New research reveals why treatment might appear to fail to control glucose levels in many people with Type 2 diabetes: not taking their medication as prescribed.
“When patients have poor glycemic control, their physicians may assume that there was a medication failure when they were, in fact, not filling their prescriptions,” says Ken Mandl, MD, MPH, of Boston Children’s Hospital, the senior author of a new report in Diabetes Care.
The study raises the question of whether the same might be true for patients with other conditions. …
Most adolescents fight for the freedom to manage their own lives, especially when it comes to friends, curfews and hobbies. That excitement conspicuously slips away when they’re faced with managing something less glamorous—like diabetes.
Since diabetes is a chronic illness with potentially serious risks, it requires continuous management. But adolescents aren’t exactly lining up around the block for extra medical visits.
“Some adolescents forget to do things like take insulin or check their blood glucose level, and they could benefit from more frequent check-ins with their diabetes team,” says Erinn Rhodes, MD, MPH, director of the Type 2 Diabetes Program and Inpatient Diabetes Program at Boston Children’s Hospital. “But that’s not easy, especially if time is limited or if transportation is a challenge.”
So Rhodes has designed a study for adolescents 13 to 17 years old, to see if “televisits”—video conferences between teens and their diabetes care providers—can improve their diabetes while encouraging better self-management. …
Yechiel Engelhard, MD, MBA, is founder and CEO of Gecko Health Innovations, a health care mobile technology company that recently unveiled the GeckoCap, a smart button for inhalers that allows families and doctors to monitor a child’s asthma.
Asthma affects nearly one in 10 children and is the cause of more than 700,000 emergency department visits and 14 million missed school days each year. A big concern is that children often don’t realize the importance of their asthma inhalers and don’t use them properly. That’s why we saw the need to make asthma easy to understand and inhalers fun for children to use.
Our team came up with the concept of a “smart” cap that would fit onto an asthma inhaler and turn medication adherence into a game. The cap would send notifications to parents and give them a dashboard on their smartphone, showing them when inhalers are used improperly and helping them identify troublesome patterns. The cap would also generate reports for doctors, showing medication usage and helping them to educate parents about the correlation between medications, adherence and asthma triggers.
We moved forward to make this cap a reality, but quickly realized that like many start-ups we needed a strategic partner for the next development phase. …