Abstract

583 TECHNOLOGY FOR METABOLIC MONITORING of diabetes is evolving at an increasingly rapid pace. Metabolic monitoring refers to the portable testing of glucose and, if warranted, other analytes of interest in diabetes. Most metabolic monitoring currently and in the foreseeable future involves measuring blood glucose, which is a marker for the risks of decreased brain glucose (due to hypoglycemia) and for increased end-organ glycosylation (due to hyperglycemia) that occur in diabetes. New continuous blood glucose monitors are currently being developed that will eventually not only measure blood glucose levels, but will be connected to insulin delivery systems to create an artificial pancreas. This article addresses three questions about the status of metabolic monitoring in diabetes: (1) Where are we? (That is, what is available blood glucose monitoring technology?) (2) Where are we going? (That is, what are emerging blood glucose monitoring technologies?) (3) How will we get there? (That is, what are future trends in technology for monitoring glucose and other blood metabolites?)

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