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Constant monitoring reduces risk of diabetes
By Ashraf Padanna June 23, 2014
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TRIVANDRUM: In more than three fourths of people with diabetes, treatment without continuous glucose monitoring (CGM) leads to complications in nerves, eyes, heart and sex organs, says a Kerala-specific study.

The data collected from 432 type-II diabetes patients undergoing CGM were presented at the 74th annual American Diabetes Association Scientific Sessions held in San Francisco last week.

“In more than 75 per cent of subjects, diabetes treatment miserably fails resulting in early onset of complications like in nerves, eye, heart and sex organs.

“This is largely because of the failure in appropriate increments in the drug dosages,” said Dr Jothydev Kesavadev who headed the research.

The possibility of low sugars and sudden death desist people from modifying drug dosages.

CGM involves a subcutaneously placed biosensor needle, which can detect low glucose trends throughout the day and night, even while asleep.

Jothydev’s Diabetes Research Centre (JDRC) in the state capital made treatment modifications based on six-day CGM patterns, which helped overcome the fear of hypoglycemia or low sugar while reducing the average blood glucose levels.

The research paper underscores the importance of a team-based diabetes care, education of patients and intelligent use of technology to prevent sharp rise in the cost of treatment as the onset of complications of diabetes, increases cost of treatment fivefold increase.

“Compared to this cost, the extra cost involved in biosensor and CGM is negligible and it has proven to be cost effective,” said Kesavadev explaining his original research on preventing prediabetes growing full-blown using the advanced glucose monitoring.

The blood sugar graphs automatically generated every five minutes from biosensor needles reveal glucose fluctuations, usually missed during ordinary testing and motivates the patients to adopt a healthy lifestyle and diet.

A regular speaker at the recent ADA annual events, Kesavadev introduced telemedicine for diabetes follow-up way back in 1998 and pioneered in modern insulin pump therapy in India.

He has since presented research papers on topics like vaccination in diabetes, cost effective diabetes education via telemedicine, high prevalence of hypertension in Kerala and use of technology in CGM at several international conferences.

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