme which your GP should enrol you on. Diabetic retinopathy is the biggest cause of blindness (apologies for this depressing fact!) in the working age range and this is why it is so important that you have regular checks for it. Clearly this is the negative side of diabetic retinopathy but the positive side of diabetic retinopathy is that it shouldn’t be the biggest cause of blindness in the working age range as it generally can be treated. Providing your diabetic retinopathy is picked up early enough by either your Optician or retinal screener is it likely to be treatable.

What exactly is diabetic retinopathy?
Diabetic retinopathy is effectively a disease of the retinal blood vessels at the back of your eyes. The result of the disease is that the blood vessels become weakened and are therefore are more likely to leak and haemorrhage. If this occurs then there is an interruption to the blood flow (and therefore oxygen) of the retina and consequently vision can be lost. In addition to this, if the diabetic retinopathy is left untreated the retina will produce new blood vessels in response to a lack of oxygen in the retina. These new blood vessels are however even more fragile and ‘leaky’ then the normal blood vessels, further exacerbating the problem.

Having said this, not all diabetics suffer from diabetic retinopathy. Around 40% of diabetics will suffer from diabetic retinopathy to some degree and this most likely if you suffer from type 1 diabetes. The single most important factor in reducing your chances of developing retinopathy is by controlling your blood sugar levels. High blood sugar levels for long periods of time will put you at a much higher risk of developing the disease.

Why have regular eye tests?
The main problem with diabetic retinopathy is that you may have it right now and be completely unaware that you do. There may be diabetic retinal changes that are only affecting your peripheral vision and so consequently you will not notice it. These peripheral changes tend to accumulate and then all of a sudden your central vision becomes damaged and there is very little that can be done about it. By attending for regular eye tests/retinal screenings, the Optometrist can detect the early retinal changes which can be treated before they affect your central vision. Unfortunately once your central vision is damaged there is often very little that can be done about it. If there are significant retinal changes in your peripheral retinal then you will be assessed to see if laser treatment will be beneficial to you. This is not however the laser eye surgery that you see advertised on the TV as it in no way corrects the prescription in your glasses. The aim of diabetic laser treatment is to prevent your diabetic retinopathy from affecting your central vision. In summary your Optician can pick up and monitor any early diabetic retinal changes and act on them before they affect your central vision. By attending for an eye examination every year you are massively reducing your risk of developing any visual problems. If you combine this with keeping a tight control of your blood sugar levels, there is no reason that you should ever have any diabetic retinopathy problems.

This article was brought to you by Optometrist Tim Harwood. Tim has monitored people with diabetic retinopathy for over 10 years and has seen significant improvements in the treatments that can be offered. Tim also writes articles for his own website Treatmentsaver which covers a whole range of topics including a laser eye surgery forum for which he is the moderator. I hope this article has made you realise that by taking a few simple steps you can significantly reduce your risk of developing the disease. This article was not meant as a lecture more as in inspiration that if you do right things your vision should be unaffected for life!

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Hi

I left home at 7.00am this morning to get the train to London Paddington as today is my yearly eye hospital check up at the Western Eye Hospital nr Paddington. The train is absolutely crammed and I have someone sat next to me that really does need a bath (sorry had to be said). The train journey is fairly quick so I should arrive by 8.30am as the train goes direct.

20111117-085436.jpg

My so called appointment is 9.10am but I could almost guarantee they will be running late.

Firstly I see a nurse who asks about my general health then checks my vision as would an optician. Next I have drops in the eye to dilate the pupil for the photographer to take a picture of the back of my eyes. Finally I see the Consultant who has a look at the pictures and my eyes to determine if they are ok or not – panic !!

Hopefully everything is ok as I have already had two Vitrectomy operations and 10,000 laser burns in each eye to treat Pre Proliferative Retinopathy . So I have basically had all the treatment possible but my eyes have been stable now for probably 5+ years apart from the operation side affects.

I will of course let you know how I get on and would really appreciate your experiences regarding eye problems.

Bye for now.

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I live in Berkshire, UK with my wife, 19 month old son Jake and 4 week old baby daughter Amy – I also have my own Diabetes web site called http://www.mypump.co.uk .

I have had Type 1 Diabetes all my life which is 40 years and technology/treatment has changed so much for the better since I was a baby. It would have been around 1972 when I was first diagnosed with Diabetes as my parents noticed I would be drinking a lot and lethargic. I still remember when I was a very small child that my Mum used to inject me with my insulin using a stainless steel and glass syringe which was very big and did used to be quite painful to say the least but I only had one injection per day. Diabetes back then was far more difficult to control and your Blood Glucose or sugar levels where monitored using a urine stick rather than the high tech blood glucose meters we use today from Bayer Diabetes Care, Roche – Accu Chek, Lifescan etc which are far more accurate. When I was very young I did spend quite a lot of time in hospital from very bad Hypo’s where I actually would go into a Diabetic Coma and find myself waking up in Hospital which was awful. As time went on my control got better and of course technology also got better with small syringes and better insulin plus not forgetting the blood glucose meters we use today. Diabetes treatment changed fairly rapidly with me going from one injection per day to two which at the time was a huge step for me and then going onto an insulin pen with four to five injections per day (what a pain literally).
I never thought I would have any complications from Diabetes but unfortunately in 2003 after a visit to Vision Express opticians they said I had signs of Retinopathy eye complications and sent me to a specialist straight away. It was confirmed that I had Diabetes Retinopathy and would need laser treatment in both eyes to save my sight. I ended up having 10,000 burns of laser in each eye to try and stop tiny blood vessels bursting in my eye. The laser was very uncomfortable but did help but because the Retinopathy was so bad I then ended up having a Vitrectomy operation in each eye, this operation is not nice at all and involves a tube being placed in your eye and the clear liquid being taken out – your eye naturally replaces this cloudy fluid with its own clear liquid. My site now is stable but the operations have still taken there toll as my night vision is very bad (i.e. I can not see to drive a car) and my left eye central vision is damaged. I do think things could be far worse and I just hope they stay stable. I got to the point where I seemed to be injecting myself 4-6 times per day which is surely enough for anyone and this is why I spoke to my Diabetes team about the Insulin Pump. So after being on injections for almost 36 years I was lucky enough to have funding from my local PCT for an Insulin Pump which is amazing and has really changed my life for the better as it is so easy to use. I use a Medtronic Paradigm 722 and an Animas 2020 pump (No not at the same time lol) with each pump having plus/minus points but far better than constantly having injections for food or correction dose’s. An Insulin Pump basically delivers a small dose of insulin 24/7 as a background dose called a Basal Rate and each time you have a meal or snack you give yourself a boost of insulin to counteract the food called a Bolus dose. The pump did take some getting used to at first but once the tiny canular is inserted into the same are as you would inject you hardly know it is there. The pump itself is a similar size to a mobile phone and can be worn in normal places 24/7 and even while you are in bed (you do get used to it). One major thing you need to do when on an Insulin Pump is Carbohydrate Count to ensure the Bolus dose you give is enough to cover the food you have just eaten (See Diabetic Friend) but yet again this gets easy with time. My last Hba1c taken in June 2010 was 7.5 which I think is pretty damn good.

I hope you enjoy my Blog and please do not hesitate to contact me if you have any questions at all http://www.mypmump.co.uk or why not follow me on Twitter @MyPump1).

Thanks for reading.

Andrew Borrett My Pump

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