All posts by Irida DeeBee.it

Solo, the patch pump that no longer leaves the OmniPod on its own

In 2019 the choice of insulin pumps in Italy will be expanded by the introduction of the Accu-Chek Solo (Micropump system) made by Roche. The device was awarded a CE mark in July 2018 and is approved for use by patients from 2 years of age. The pump is based on the design by Medingo. Ltd which was approved by the FDA in 2009 and purchased by Roche a year later.
Unlike the more well known OmniPod, the Solo has a semi disposable unit which is controlled via Bluetooth using a touchscreen handheld device with an intergrated Aviva Accu-Chek glucometer.

The part that attaches to the body is:

• An adhesive patch ( the pump holder) which has a plastic grafted inlay where the pump base and reservoir sit, this lasts up to 3 days.

• A pump base that contains the minimotor (with a piston system similar to that contained in conventional infusion pumps, and therefore different than the OmniPod system) and electronic components. It can be used for up to 4 months. The disposable reservoir part is inserted into this.

• The insulin reservoir, this can contain between 80 and 200 units of insulin and is replaced every three days. It is made of transparent material so that it is easy to see both the level of insulin as well as the presence of air bubbles.

It can be applied in four possible areas of the body: abdomen, legs, upper buttocks and arms.

Even though it looks very similar to its “cousin” the Omnipod there are a few important details that make the two quite different.

• The Solo micropump has two lengths of cannula available, a 6 mm and 9 mm these are made of soft teflon.

• The dispensing of insulin can take place by not only using the Personal Diabetes Manager, but also by pressing two buttons on the sides of the patch pump, thus avoiding inconveniences in case of loss or defect of the PDM (see below). By simultaneously pressing the two side buttons, after the audible confirmation, you can dispense insulin quickly in what is called a, “quick bolus”. Each time you press the buttons, it delivers insulin as needed, from as little as 0.20 to 2 units at a time.

• The pump part is water resistant but must not be immersed in water. It needs to be removed when having a bath or swimming. In these circumstances only the pump holder should be left on the body.

• The minimum basal rate is 0.0U / h (compared with 0.05U / time OmniPod), and the minimum bolus is 0.01U (0.05U compared with the OmniPod)

The Handheld Device

This is called the Personal Diabetes Manager (or “PDM”) it has a 4-inch colour display which can be locked preventing any accidental operation of the device. The display on the status screen allows you to see the time and date, the insulin level in the reservoir and the current basal rate. The battery is charged just like an ordinary smartphone, it features a display which confirms the bolus delivery and an integrated blood glucose meter port.
(The picture below shows the comparison in size between the remote control of Accu-Chek Insight and that of the Solo micropump).

Introducing a new Accu-Chek Italian User Group

With the imminent arrival in the Italian market, we reveal a new Facebook group dedicated to the new addition to the Roche family: This will be a place where members can exchange information, ideas and views on the new pump. As with all the other DeeBee groups, this will be a digital closed group , to protect the privacy of its members, please visit the group, we are waiting!

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GNSentry, il lettore per FreeStyle Libre che non ti aspetti

Era nell’aria da tempo, complice la necessità di avere un Libre con letture continue e allarmi, e un dispositivo piccolo, leggero e facilmente portabile senza dover fare acrobazie e usare particolari accorgimenti per evitare distacchi, disconnessioni e configurazioni complesse.

Se Blucon e MiaoMiao giungevano da noi dopo un lungo viaggio intercontinentale, GNSentry è stato prodotto in Spagna, precisamente a Valencia, ed è acquistabile da qui per ora ad un prezzo di lancio. Insomma un lettore latino, pulsante e caldo, che dietro ha una storia di amicizia e impegno. Il progetto, messo a punto dopo un lavoro lungo e prove durate tre anni, è nato per aiutare un amico con una figlia affetta da diabete di Tipo 1. Tre amici, esperti nel campo dell’informatica, hanno provato e riprovato senza sosta, hanno cercato con tenacia la migliore soluzione per dotare Libre con allarmi e letture continue. Le versioni del “braccialetto” e della sua app sono cambiate nel tempo, per arrivare a quello che oggi sembra un leggero nido per far dormire Libre e genitori.

Confezione

Il lettore, spedito a DeeBee dal produttore per i test, arriva in fretta, in una scatola munita di sigillo. Buon segno!

Contenuto

Oltre al lettore, nella scatola troviamo un cavetto micro USB (ebbene sì, si ricarica mediante la classica presa), una graffetta per resettare, simile a quelle usate per togliere la SIM dagli smartphone, le istruzioni d’uso e tre fasce di diverse misure dotate di velcro.

Non servono adesivi (che sono a rischio di allergie), né gusci, tantomeno fasce aggiuntive. Il lettore ospita il sensore Libre al suo interno, riparandolo anche da urti e strappi. Ha un foro per il reset che serve almeno la prima volta dopo averlo caricato, pronto per metterlo in funzione.

Peso e dimensioni

Se a prima vista sembra più grande dei suoi predecessori, Blucon e MiaoMiao, messo a confronto, risulta essere non solo meno ingombrante, ma una soluzione molto più facile da portare, almeno sul braccio.

MiaoMiao con Kiwi e GNSentry a confronto

Ormai la leggerezza si gioca sui grammi.

Impermeabilità

Il dispositivo, con un bel nome complicato, ma da noi già battezzato “el gato“, sembrava sensibile all’acqua visto il normalissimo lo slot di ricarica.

Invece, oltre alla certificazione CE, ha anche quella IP67. Quindi  resistente all’acqua dolce a 1 metro di profondità per 30 minuti.

Compatibilità

L’app messa a punto dal team spagnolo è compatibile con quasi tutti i cellulari Android e iOS. Per ora, come d’altronde tutti i suoi concorrenti, il lettore dialoga con FreeStyle Libre, in attesa di decriptare Libre 2, per ora disponibile solo per alcuni pazienti in Germania.

Dopo averlo caricato cominciamo a provarlo, per ora solo ed esclusivamente con la sua app.

Non resta che darci appuntamento al prossimo articolo, con i primi test sul campo…

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«My week with Libre 1, Libre 2 and xDrip+. That’s one I prefer»

First I would like to thank Deebee.it, specially Fabrizio Casellato and Irida Cami, the opportunity to test Abbott Freestyle Libre 2. Without them, this comparative test would not be possible.

Who am I?

My name is Sérgio Silva, I’m from Terceira island (Azores – Portugal), I’m 36 years old, I’m an IT technician and paraglider. My Diabetes appeared since I was 16 years old (1998). By August the 7th, 2018, I create the Portuguese Facebook group, entitled DiabéT1cos (www.diabet1cos.pt). I’m a user of an artificial pancreas (AndroidAPS + Accu-Check Combo) since August 2018 and I’ve recently collaborated in the translation into Portuguese of xDrip+ and AndroidAPS.

English translation by Sara Santos

What is the comparative test?

The objective is to compare Libre 1 with Libre 2, using official readers with the Libre 1 data, with Miao Miao and xDrip+ (with calibration plugin Dactrisae, recommended by the app development team for transmitters such as Miao Miao and Blucon). The Contour Next One meter is used to measure blood glucose with a capillary test.

It is important to note that since using the FreeStyle Libre (January 2018), it has been almost a general rule for the sensor to show lower values than the capillary test. So, most of the time, when it indicates that I’m in “Lo” when I can even be with 80 or even 90mg/dL. Let’s see how it goes now with Libre 2…

How will it be performed?

To ensure a more reliable comparison:

  • The two Libres on the same arm, relatively close to each other since the readers only read the sensor corresponding to the version of the reader;

You might also be interested in:
Accessories and bands for MiaoMiao

  • Sensors with same expiration date: 2019-07-31
    • Libre 1: LOT 180909Q
    • Libre 2: LOT 3515698

  • Sensors placed and activated at the same time (unlike what I usually do). I did not put them in 24 hours before activating them, as this way it is possible to check the reaction of Libre 2 on the first day of use following what is officially recommended..
  • Software: xDrip+ build 22 febbraio 2019 withTicwatch E as”collector”.
  • Contour Next strips:
    • LOT DP7KPEC01A – Expiration date: 2019-10
    • LOT DP7FPEF03A – Expiration date: 2019-06
  • Readers:
    • Libre 1: 2.2.13/0.94
    • Libre 2: 1.0.0.12/1.03

Performed tests

  • Comparison of capillary test values with Libre 1, Libre 2 and xDrip+
  • Check the Libres readings when the blood glucose value is updated on xDrip+.
    • In situations where:
      • Stable Blood Glucose
      • Fast ascent/descent
      • Slow ascent/descent
  • Final comparison of sensor usage; average of 7 and 14 days.

Let’s start!

Sensors activated on February 22nd, 2019 at 11pm.
NB: Values in parentheses represent the difference between the blood glucose value and the capillary test result.
All values are in mg/dL.

1st DAY – February 23rd

First Reading 23/February at 00h

  • Capillary: 102
  • Libre 1: Error “Try to read again in 10 minutes”
  • Libre 2: 89 (-13)

Libre 1 presented the error “Try in 10 minutes”, I was testing for 30 minutes and the error continued. I thought it would be better to remove it and place a new sensor.
That way, there wasn’t much time wasted comparing it to Libre 2. When I removed the sensor I noticed that the tip of the flexible strip of the sensor was crooked (I did not have one with the same expiration date as the Libre 2). I activated the sensor around 00:30, taking the first reading and calibration around 2:00 in the morning… I fell asleep and could not do the test one hour after activation.

Libre 1 sensor data: LOT 329696964
Expiration Date: 2019-05-31

Libre 1 reading at 2:05 in the morning

  • Capillary: 74
  • Libre 1: 53 (-21)

Reading at 7:30.

  • Capillary: 95
  • Libre 1: 71 (-24)
  • Libre 2: 114 (+19)
  • xDrip+: 139 (+44)

Reding at 21:15

  • Capillary: 101
  • Libre 1: 98 (-3)
  • Libre 2: 101 (0)
  • xDrip+: 101 (0)

For me, the usually most critical day after activation of Libre, also on xDrip, given the calibrations.

2nd DAY – 24/February

Reading at 7:05

  • Capillary: 65
  • Libre 1: 47 (-18)
  • Libre 2: 53 (-12)
  • xDrip+: 83 (+18)

Reading at 11:00

  • Capillary: 91
  • Libre 1: 70 (-21)
  • Libre 2: 71 (-20)
  • xDrip+: 111 (+20)

Reading at 14:45

  • Capillary: 128
  • Libre 1: 124 (-4)
  • Libre 2: 143 (+15)
  • xDrip+: 150 (+22)

Reading at 20:50

  • Capillary: 131
  • Libre 1: 111 (-20)
  • Libre 2: 100 (-30)
  • xDrip+: 116 (-15)

3rd DAY – 25/February

Reading at 7:05

  • Capillary: 76
  • Libre 1: 61 (-15)
  • Libre 2: 63 (-13)
  • xDrip+: 79 (+3)

Reading at 11:55

  • Capillary: 94
  • Libre 1: 80 (-14)
  • Libre 2: 76 (-18)
  • xDrip+: 97 (+3)

Reading at 16:15

  • Capillary: 66
  • Libre 1: 57 (-9)
  • Libre 2: 62 (-4)
  • xDrip+: 74 (+8)

Reading at 22:25

  • Capillary: 146
  • Libre 1: 132 (-14)
  • Libre 2: 131 (-15)
  • xDrip+: 133 (-13)

4th DAY – 26/February

Reading at 6:50

  • Capillary: 93
  • Libre 1: 84 (-9)
  • Libre 2: 85 (-8)
  • xDrip+: 86 (-7)

Reading at 11:55

  • Capillary: 87
  • Libre 1: 73 (-14)
  • Libre 2: 73 (-14)
  • xDrip+: 90 (+3)

Reading at 22:15

  • Capillary: 123
  • Libre 1: 110 (-13)
  • Libre 2: 121 (-2)
  • xDrip+: 122 (-1)


5th DAY – 27/February

Reading at 6:55

  • Capillary: 99
  • Libre 1: 79 (-20)
  •  Libre 2: 81 (-18)
  •  xDrip+: 98 (-1)

Reading at 12:10

  • Capillary: 105
  • Libre 1: 88 (-17)
  • Libre 2: 104 (-1)
  • xDrip+: 100 (-5)

Reading at 22:15

  • Capillary: 113
  • Libre 1: 121 (+8)
  • Libero 2: 127 (+14)
  • xDrip+: 113 (0)

6th DAY – 28/February

Reading at 6:45

  • Capillary: 91
  • Libre 1:75 (-16)
  • Libre 2: 82 (-9)
  • xDrip+: 93 (+2)

Reading at 12:45

  • Capillary: 88
  • Libre 1: 79 (-9)
  • Libre 2: 85 (-3)
  • xDrip+: 95 (+7)

7th DAY – 1/March

Reading at 7:10

  • Capillary: 113
  • Libre 1: 72(-41)
  • Libero 2: 130 (+17)
  • xDrip+: 82 (-31)

Reading at 9:20

  • Capillary: 78
  • Libre 1: 46 (-32)
  • Libre 2: 66 (-12)
  • xDrip+: 74 (-4)

Reading at 11:35

  • Capillary: 69
  • Libre 1: 43 (-26)
  • Libre 2: 64 (-5)
  • xDrip+: 80 (+11)

Reading at 16:10

  • Capillary: 97
  • Libre 1: 46 (-51)
  • Libre 2: 88 (-9)
  • xDrip+: 91 (-6)

Reading at 21:45

  • Capillary: 71
  • Libre 1: LO 40? (-31)
  • Libero 2: 65 (-6)
  • xDrip+: 77 (+6)

Values after 2 xDrip+ rapid ascent readings

  • Capillary: 124
  • Libre 1: 92 (-32)
  • Libero 2: 87 (-37)
  • xDrip+: 100 (-24)

Values after 2 rapid descent readings on xDrip+

  • Capillary: 85
  • Libre 1: 101 (+16)
  • Libre 2: 126 (+41)
  • xDrip+: 109 (+24)

And at the end of the 7th day, Libre 1 ends up dying, the readings were already strange on the 1st of March, and then it ends up giving a reading error, so that the reading is repeated in 10 minutes and after a while there is an error so that the sensor can be changed. There was supposed to be a second part of the test, with comparison of the 14 days, but in this case I end up staying only for the first 7 days.

Statistics for the first 7 days

Averages of the difference between the finger test and the values presented in the 26 tests performed (not counting the first test, since Libre 1 did not present values in the first result):

  • Libre 1: -17.12
  • Libre 2: -6.12
  • xDrip+: -0,73

Average of 7 days

Libre 1: 87
Libre 2: 98
xDrip+: 105

A1c

(converting the average of the Libre readers as an estimate)

Libre 1: 4,83%
Libre  2: 5,44%
xDrip+: 5,3%

xDrip+ calibration chart for the 7 days of use

TIR (Time in Range)

Range of the target: 70-170

  • Libre 1: Above: 2%. In range: 67%. Below: 31%
  • Libre 2: Above: 1%. In range: 75%. Below: 22%
  • xDrip+: Above: 2%. In range: 91%. Below: 5%

Patterns of 7 days

My conclusions

In my opinion, Libre 2 behaved much better than Libre 1 and I noticed this in the first 24 hours. As I said before, they end up being the most critical hours in relation to the values presented. After the initial 24 hours, and as usual, Libre 1 always showed much lower values than the test result on the finger and xDrip+. In turn, Libre 2 indicated higher values than Libre 1 and closer to the capillary test. Observing my results, Libre 1 would spend most of the time in hypo, which does not correspond to the truth. Therefore, if I trusted only Libre 1 (without capillary tests) I would always be correcting a non-existent hypo, which in turn would increase the laboratory test of my A1c. I still trust the values of xDrip+ and if I didn’t, I wouldn’t be able to use artificial pancreas. After all, all decisions regarding the amount of insulin are analyzed at each result received, every 5 minutes.

In this test, we can also see that many of the irregular values of xDrip+ have an influence on the malfunction of Libre 1, which ended up dying after 7 days.

In order of preference:

  1. Libre 1 + Miao Miao + xDrip+ solution
  2. Libre 2
  3. Libre 1
Is Libre 2 an alternative to Miao Miao with xDrip+?

My answer is no! It is not an alternative, neither far nor close, who was waiting for the Libre 2 not to have to buy the Miao Miao, in my opinion was a waste of time.

Libre 2 is a FGM (Flash Glucose Meter), instead of Miao Miao that converts a Libre into CGM (Continuous Glucose Meter), which makes it necessary to pass the reader through the sensor to have the value in an episode of hypo or hyper.

It seems that the only data that is transmitted by Bluetooth is the information to trigger the alarm. A curious thing happened to me only once and I don’t even know how I did it, I could see in my mobile phone, in the Bluetooth menu a device called “ABBOTT56456” (the numbers weren’t these, because I couldn’t memorize them), but right after that it disappeared. Is there anything planned to connect to the mobile phone, when near the reader, as a warning for hypo or hyper?

The alarms on the xDrip are silenced for a certain time, by default 30 minutes in the hypo and 2 hours in the hyper, the time that supposedly takes us to get out of a hypo and the insulin acts in case of hyper and, in case we continue in hypo or hyper, the alarm rings again. In the case of Libre 2, it is played only once in each episode, that is, if you have hypo and silence the alarm, it will only ring again when you leave the hypo and enter it again, which in a night hypo and in the middle of tiredness and sleep, may not have great effectiveness in preventing serious episodes. On the other hand, I understand how it is not possible to calibrate Libre 2 and how it happens to me to have values always lower than the capillary test, Libre 2 would be beeping for most of the day. Another available alarm refers to the distance of the reader in relation to the sensor for more than 6 meters, which really must have the idea of alerting that we may not be being monitored, in cases of hypo and hyper, but I keep thinking, if I get so far away, how will I hear the alarm? If I leave home and leave the reader behind by forgetting, how will I hear the alarm?

And how will remote monitoring of glycemia be done? As far as I can see, to date, it will be just like in Libre 1, using LibreLink on an NFC-enabled mobile phone to pass the phone through the sensor to read the value and then transmit it to the follower, who uses LibreLinkUp, but without receiving the graph of the day and only the value seen at the moment.

It’s curious that Libre 1 was released more than 2 years ago in Portugal and the two apps are not available for download at Play Store (Google) or App Store (Apple) in Portugal.

What about the calibration?

It’s unavailable in Libre 1 and 2… as seen in this test and by the average of the tests performed at some time of the day, the xDrip+ with calibration is much closer to the value of the capillary test and the Libres are not.

We remember that these are not absolute conclusions, but relative to the experience of the writer. To draw safe conclusions, Diabetes Technology Society tools to calculate risk around MARD need more data points (this article reports 26).
The values presented by xDrip are more often higher than capillary glucose: this, especially when used with an AAPS system, could create a risk of overdosing insulin.
Thanks to Tim Street for the precious feedback.

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Nightscout over the clouds

This article has been translated with an automatic algorithm. We are looking for volunteers to translate our free services and articles into English. If you are interested, please contact us here: info@deebee.it.

He found a very special way to remember his longest space walk outside the ISS, the International Space Station, the American astronaut Aaron Wallace. Once back on board, during a live link broadcast on the Station’s FB profile, he told that during the hours spent out, the main thought was directed at his seven-year-old son Adam, who had three afflicted with type 1 diabetes mellitus.

This is testified by the photos taken during the seven-hour space walk, during which Adam’s blood sugar levels rose sharply. This represents the record for remote glycemic control in terms of distance. Before returning home, the astronaut plans to do one last extravehicular activity to prepare the station for the berthing of future capsules.

iss

The International Space Station, which is in orbit between 330 km and 435 km above sea level and has been travelling at an average speed of 27 600 km/h, has been inhabited since 2 November 2000. In recent years, crews of different nationalities have alternated on board, consisting of two to six astronauts. It should remain in operation until 2024, the date set for achieving the scientific objectives, before being partially dismantled, destroyed or reused.

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My first two weeks with Miao Miao and his app

This article has been translated with an automatic algorithm. We are looking for volunteers to translate our free services and articles into English. If you are interested, please contact us here: info@deebee.it.

I had the opportunity to have Miao Miao a few weeks ago and realized that in order to use it immediately I would have to learn… Chinese. A language not very close to mine. Being tough in nature, I did not pull back.

I couldn’t wait; I got stuck with impunity and I did! It took a few days before I could use the app with my iPhone. Apart from the language difficulty, which can be overcome as soon as the English version is released, the app is quite complex. But it is also complete and, in addition to the usual options, gives the possibility to exchange information and compare notes with other people who use it.

Day by day, I have understood more and more and my enthusiasm has increased. Within two weeks, I had my blood sugar readings every 5 minutes, there were no problems or disconnections. And that’s not all: blood sugar values were also transferred in parallel to Apple Health.

To my surprise I realized that after two weeks and a few hours of use, the remaining capacity of the battery was 60%!

The second FreeStyle Libre in CGM is being tested with my Samsung S4 mini with xDrip + (special). After 5 days and 4 hours, the battery still shows 80%.

If the communication between xDrip + and Miao Miao remains as good and stable as the original Chinese app, it will be a really wonderful thing! And I would be even happier if Miao Miao were integrated into Glimp!

Bruno Bolli

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Miao Miao: Unboxing and first impressions

Note. This article has been translated automatically. DeeBee.it is a No Profit Association and it’s looking for volunteers and translators. If you’re interested, write us: info@deebee.it Thank you!

As we have anticipated, DeeBee had the privilege of receiving one of the first units of Miao Miao for countries outside China, with limited editions. There are currently two versions of the reader: one Chinese, which is sold with Tomato’s proprietary software (soon in English, but now only in Chinese), the other international and open to third party software – such as GlimpxDrip+ e Spike,, whose fearless programmers are rapidly implementing the appropriate interfaces to communicate with the newcomer.

Want to be always updated on Miao Miao? Join the Miao Miao italian community, dedicated to this reader. It is a closed group, respecting the privacy of each member.

Shipping

Since the manufacturer has shipped the device to us to test it, only 7 working days have passed that, if compared with the biblical times that often takes to arrive the goods from China, is a respectable timing.

Miao Miao arrives in a small anonymous box, whose origin can be guessed only because the recipient’s address shows “Italy” and, next to it, three pictograms (which, presumably, mean “Italy” – but by?-).

Opening the box

Inside the feather-weight box, we find the object of desire: Miao Miao, wrapped in a layer of pluriball that prevents any possible impact. The first impression is one of extreme attention to detail: every view you look at always looks just where it should be.

Opening the package

One thing is more impressive than the others: the opening of the package. Yes, because the eyes are hidden by a reader who doesn’t believe in it until one has it in front of them: it is incredibly small, small and thin. It looks almost like a Libre! My first thought was, Miao Miao, you are embarrassing! Good fun, of course: I like it so much that every reader I’ve tried before gets pale!

Content

In addition to Miao Miao, we also find the Miao Miao charging cable which, we remind you, has a declared duration of 14+ days. In addition, the Chinese language manual of the dedicated app peeps out, but it only contains the main indications on how the app works (it has many functions, which we’ll discover gradually) and nothing else.

Final considerations

My own heart surprised me, let us say. Small and light. So light, that I wanted to weigh it with the precise Lidl scale.

To give you an idea of the size of Miao Miao, I took a couple of photos that depict, in order (starting from the left): the tank of the Omnipod pump, the transmitter of Eversense, the reader Miao Miao and the sensor Dexcom G5 with its base (or G4 first edition, which has the same size as the G5) .

Now all that remains is to recharge it.
And expect another chapter…

Fabrizio Casellato

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Spike, the App you should try!

Recently a new wind is blowing in the diabetes’ apps panorama. This time it comes from Portugal. The creator is Miguel Kennedy. We met him in order to introduce him to you:

Thank you very much for giving me this interview. I am very curious to know something about you. Can you tell us for example what kind of studies you have done and where your passion for information technology comes from?

My pleasure! Thank you for having me!

I’ve always liked science (mathematics, physics, chemistry, etc.) since I was little. I got my first computer when I was 16 and since then I felt in love for code. When I was 18 I studied Computer Science and Engineering at Instituto Superior Técnico in Lisbon, then worked as a computer programmer for a few years and also as a teacher. Later in life I switched careers and got into nutrition and sports. I missed my programming days so I decided do create Spike as a comeback. Being able to contribute to the diabetic community and impact people’s lives in a positive way fills me with joy and happiness.

Is there a particular reason that brought you to adopt technology to manage diabetes disease?

It came very natural to me. I’ve always used technology for everything I do in life. Adopting a more technological approach to diabetes management was the only logical step for me. I was diagnosed only 2 years ago so I already had a broad technological background to apply to my management.

How was the now very popular app ‘Spike’ born? This app is a big success and is beloved by many people!

The response has been overwhelming and unexpected. Spike is still a baby project that was released to the public only 3 weeks ago. More than 2000 people in 72 countries already use it.

Spike was born thanks to Johan Degraeve. Johan started a project called iOSxDripReader one and half years ago. He did an amazing job porting some core xDrip features to iOS. Around 6 months ago I joined Johan and started contributing to iOSxDripReader development. At that time, I also started developing a new UI for the app. While I worked on the UI I started changing a lot of iOSxDripReader’s code and adding new features. As time went by I decided to release it as a different app, with a different name and set of features and more targeted to the general public.

After Spike was released I invited Johan to join me and help me develop it even further. I’m very grateful to have him as my partner in Spike. His talent and generosity towards the diabetic community are an essential part of Spike’s success.

Which is the difference between Spike and other similar apps?

Spike is an app developed with the #WeAreNotWaiting mindset. It’s made by diabetics for diabetics. Highly integrated with the open source diabetic community, apps and services. Spike is not a medical app and that gives us more freedom to develop features that are yet no available to the general public. There are too many features in Spike to list so I invite everyone to visit spike-app.com to learn more about the app and request an invite to try it for themselves.

How long have you been working on this project? My impression is that you are now operating 24 hours a day, aren’t you?

Spike has been in development for about 5-6 intense months. It might not seem much but that’s because it was built from iOSxDripReader. So I would say that total development time to make Spike a reality is around 2 years.

I do have a day job but I’m fortunate to manage my own business. I was able to take some time from my regular job to focus on Spike in its first month of release so I could make it as stable as possible and give support to new users. Now that Spike is used by a lot of people, most users are able to support each other which gives me and Johan more time to focus on development.

How many people are working with you?

Right now Spike is developed by Johan Degraeve and I.

Can you tell me something about the cooperation with the x-drip team? I am asking because I was hoping that it could happen one day, even if it seemed almost ‘science fiction’. But it occurred and in a full spirit of cooperation and solidarity.

xDrip is a big part of Spike. The algorithm that Spike uses to calibrate blood glucose readings and connect to different brands of transmitters was initially developed by the xDrip team and later ported to iOS by Johan. We are all friends and talk to each other on a regular basis. That allows us to share information and discuss strategies on how to bring more advanced features to the public. There’s a great spirit of cooperation between developers in the diabetic community. Everyone is always available to help when needed. Our cooperation is focused on finding solutions for common development problems, but each team is responsible for developing its own set of features for its own app.

Will it be possible to synchronize all data (database, settings, glucose levels) with a personal Cloud? So that, if you lose the mobile phone, you can keep using the app logging in with user name and password without having to wait two hours for the calibration and without losing chronology.

Yes! We are currently working on this feature (and many others!). It’s quite a challenge to develop such a feature, especially since we want people to be able to sync settings and data between Spike and xDrip, but development has already began and we are confident that soon we will be able to bring it to our users.

Are you thinking about creating an Android version that should not be a competitor of x-drip but a follow up of your project? In this way it could be possible to change from Android to Apple technology and without being obliged to change app or abandon Spike world. In other words it could be a kind of retention tool for the two operating systems.

No, it’s not planned. The Android community already has a great app, xDrip. Spike will only be available on the iOS platform but since we are trying to achieve data synchronization between Spike and xDrip, users can switch easily from iOS to Android and vice-versa. This seems to be a better approach for our vision. It will allow users to have all the benefits and each development team can focus on it’s own platform.

 

DeeBee created a portal that exports (with CGM or not) the glucose data from FreeStyle Libre everywhere (to smartphones Android and iOS, PC, Tablet, etc.) without complicated procedures. According to our experience we could see that people are often scared of too much technology. Are you thinking about a project in this sense?

No the same features, no… Spike currently allows users to follow other users if the master uploads data to a Nightscout site and the follower gets data from that same Nightscout site. Spike can also connect to another Spike directly, without Nightscout or an Internet connection, as long as both Spikes are on the same Wi-Fi network. We are planning a new follower mode that will allow Spike followers to follow Spike masters directly (Spike to Spike), without a Nightscout site, even if both users are not connected to the same Wi-Fi network. We are currently researching and testing solutions to make this a reality.

You declared that Spike will always be open source and this honors you. What kind of feedback did you receive from the community of persons with diabetes and parents of children with diabetes?

The feedback has been amazing. I get a lot of emails and messages everyday from users telling me that Spike has been of great help managing their diabetes and a lot of feedback from parents that use Spike on their child’s phones and follow their glucose values on the parent’s phones using Spike follower mode. It’s very rewarding knowing that Spike is impacting people’s lives in such a positive way. It makes it all worth it. Spike is free and will always be free and open source. It was born with the purpose of contributing to the diabetic community and reaching as much people as possible.

Could it be possible you to visit Italy, schedule permitting, and do a speech during a DeeBee meeting? I am waiting for you!

Of course :) That’s something that can be arranged… As long as you allow me to speak in English, Spanish or Portuguese. My Italian is horrible! :)

Thank you for having me. It’s an honor to be on DeeBee Italia.

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Essere degli expatriati

È una di quelle cose che nella vita bisogna necessariamente assaggiare. A costo di una glicemia relativamente alta a posteriori. Il Pączek polacco è uno di quei dolci che, se ti trovi a passeggiare per le strade di Cracovia o di Varsavia devi fermarti a gustarlo, perché esso rappresenta un po’ quella che è la tradizione culinaria polacca.Una bomba di dolce. Una sorta di bombolone italiano, ma infinitamente più buono, più morbido e con il ripieno alla marmellata.

C’è stato un periodo della mia vita, quando avevo 20 anni e studiavo a Breslavia, (città situata nella Slesia) in cui non avevo il diabete. La vita era sicuramente più facile poiché mangiavo senza dover pesare, calcolare, iniettare e misurare la glicemia a due ore dai pasti. Tutto ciò che dovevo fare e che amavo fare, era svegliarmi al mattino e andare all’università per seguire le mie lezioni di lingua croata. Tutto ciò che a me interessava ruotava intorno al paleoslavo o più semplicemente alla slavistica e il pączek due o tre volte alla settimana era d’obbligo dopo le lezioni. Il diabete al tempo non era lontanamente contemplato nella mia esistenza, e ogni giorno ringrazio Dio per avermi dato la possibilità di studiare in santa pace, senza sentirmi stordita dalla glicemia che oscilla vertiginosamente.

Ora che sono diabetica la faccenda è totalmente cambiata: da quando sono tornata a vivere in Polonia, l’ho mangiato all’incirca due volte e ovviamente non ho azzeccato il bolo di insulina, inducendomi una glicemia folle a distanza di due ore. Però il pączek è quello sfizio\ribellione\bontà che ogni tanto è giusto concedersi, in particolar modo se abiti in un posto dove senti la necessità di uniformarti a quelle che sono le tradizioni della sua popolazione.

Lì dove Jaruzelski controllava un’intera nazione sotto la morsa del comunismo, la Polonia rispondeva, viveva e ugualmente gioiva impastando e preparando i Pączki. Lì dove il freddo è intenso e tagliente, il suo popolo risponde usando più burro, più farina e più latte. E il burro qui per me è un altro problema per il diabete. È buonissimo. Troppo. Forse un po’ troppo per me che cerco di evitarlo come la peste a causa degli effetti che ha sulle mie glicemie… ma è ovunque. 

Consiglio vivamente a tutti i miei fratelli e alle mie sorelle diabetiche, di fare un giro da queste parti e di gustare il dolce che ho trattato nell’articolo, e mi congedo riportando la strofa dell’inno nazionale polacco, dove a causa di ragioni storiche viene citata la nostra bellissima Italia:

Marsz, marsz, Dąbrowski                                    Marcia, marcia Dąbrowski
z ziemi włoski do polski                                        dalla terra italiana alla Polonia
za Twoim przewodem                                           sotto il tuo comando
złączem się z narodem                                          ci uniremo come nazione

Valentina Maruca

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The portal for remote viewing of FreeStyle Libre blood glucose

DeeBee.it presents the new free web interface for Glimp, with ease and immediacy.

Until yesterday it was impossible, but from today it is enough to turn on your smartphone or PC, open a protected page on the DeeBee. it website and, without having to be technological wizards, to remotely see the blood sugar data collected by FreeStyle Libre with the Glimp app.

After a long and careful programming phase, after various tests and versions, the blood glucose read by simply scanning with an Android smartphone or in CGM by the FreeStyle Libre sensor, can be consulted on your mobile phone (whether Apple, Android, Windows Mobile…), tablet, PC or Smart TV.

The keyword of the new service created by DeeBee Italia is “simplicity”. With the new Glimp for Web portal it is in fact sufficient to enter the same credentials of your Dropbox account on both the Glimp app and the web portal, to access the blood sugar chart in real time. Everything automatically and without having to set up or configure anything.

With each individual reading of the sensor with a smartphone, the value is automatically transferred to the portal, while for those who use Glimp in CGM, then with the help of GlimBee or BluCon, the values are updated every five minutes on their Glimp in Web. It is also possible to set the threshold of hypo or hyperglycemic alarms and the calibrations performed are visible.
Unlike Nightscout, with Glimp for Web every new interface update will take place automatically, as will the release of new functions. Reports are already planned for the future, such as the percentage of blood sugar ranges, the presumed glycata and the historian, all printable for presentation to your diabetes therapist. The user will not have to take charge of any preliminary work: when the new functions are available, the relevant button will appear directly on Glimp for Web.
For now Glimp for Web is in the beta version and is being improved. To tend, the interface will also show the arrow of the blood sugar tendency, the increase in blood glucose compared to the previous value, the setting of the alarm that sounds after not having received the blood sugar for too long and much more.
As always, in the comments or at our email address info@deebee.it, we await your feedback, suggestions or tips to improve as much as possible our new service designed to make diabetes management even easier.
We are looking for volunteer translators who write in English.
This article has been translated with an automatic algorithm. If you are German and would like to provide us with a more precise version, you can send it to the email address: info@deebee.it.
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