Is Psychological Stress a Factor for Incorporation Into Future Closed-Loop Systems?
Conclusions: These preliminary findings suggest that naturally occurring daily stressors can be associated with increased glucose instability and hypoglycemia, as well as decreased food consumption. In addition, findings support the hypothesis that some individuals are more metabolically reactive to stress. More rigorous studies using CGM technology are needed to understand whether the impact of daily stress on BG is clinically meaningful and if it is a behavioral factor that should be considered in glucose control systems for some individuals. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - May 2, 2016 Category: Endocrinology Authors: Gonder-Frederick, L. A., Grabman, J. H., Kovatchev, B., Brown, S. A., Patek, S., Basu, A., Pinsker, J. E., Kudva, Y. C., Wakeman, C. A., Dassau, E., Cobelli, C., Zisser, H. C., Doyle, F. J. Tags: Guest Editors: Katharine Barnard, Kimberly Driscoll, Michael Harris, and Jill Weissberg-Benchell Source Type: research

Continuous Glucose Monitoring in Type 1 Diabetes: Human Factors and Usage
Conclusion: This study highlights the importance of CGM user experience for the effective use of this technology. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - May 2, 2016 Category: Endocrinology Authors: Borges, U., Kubiak, T. Tags: Guest Editors: Katharine Barnard, Kimberly Driscoll, Michael Harris, and Jill Weissberg-Benchell Source Type: research

Continuous Glucose Monitoring Adherence: Lessons From a Clinical Trial to Predict Outpatient Behavior
Conclusions: CGM adherence and patterns of use are individualized. However, a predictable fall in adherence at 9 to 11 weeks may present an opportunity for timed interventions to increase CGM use. Adolescent age and sensor accuracy predict CGM adherence. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - May 2, 2016 Category: Endocrinology Authors: de Bock, M., Cooper, M., Retterath, A., Nicholas, J., Ly, T., Jones, T., Davis, E. Tags: Guest Editors: Katharine Barnard, Kimberly Driscoll, Michael Harris, and Jill Weissberg-Benchell Source Type: research

Now Is the Time for a Cybersecurity Standard for Connected Diabetes Devices
(Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - May 2, 2016 Category: Endocrinology Authors: Klonoff, D. C., Kleidermacher, D. N. Tags: Editorial Source Type: research

Evaluation of System Accuracy of the GlucoMen LX Plus Blood Glucose Monitoring System With Reference to ISO 15197:2013
(Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Pfützner, A., Demircik, F., Ramljak, S., Pfützner, A. H., Berti, F., Scuffi, C., Valglimigli, F. Tags: Letters to the Editor Source Type: research

Analytical and Biological Characterization of a Noninnovator Insulin Glargine and the Originator Drug Product
(Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Escobedo-Moratilla, A., Kuri-Brena Romero de Terreros, F., Perez-Urizar, J., Barba de la Rosa, A. P. Tags: Letters to the Editor Source Type: research

Comparison of Gait Features Between Feet With Callus or Corns and Normal Feet Using Motion Sensors in People With Diabetes and People Without Diabetes
(Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Amemiya, A., Noguchi, H., Oe, M., Ohashi, Y., Takehara, K., Ueki, K., Kadowaki, T., Sanada, H., Mori, T. Tags: Letters to the Editor Source Type: research

Computer Vision Algorithms in the Detection of Diabetic Foot Ulceration: A New Paradigm for Diabetic Foot Care?
(Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Yap, M. H., Ng, C.-C., Chatwin, K., Abbott, C. A., Bowling, F. L., Boulton, A. J. M., Reeves, N. D. Tags: Letters to the Editor Source Type: research

2015 Diabetes Technology Meeting Abstracts
(Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Tags: Proceedings of Meetings/Conferences Source Type: research

2015 Diabetes Technology Meeting Agenda
(Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Tags: Proceedings of Meetings/Conferences Source Type: research

Biosimilar Insulin and Costs: What Can We Expect?
The costs for insulin treatment are high, and the steady increase in the number of patients with diabetes on insulin presents a true challenge to health care systems. Therefore, all measures to lower these costs are welcomed by patients, physicians, and health care providers. The market introduction of biosimilar insulins presents an option to lower treatment costs as biosimilars are usually offered at a lower price than the originator product. However, the assumption that a drastic reduction in insulin prices will take place, as was observed with many generic drugs, is most probably not realistic. As the first biosimilar ...
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Heinemann, L. Tags: Commentaries Source Type: research

Insulin Pumps and Remote Software Updates: A New Way Forward
This article discusses the future direction of insulin pump technology and its relationship to the software update process. A user needs analysis revealed that respondents wanted an insulin pump software update process to function much in the same way as smartphone updates. Users of insulin pumps have the same expectations as with other ubiquitous technology such as smartphones, tablets, and laptops. The development of a software update system within a regulated environment that meets the needs of insulin pump users by allowing optional software updates that provide access to pump improvements, feature additions, or access...
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Schaeffer, N. E., Parks, L. J., Verhoef, E. T., Morgan, C. A., Stal, M. Tags: Commentaries Source Type: research

Games and Diabetes: A Review Investigating Theoretical Frameworks, Evaluation Methodologies, and Opportunities for Design Grounded in Learning Theories
Here we review 18 articles that describe the design and evaluation of 1 or more games for diabetes from technical, methodological, and theoretical perspectives. We undertook searches covering the period 2010 to May 2015 in the ACM, IEEE, Journal of Medical Internet Research, Studies in Health Technology and Informatics, and Google Scholar online databases using the keywords "children," "computer games," "diabetes," "games," "type 1," and "type 2" in various Boolean combinations. The review sets out to establish, for future research, an understanding of the current landscape of digital games designed for children with diabe...
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Lazem, S., Webster, M., Holmes, W., Wolf, M. Tags: Review Articles Source Type: research

Are Systematic Reviews and Meta-Analyses Appropriate Tools for Assessing Evolving Medical Device Technologies?
Systematic reviews and meta-analyses (SRMAs) provide unique insights into comparative effectiveness of diabetes treatments. However, use of these analyses may be inappropriate for assessing the value and utility of technologies that involve significant behavioral interventions and encompass rapidly evolving technologies such as real-time continuous glucose monitoring (RT-CGM). The rapid evolution of RT-CGM, compared with the time required for publication of clinical studies used in SRMAs, may preclude differentiation between past and current generations of devices. In addition, the effect of performance and usability diffe...
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Price, D., Graham, C., Parkin, C. G., Peyser, T. A. Tags: Review Articles Source Type: research

Cybersecurity Regulation of Wireless Devices for Performance and Assurance in the Age of "Medjacking"
We are rapidly reaching a point where, as connected devices for monitoring and treating diabetes and other diseases become more pervasive and powerful, the likelihood of malicious medical device hacking (known as "medjacking") is growing. While government could increase regulation, we have all been witness in recent times to the limitations and issues surrounding exclusive reliance on government. Herein we outline a preliminary framework for establishing security for wireless health devices based on international common criteria. Creation of an independent medical device cybersecurity body is suggested. The goal is to allo...
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Armstrong, D. G., Kleidermacher, D. N., Klonoff, D. C., Slepian, M. J. Tags: Original Articles Source Type: research