Exercise Info in a FLASH
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Exercise Info in a “FLASH” Problem: There is a need for innovative and actionable ideas to improve daily routine disease management for diabetics. Executive Summary: The solution presented herein is an active learning tool to improve daily routine disease management and ease the mental and emotional strain felt by Patients with Diabetes (PwD) during exercise. A portable USB flash drive with customized computer software combines current disease management recommendations from the insulin pump, glucometer, and continuous glucose monitor (CGM) with real- time exercise feedback from a standard cardiovascular machine. The USB flash drive systematically eliminates the guesswork and mental stress involved in blood glucose management during exercise by tailoring precise recommendations based on real-time data. This innovative and actionable idea achieves the overall goal —to encourage timely, accurate, efficient, and proactive diabetes management. Solution: Real-Time Exercise Monitoring System Current Standard: Exercise is an essential tool in the daily management of diabetes. However, unpredictable changes in blood glucose levels as a result of physical activity make planning for a nd participating in exercise a challenge for PwD. PwD must pre- plan their exercise, oftentimes hours in advance, in order to adjust insulin doses and meals based upon the duration, mode, and intensity of the activity (Riddell and Perkins, 2006). However, even with planning, changes i n blood glucose levels during physical activity are often unpredictable and can alter performance or make it necessary to cease activity when the individual would have otherwise continued. Stopping to test blood glucose levels in the midst of activity or competition may hinder overall performance and lead to frustration, uncertainty, and avoidance of future exercise. Innovative Solution & Implementation Strategy: Eliminating the guesswork involved in blood glucose management, particularly during exercise, would allow more precise treatment options for improved g lycemic control. A portable USB flash drive
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DBMineContest11 Solution Submission Form | April 29, 2011
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exercise feedback system with customized computer software that combines currentrecommendations (e.g., insulin dosing calculations, carbohydrate ingestion) with real-time exercise feedback (e.g., intensity, duration, mode) would allow PwD the ability tosimply focus on exercise rather than diabetes management. A portable USB drivecontaining blood glucose management software would plug directly into a standard cardiovascular exercise machine and interface with the software already in place. Inaddition to standard parameter read-outs (i.e., heart rate, blood pressure, caloriesburned), the USB software would offer PwD real-time blood glucose managementrecommendations during exercise. The USB device would receive feedback from theinsulin pump, glucometer, and CGM totaling the patient’s current glycemic and insulinstate. At the same time, the exercise equipment would deliver feedback to the USBprogram on duration, intensity, and mode. The combined information would bepresented to the PwD directly on the cardiovascular equipment control screen therebyproviding real-time recommendations for insulin dosage, carbohydrate ingestion,exercise intensity and duration. The portable USB device would store the informationcollected during exercise and make it accessible at a remote location (i.e., home or healthcare professional’s office) for follow-up assessment or future exercise program planning.
Implementation would require software development and licensing.
Benefits : The portable USB exercise feedback system is an active learning tool thatwould eliminate the guesswork and mental stress involved in glucose managementduring exercise by tailoring precise recommendations based on real-time data. Thistechnology would decrease the number of instances PwD experience exercise-inducedhypo- and hyperglycemia, which may in turn increase duration and frequency of exercise sessions given added confidence that glycemic and insulin levels would remainin check during activity.
Conclusion: The number of people with diabetes worldwide is expected to increase
from 246 to 380 million by 2025 (The International Diabetes Federation, 2006).Exercise is an essential tool in the daily management of diabetes; however, there is astifling element of unpredictability. A real-time exercise monitoring system is aninnovative and actionable idea to improve daily routine diabetes management.
References:
1. International Diabetes Federation. The Diabetes Atlas. 3rd ed. Brussels:
International Diabetes Federation; 2006.
2. Riddell M, Perkins B. Type 1 diabetes and vigorous exercise: applications of
exercise physiology to patient management. Can J Diabetes. 2006;30(1):63-71.
