Tag Archives: Manage

Automatic Hybrid Insulin Delivery Systems Help Manage T1D

Diabetes News


Advanced hybrid closed-loop (AHCL) systems improve glycemic control in patients with type 1 diabetes, according to a prospective evaluation by 16 diabetes specialists in Spain. The current hybrid closed-loop systems have gone one step further by mimicking the body’s natural insulin delivery systems. 

The objective of this evaluation was to analyze the results of two AHCLs currently on the market (MM780G with SmartGuard and Tandem t:slimX2 with Control-IQ) and to determine their real-life benefits, based on the information provided by the patients.

“The evaluation involved 150 patients from 14 centers, 75 for each system, and lasted for 3 months. An initial evaluation was carried out, and another was done at the end of the 3 months to determine diabetes control and user satisfaction. Glycosylated hemoglobin (HbA1c), time in different glycemic ranges, and patient-reported outcomes were assessed. To take quality of life into consideration, a 146-point questionnaire was completed to assess all aspects of the condition at a later stage,” Pilar Beato, MD, specialist in endocrinology and nutrition at Badajoz University Hospital in Spain, told Univadis Spain.

The study enrolled adolescent and adult men and women with type 1 diabetes who had not previously been treated with AHCL. After analysis of the results, the specialists concluded that the two AHCLs provide a significant improvement in glucose control. Neither AHCL was superior. Interestingly, the improvement in diabetes-related anxiety was the greatest in Control-IQ users. But there were no differences in improvement in sleep quality.

Beato, the lead study author, said that “there have been other previous analyses, but none with a prospective joint assessment with the same design. Our results demonstrate that both systems are highly effective, reduce glycosylated hemoglobin, and improve all quality-of -life parameters evaluated. The results are comparable as different health centers took part. All experts taking part belong to the Spanish Diabetes Society’s applied technology in diabetes task force. The choice of which AHCL to use will depend on the specialists and availability at each site. User preferences should also be considered as the devices may have individual features making one or the other more convenient for a given individual. But based on our data, there is no clinical indication to choose one over the other.” 

The concept of the two systems analyzed is the same: They both have a glucose sensor that is constantly taking measurements, and both send the information in real time to the system algorithms that decide how much insulin should be supplied, thereby controlling glucose highs and lows. They differ in the design of the system components and in the engineering of the algorithms. But the important thing is that the information for managing an individual’s diabetes and the amount of insulin they need is obtained from the patient himself or herself. Making the systems automated addresses and corrects glucose variability itself even within a single day, as multiple factors such as food, nerves, or sports can affect glucose levels.

“Initial training and support are needed in the event of an incident or problem, but it does not necessarily require more consultation time as they are automated systems and are capable of automatically resolving glucose spikes that may occur in an individual. This may even involve less consultation time. Naturally, patients must continue to be monitored by endocrinology with some regularity,” said Beato. 

These technologies are endorsed by international scientific societies that are seeing more and more advantages of such devices. The societies therefore recommend that closed-loop hybrid systems be the standard of care in people with type 1 diabetes as they are more effective than conventional multidose insulin therapy. They have been recommended by the American Diabetes Association since 2022 and the National Institute for Health and Care Excellence guidelines since January 2023, among others.

Beato regrets that the use of these devices is not widespread in Spain. “We don’t have data about the percentage of people using them, but we get the impression that this number is low and not enough. We need a boost and to break down some barriers such as cost. The devices will ultimately reduce the cost of diabetes control as they are designed to provide better glucose control. They will reduce admissions for complications such as diabetic retinopathy or hypoglycaemia. They will also reduce absence from school and work. In the future, I’m sure the systems will be smaller, which will suit users better.”

This article was translated from Univadis Spain, which is part of the Medscape Professional Network.


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5 Easy Ways To Stay Healthy And Manage Diabetes Effectively

Diabetes News


Diabetes is a chronic health condition characterised by elevated levels of blood sugar, either due to insufficient insulin production or the body’s inability to effectively use insulin. This widespread and growing health concern significantly impacts people globally. It not only affects individuals physically but also poses substantial challenges to their overall well-being. The consequences of diabetes are far-reaching, leading to complications such as cardiovascular disease, kidney problems, nerve damage, and vision impairment. Moreover, managing diabetes often requires significant lifestyle changes, including dietary modifications, regular exercise, and, in many cases, medication or insulin therapy.

By promoting healthier lifestyles and enhancing awareness, there is an opportunity to mitigate the effects of diabetes and improve the quality of life for those affected by this prevalent condition. Here are a few ways on how we can effectively manage diabetes and lead a healthy lifestyle:

  1. Know Your Risk
    Understanding your risk factors for diabetes is crucial. Factors such as family history, age, and ethnicity play a role. Regular check-ups, including blood glucose monitoring, can help identify potential risks early, enabling you to take preventive measures.
  2. Healthy Eating
    Adopting a balanced and nutritious diet is a cornerstone of diabetes prevention and management. Focus on whole grains, lean proteins, fruits, and vegetables. Limit the intake of sugary foods, saturated fats, and processed items. Monitoring portion sizes is also essential.
  3. Stay Active
    Regular physical activity is a powerful tool in preventing and managing diabetes. Engage in at least 150 minutes of moderate-intensity exercise per week. Activities such as brisk walking, cycling, or swimming contribute to improved insulin sensitivity and overall health.
  4. Regular Check-ups
    Routine medical check-ups, including comprehensive blood tests and assessments, are essential for monitoring blood glucose levels and overall health. Collaborate closely with healthcare providers to develop a personalised management plan.
  5. Manage Stress
    Chronic stress can impact blood sugar levels. Incorporate stress-reducing techniques such as mindfulness, meditation, or yoga into your routine. Adequate sleep and relaxation are integral components of stress management.
    By incorporating these comprehensive measures into your lifestyle, you can take a proactive approach to prevent diabetes and effectively manage the condition if diagnosed.

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    Diabetes Diet: How To Make Oats Khichdi To Manage Blood Sugar Levels

    Diabetes News


    Khichdi is the ultimate comfort food for all Indians. Whether we are exhausted after a long day at work, have an upset stomach, or simply crave something light and wholesome, khichdi has been a saviour for us on many such days. This one-pot dish is not only super easy to make but it is brimming with various health benefits too. The combination of rice, lentils and ghee provides you with carbohydrates and protein that help you keep full for a longer period of time. Not only this but khichdi is also considered to be suitable for people who are suffering from diabetes as it has a low glycaemic index. Considering this, here we bring you a delicious oats khichdi recipe that is ideal for a wholesome lunch meal. 

    Also read: Diabetes Diet Tips: 5 Herbs And Spices That May Help Manage Blood Sugar

    Oats, the main ingredient in this recipe, has high water and fibre content and may help in managing blood sugar levels. This oats khichdi makes for a nutritious meal and will keep you full for a longer period of time. To make this khichdi, all you need to do is cook oats, moong dal, tomatoes and onions in a pressure cooker along with flavourful masalas. Garnish with fresh coriander leaves and serve hot with yogurt. Take a look at the recipe below:


    Oats Khichdi Recipe: How To Make Oats Khichdi

    To begin with the recipe, first, heat oil in a pressure cooker. Add cumin seeds and allow them to crackle. Add chopped onion, and cook till translucent. Now, add ginger and green chillies, and cook for a few more seconds. Add turmeric powder and red chilli powder, followed by tomatoes. Let them cook until tender.

    Next, add all the vegetables and rinsed moong dal along with oats. Sauté for a few seconds. Add water and adjust the salt. Pressure cook for around 8-10 minutes. Once the pressure settles down, open the lid, serve hot and enjoy! 

    For the complete recipe of oats khichdi, click here.

    For more khichdi recipes, click here.

    Try this simple recipe to manage blood sugar levels at home and share your experience in the comments section below.

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