Diabetes Technology Society: On the Horizon
Today, just a sampling of some of the interesting stuff presented at last week’s Diabetes Technology Society meeting, that will be out on the market in … um… some years from now (?):
IN-105 Oral Insulin for Type 2 diabetes – Biocon Limited, apparently India’s premier biotechnology company, has been developing oral insulin tablets for some years now. Positive research results were announced last year. And they’re not just for basal use, either. Studies confirmed that when Type 2 patients were given tablets ahead of meals three times a day, post-prandial glucose levels came down. A new trial is currently underway to explore long-term safety and efficacy (oh yes, that).
Injectable Continuous Ostomotic Glucose Sensor – LifeCare AS out of Bergen, Norway, is working on a CGM that’s so tiny it can be implanted without surgery. The product is called SENCELL, and will be injected under the skin on your wrist. The technology is based on osmotic pressure, b
ut please don’t ask me to explain the science behind it; something about a “reversible competitive affinity assay” that recognizes changes in glucose levels, and then wirelessly transmits them to an external receiver. All I know now is that the company claims it’s the “new frontier in CGM!” SENCELL is currently undergoing laboratory in vitro testing to determine reactions from the immune system. Hmmm.
Raman Spectroscopy = a very high-tech laser-beam type of measurement. A company called C8 Medisensors in San Jose, CA, is using it to develop “an innovative optical technology platform for non-invasive concentration measurement of substances in the human body.” For diabetes specifically, they’re working on a miniature CGM “that is practical to wear.” I haven’t seen it yet, but I read that their prototype measures 120 x 60 mm, and 60 mm thick, so that’s pretty compact (1 inch is 25.4 mm, btw, for us Americano types).
Ex Vivo Whole Blood Glucose Analyzer – The OPTIMUS system from IntelliDx in Santa Barbara, CA, measures patients’ blood in real time via an intravenous line. Which sounds gross, I know. But it’s designed, and apparently works very well for, hospitalized patients who have “abnormally elevated sugar levels due to either diabetes or stress as a complication of other diseases, injury or drugs.” Glucose control in the hospital is notoriously bad, and has a measurable effect on mortality rates (!), so a solution like this could be a godsend. The OPTIMUS prototype system was successfully tested on more than 50 subjects at two hospital sites where hundreds of measurements compared favorably against the YSI 2300 Glucose Analyzer, which I’m told is the current gold standard for whole blood glucose measurements (but obviously not good enough).
Closed-Loop Insulin Delivery Device from the University of Toronto. This one’s purely experimental at the moment. A group of scientists successfully designed and fabricated an implantable self-regulated, glucose-responsive insulin delivery device — something that would be the key to creating a true Artificial Pancreas system. They tested it on rats. It worked well for 5 days. We’re getting there.
OrSense Non-Invasive Finger-Reading CGM – Israel’s Orsense received European approval for its non-invasive CGM technology last
Spring. It uses infrared occlusion spectroscopy to measure glucose via a ring placed on your finger. WOW. According to the company, clinical studies show that its accuracy is “comparable to invasive solutions, while providing superior ease of use and safety.” Sound too good to be true? Yeah, I think so too. Can we dare to hope?
Tune in next week to read about one more, similarly futuristic D-technology, that I happen to have a bit more detail on. If it works like they say it does, you are going to like it!
















Amy:
Thanks for the heads up -and the science lessons!
Hope on the horizon in the form of new diabetes treatment & technologies are great things!
The fact that we are given new options with accuracy, portability, and discretion is wonderful!
Now, if they could just come up with a cure….
Posted by: k2 | November 13th, 2009 at 8:40 amI’m now reading about Novo Nordisk making progress on an oral insulin tablet http://www.reuters.com/article/Health09/idUSTRE5AA3R420091111 — out in 6 years or so, but “a potential game-changer” if the whole tablet thing works out…
Posted by: AmyT | November 13th, 2009 at 11:17 amI rarely post, but I wanted to say thanks for sharing this information.
Posted by: Liz | November 13th, 2009 at 12:55 pmGreat to read about the possibilities. Keeping fingers crossed for some of these.
Posted by: Daerick Lanakila | November 13th, 2009 at 8:47 pmIN 105 oral insulin tablet, worlds first oral insulin wll be lunched by India?s premier biotechnology company,BIOCON in august september 2010 in india. BIOCON CMD mrs Kiran Mazumdar Shaw recently announced “And now I would like to quickly shift gears and touch upon some of Biocon?s own novel programs. I think Biocon?s oral insulin is being watched very carefully and with great interest from people all across the world. We are hoping that this will become a blockbuster global opportunity for Biocon because we will look at partnerships to gain that global access. Having said this, I must also be very realistic. This is a program that will have to wait until the clinical data emerges, which will only happen by around June
Posted by: R CHOUBEY | November 18th, 2009 at 5:20 am2010. Patient enrolment is nearing completion but the unblinding of the data will happen only by around June next year. So that is the time we feel that we may be able to make a big announcement on this.
that will be great relief for diabetics who takes pen pain daily
I know we’re a tough crowd. I know that much of this stuff seems too good to be true. I know that I’m damn skeptical until I see it working well.
I also know that I’m happy to see so many things being worked on.
Posted by: Scott K. Johnson | November 29th, 2009 at 6:33 pmI just read this article comparing type 2 diabetes drugs Avadia and actos. Which one is more harmful? Anyone else know about this? Here’s the article if anyone want to read more: http://www.orderonlinedrugs.com/drug-news/2009/08/19/researchers-claim-avadia-type-2-diabetes-treatment-is-less-safe-than-actos/
Posted by: mary-jean | December 1st, 2009 at 10:32 am