July 28, 2014

Let’s Put on a Show! (aka FDA has open dockets)

FDA has a docket open seeking public comment on Medical Device Data Systems (MDDS.)

What is that you ask? Good question.

A MDDS is a systems that, in the FDA words, facilitates, “the electronic transfer or exchange of medical device data from a medical device, without altering the function or parameters of any connected devices.” In other words provide second screens for information. FDA is proposing lessening the regulatory process for MDDS as they introduce little additional risk. I agree.

For people with diabetes this may mean seeing our information on additional screen such as our phones. Go FDA!

The guidance speaks directly to mobile.

It is unclear how CGM data is viewed for this data. FDA specifically draws a line at active patient monitoring in the guidance. They don’t exactly say what that is. In my view is that is meant to be in clinic critical care monitoring, not patient self monitoring such as CGM.

I hope to help FDA make that distinction by sharing my views. I would love some company helping FDA see how PWD feel about information.

So far there are two (2) comments on the FDA docket. That seems hardly enough.




One of the keys to successful advocacy is getting attention. I have talked a lot about how much I love the paper Back to Basic as a model for diabetes advocacy. Now the book is a block buster summer movie. (OK part of the paper is in this Youtube video from MasterLab.)




In my view one way the diabetes community can get attention is to speak up in droves when FDA is listening. MDDS isn’t the sexiest subject in the world, neither are food labels (http://diabetesadvocates.org/tell-fda-your-thoughts-on-the-proposed-nutrition-fact-label-by-aug-1/) but if we don’t show up when the policy makers are listening how can we claim we need to be heard?


Please comment on food labels. The docket is open to August 1.

Comment on MDDS, it is open August 25.

Let’s get policy makers attention. Let’s put a show making of comments into the dockets.

July 15, 2014

Novartis Joins With Google on BG Contact Lense

From the NY Times:

Novartis Joins With Google to Develop Contact Lens to Monitor Blood Sugar 
LONDON — Google announced on Tuesday a partnership with the European drug maker Novartis to develop a smart contact lens with the potential to monitor the wearer’s blood sugar levels.

http://www.nytimes.com/2014/07/16/business/international/novartis-joins-with-google-to-develop-contact-lens-to-monitor-blood-sugar.html?_r=0

KISS Advocacy - ThePrefect D

I love the piece, the KISS of Diabetes Advocacy by Christel over at the Perfect D.

Her's is spectacular show of how advocacy can be simple and how it can be effective. The more of us who jump in the simpler it can be, In a counting game winners tally up the score. That is what diabetes needs to help avoid the untended consequences of poor public policy.

What sets this piece apart is she makes her case in an upbeat, face painted Rock 'N Roll way.

Advocacy can be fun, as a choice of attitude and Christel's is on the money.

Here's the link, surf on over and have a look.

http://theperfectd.com/2014/07/14/the-kiss-of-diabetes-advocacy/

Stanford research develops news way of diagnosing T1D.



From the SF Chronicle:
A Stanford University team has developed a small invention to spot an increasingly large health problem: Type 1 diabetes. 
The palm-size chip can analyze a few blood drops and diagnose the disease in new diabetics, as well as identify people who are at risk of developing the disease, the scientists say. They are filing for a patent, seeking federal regulatory approval and helping to form a startup to commercialize the chip, which they say works more quickly and is cheaper than existing diagnostic tools. 

http://www.sfgate.com/technology/article/Microchip-to-ID-Type-1-diabetics-developed-by-5619057.php#photo-6586535

July 7, 2014

Jerry the Smart Bear IndieGoGo

Look everyone needs a smart bear, iBear, scholar bear or in the case of T1 kids a friend they can care for.

Jerry has a crowd source opening today. Jump in. Everyone needs a bear.




This is how I imagine Jerry graduating.

Jump in:
https://www.indiegogo.com/projects/jerry-the-bear-reinventing-diabetes-education-through-play


- Posted using BlogPress from my iPhone

Location:EPCOT

June 4, 2014

Medtronic Combines Set and CGM - @DiabetesMine

Good Friend, Mike Hoskins has a write up on Medtronic combination CGM sensor and infusion set that has been introduced in Europe, over at DiabetesMine. Well worth a click, here is a little tease of what he has to say:

Medtronic is leading the charge on new diabetes devices again, with a first-of-its-kind combo device launched in Europe that brings a continuous glucose monitoring (CGM) sensor and insulin infusion set together into a single device with combined insertion capability!
The company announced its launch of the Minimed Duo on Tuesday, after getting CE Mark approval for European sale early this week.
The new Duo uses the Minimed Veo system (which is the 2009-approved European version of thenew Minimed 530G system that was approved in the U.S. last fall) and the accompanying Enlite sensor.
The magic here is that the Duo merges the insertion needs for both insulin infusion and CGM monitoring into just one spot on the body — instead of two different sites on your body as has always been required. Note that this is not the full dream of a single cannula — you’d still have two puncture spots on the skin where the steel catheter and glucose sensor go in — but you’d only have to push one button on a single, combined inserter to place both your insulin pump and CGM automatically, plus the needles retract so you don’t have to see them.

May 22, 2014

Surveillance Success!

Good News!


The Diabetes Technology Society (DTS) this week announced the launch of the DTS Surveillance Program for Cleared Blood Glucose Monitors. This surveillance program will provide independent assessment of the performance of cleared blood glucose monitors following Food and Drug Administration (FDA) clearance against accepted standards, and generate information that can assist patients, healthcare providers, and payers in making the right product selection.
Initially the program is being supported by Abbott but DTS says that other BG Monitor manufacturers are currently looking into coming on board.  They (and I think all of us in the community) would welcome funding from other sources that recognize the importance of and wish to lend their support to surveillance of cleared BG Monitoring systems to obtain information about the performance of these products.
The announcement says there will be patient advocates involved. I asked DTS who that would be and they replied, "Patient advocacy groups will be selected based on recommendations by the Steering Committee and the Board of DTS." I may have thoughts on the matter too. 
Finally I asked, what do we need to do to make surveillance mandatory, because, I assume it will start as voluntary?
DTS's reply was, the program can be made mandatory if a special rule is developed by FDA or if a law is passed by Congress.

So there is still advocacy work to accomplish.  

May 12, 2014

Access is the point of Advocacy



The prompt for today:

Let’s kick off Diabetes Blog Week by talking about the diabetes causes and issues that really get us fired up. Are you passionate about 504 plans and school safety? Do diabetes misconceptions irk you? Do you fight for CGM coverage for Medicare patients, SDP funding, or test strip accuracy? Do you work hard at creating diabetes connections and bringing support? Whether or not you “formally” advocate for any cause, share the issues that are important to you.

Yes.
All of the above,
and then some.

Diabetes is Big. Policy is Big.

They touch at a lot of different points. Because both are big, often one touch point doesn't know what the other is trying to do.

It would be glorious, for example, if efforts at prevention were connected to the key idea of access via insurance reimbursement for quality education on how to successfully prevent or at least postpone type 2. Great if third party payers looked at education as the investment in saving lives and expenses down the road that it is, sadly it is not always seen that way.

The list of issues in the prompt seem quite different;

  • 504 and schools
  • Misconceptions
  • CGM and CMS
  • Special Diabetes Program
  • Test Strips
  • Connections with peers

I don't see it that way. To me they are all access to issues:

  • Access to safe school environments.
  • Access to accurate public messages about diabetes.
  • Access to treatment and technology to continue to successfully manage diabetes.
  • Access to research to better treat diabetes. 
  • Access to reliable devices.
  • Access to people who can help individuals stay positive and engaged. 


Advocacy is acting to ensure access. What people need access to may, like diabetes, vary. The need to act with and for each other doesn't vary. If we don't act for better diabetes access, who will?

May 6, 2014

MasterLab - July 2, become a better policy advocate.



Become a stronger champion for effective diabetes policy.
July 2, 2014 7am – 5pmOrlando World Center Marriott
Speakers include:
  • Patient advocates from other diseases
  • FDA
  • Government  and Regulatory Affairs representatives from device and pharmaceutical companies
  • Other experts.
Understand the role of patients, empower diabetes advocates:
  • Policy, regulatory issues
  • What advocacy looks like now and where we can improve.
  • How can patients be effective in the policy landscape?

Diabetes Hands Foundation offers this MasterLab in collaboration with Children with Diabetes (CWD). Registered participants in CWD’s Friends for Life conference are welcome to join the MasterLab as part of their FFL experience at no additional cost. 
Please email Mike@diabeteshf.org for a promo code 
to use for free registration for the MasterLab.

Then register here.

*Stand alone registration for the MasterLab is $50 per person for those not registered  as Friends for Life participants

May 2, 2014

Yo DOC! How do ya feel about 400?


Comments that is.

We are at 342.

If posts to the FDA docket on personal use glucose meters were held to the 2003 ISO standards for glucose meters, I could claim we have 400 comments and consider that an accurate reflection of 342.   342+20%=410.

That's bogus. Let's get a real 400. Commenting is easy. It takes two minutes.

The docket is open to May 7.
That's one place where a 400 is something to feel good about:



Please: