T YP 1
`
`TYP 2
`
`PRACTICAL L I V I N G
`
`[ news you can use ]
`
`Continuous Gl ucose Monitors For Kids
`I I
`
`IN MARCH the U.S. Food
`and Drug Administration
`approved two continuou
`gluco e monitoring system for
`children with diabete between
`the age of 7 and 17. The e new
`model of ystems already in
`u e by adult should be avail(cid:173)
`able by the end of thi summer.
`Continuou glucose monitor(cid:173)
`ing (CGM) systems work via a
`ensor worn under the kin that
`mea ure glucose in inter titial
`fluid (fluid between cell ) every
`5 minute . The sensor tran mit
`the e data wirele sly to a de(cid:173)
`vice, kind of like a pager whjch
`give a readout of blood glucose
`value . The FDA require that
`patient b
`in tructed to u e tra(cid:173)
`ditional monitor and finger-
`tick mea urements to calibrate
`COM device and to confirm
`COM readings before making
`treatment decision .
`Both of the new system
`are made by the company
`Medtroruc. The pediatric model
`of the Guardian REAL-time
`system i a tand-alone CGM
`sy tern while the pediatric
`model of the MiniMed Para(cid:173)
`digm REAL-time sy tern i
`integrated with an insulin pump.
`It doe not automatically deliver
`insulin do e
`in respon e to
`glucose readings, however pa(cid:173)
`tient mu t till program pump
`manually. Both pediatric ver-
`ion feature a preprogrammed
`alarm that sounds when blood
`gluco e reaches 90 mg/di or
`below. Thi FDA-mandated
`
`safety feature alerts children(cid:173)
`and their parent -
`to po
`ible
`low blood glucose. The adult
`ver ion allow patients to et
`their own alarm thre hold for
`low blood gluco e.
`"l m very much in favor of
`d vi e for anyone who i
`th
`motivated to improve their
`diabete ,' ay Bruce Bucking(cid:173)
`ham, MD a professor of pediat(cid:173)
`ric endocrinology at Stanford
`Univer ity School of Medicin
`who has written roughly 25
`cientifi paper on CGM. And
`indeed, Buckingham'
`tudie
`have hown that COM can help
`motivated kid get better blood
`glucose control. He say he
`has e n patient improve their
`management at mealtime and
`avoid low at night.
`Buckingham does offer one
`caution about the new ystem :
`
`He concerned that frequent
`and unnece ary alarms might
`disrupt children'
`leep becau e
`of the pre et pediatric alarm
`threshold of 90 mg/dl.
`The device are only avail(cid:173)
`able by pre cription for adult
`and childr n. No major in ur~
`ance carrier cover COM at
`thi
`time. In urance coverage
`for adult and pediatric version
`could be 2 to 3 year away,
`ay Steve Sabicer seruor man (cid:173)
`ager of public relation with
`Medtronic in Lo Angele . The
`Guardian sy tern costs 1,399
`and the Paradigm ystem co ts
`$999 (in urance typical ly covers
`the cost of the insulin pump). A
`monthly upply of en or co t
`350. The pediatric ver ion
`hould co t roughly the ame
`ay Sabicer.
`
`- Kate Ruder
`
`DEXCOM
`EXHIBIT I 038
`
`123
`
`DIABETES F O RECAST I A UGUST 200 7
`
`