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If this technology emerges, it would first emerge as publications from university research and make its way into hospitals years before it approaches a wristwatch. Wristwatches might even be obsolete by then.
There's "medical grade" and there's "good enough." And there's "we're going to make a ton of money off of this in the consumer market because medical people are slow adopters."

The research is actually out there; I posed two above, and they're surprisingly old.

In general, medicine doesn't adopt technology; it's forced upon them unless it allows them to bill more effectively.
 
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No body wants alcohol monitoring on an Apple Watch. If you think you do, you don't.


First:

The market for Court ordered monitoring is all ready cornered by far more entrenched players with mature technologies that are recognized by the Courts. The latest use breath sensors with facial recognition and cellular data link. So any inroads Apple would think to make into this market would be fruitless, and fraught with PR issues no one wants.

Second:

The liability is too high. "My Apple watch said I was only a .04, so I thought I could drive". All the legality aside, some ambulance chaser is going to file a class action and it'll just lead to liability issues for Apple.

Third:

How many people are going to WANT that "feature". Explain to your spouse why you turned the alcohol monitoring off when you went out after work for dinner with your co workers, or on a girls/guys weekend. If you think it's YOUR choice, well yeah. Right. It's not.

I'm not a drinking person, but a large group of the population is. The people that think they want this, don't really want it. And the people who don't want it, want nothing to do with it. It's best left out all together...

Not sure why someone who does not drink think they have their finger on the pulse of those that do..

but. A lot of people are going to want this.

1. Apple didn't go after the EKG or Pulse Oximeter (blood oxygen) markets either, but both functions are built into AW6.

2. Apple has a lot of experience reducing their liability. See point 1. Both of those could have similar horror stories and yet, AW6 exists. This is no difference.

3. My spouse or anyone else has zero access to my AW6 health data. Couldn't get to it if she wanted to unless I chose to share. How is my password not my choice? And if I am hiding my drinking from my spouse, the watch is not my first problem.

As others have mentioned, but maybe you have not experienced, drinking is a subjective feeling. Often the more you drink the less quantitative capabilities you have. I would be glad to have my watch give me something objective rather than subjective to consider. For me, there is ZERO downside to this, only an upside. what I chose to do with that data (ignore it or learn from it) is my choice. People use step counters and exerciser monitors to inspire better more healthy habits. For some (not all, but enough), an ETOH monitor could provide inspiration to make better choices too.
 
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Not sure Ape vs would tolerate a supplier revealing future product plans like this.
Why would I buy a new I watch this year if it doesn’t include this tech? I’ll save my bucks till this amazing tech arrives etc etc etc.
 
Blood pressure measurement without a cuff is going to be the real game changer, if/when they finally figure out how to do it.
Yea everyone talks about Glucose levels but that is really only important for about 10% of the population. A continual trend line of blood pressure would be so much more important for everybody. Blood pressure changes can indicate so many other issues and to constantly monitor it would be a game changer.
 
You've actually answered my question. The belief that everything is possible. However, that simply isn't so. Particularly in the case of measuring glucose concentrations in the blood stream, which is not comparable to your iPod analogy (Songs are abstract concepts that can be manifested as information, which in turn can be stored digitally, whereas glucose is a tangible molecule that actually exists and needs to be physically measured).

If this technology emerges, it would first emerge as publications from university research and make its way into hospitals years before it approaches a wristwatch. Wristwatches might even be obsolete by then.
IMHO, I think that "wristwatches" as a time telling piece are already obsolete...other that a form of jewelry. "smartwatches" Apple watch, Samsung Gear, Fitbit, etc are more of pieces of technology that are many functioned and of yeah, they can give you the time too.
 
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Rockley Photonics, an Apple supplier, has today unveiled an advanced digital sensor system that is likely to come to the Apple Watch to enable a wide range of new health tracking features.

RPS-Wristband-Reverse-Side.jpg

The company today revealed a full-stack, "clinic-on-the-wrist" digital health sensor system, enabling wearable devices to monitor multiple biomarkers, including core body temperature, blood pressure, body hydration, alcohol, lactate, and glucose trends, and more.

The technology uses a miniaturized chip solution with optical sensors that provide continuous, non-invasive monitoring of various biomarkers, in an attempt to overcome many of the challenges associated with wearable health monitoring and avoid the need for invasive sensors that must perforate the skin.

Many wearables use green LEDs to monitor heart rate, but Rockley's sensor uses infrared spectrophotometers that can detect and monitor a much wider range of biomarkers to dramatically increase the functionality of wearable devices. The sensor generates lasers to non-invasively probe beneath the skin to analyze blood, interstitial fluids, and layers of the dermis for specific constituents and physical phenomena.

Rockley is initially launching its full-stack sensing solution as a wristband that contains the sensor module and communicates with an app and it will be used in a number of human studies in the coming months, but the company suggested that its sensor module and associated reference designs, including hardware and application firmware, will be available for other consumer products.

series6leds.jpg

Earlier this year, it was revealed that Apple is the largest customer of Rockley Photonics. The company's filings said that Apple accounted for the majority of its revenue over the last two years and that it has an ongoing "supply and development agreement" with the company, under which it expects to continue to heavily rely on Apple for most of its revenue.

Given the growth of Rockley Photonics and the scale of Apple's partnership with the company, it seems to be highly likely that the company's health sensor technology will be coming to the Apple Watch sooner rather than later, providing the technology lives up to expectations. Rockley has previously said that its sensors could be in consumer smartwatches and other electronics as soon as next year, which could align with the launch of Apple Watch Series 8 models.

Article Link: Apple Supplier Rockley Photonics Unveils Health Tracking Tech Likely to Come to Apple Watch
Constant glucose monitoring would be a big deal. Can you imagine seeing in real time what a Frappuccino does to your blood sugar? This feature could disrupt the food industry. There have been other constant glucose monitors but I haven't seen any get approved by the FDA in the US. SuperSapien has been trying for a couple years now, despite being available in many other countries.
 
Many years oh health monitoring hype. The reality is that the only feature the smart watches have that actually works is the heart rate monitoring which predates smart watches.
 
Not sure why someone who does not drink think they have their finger on the pulse of those that do..
I don’t drink because I’ve been in recovery for 3 years, and I’m listed for a liver transplant. So abstinence is a requirement of the program.

Not that it’s a point of pride or anything, but I’ve spent more than my fair share of life around drinking folks (that included looking at one in the mirror each day for 20+ years). I prefer sobriety, but let’s be clear. I can guarantee you I know a thing or two about how drinking folks think and behave. I’m also still employed in a field known for high instances of alcohol use and suicide. So I know a thing or two about the mind of drinking folks.

You may have valid points, but I think it’s a can of worms that never sees the marketplace…
 
No body wants alcohol monitoring on an Apple Watch. If you think you do, you don't.


First:

The market for Court ordered monitoring is all ready cornered by far more entrenched players with mature technologies that are recognized by the Courts. The latest use breath sensors with facial recognition and cellular data link. So any inroads Apple would think to make into this market would be fruitless, and fraught with PR issues no one wants.

Second:

The liability is too high. "My Apple watch said I was only a .04, so I thought I could drive". All the legality aside, some ambulance chaser is going to file a class action and it'll just lead to liability issues for Apple.

Third:

How many people are going to WANT that "feature". Explain to your spouse why you turned the alcohol monitoring off when you went out after work for dinner with your co workers, or on a girls/guys weekend. If you think it's YOUR choice, well yeah. Right. It's not.

I'm not a drinking person, but a large group of the population is. The people that think they want this, don't really want it. And the people who don't want it, want nothing to do with it. It's best left out all together...
None of your negative points apply to me. I would be very interested to have this on my Apple Watch.

I don’t drink and drive so I would never rely on an alcohol monitor for deciding if I was ok. Anyway, if you are close to the limit you are already in trouble unless you stopped drinking several hours ago.

No one has access to my health info except me and my doctor. If you want to give your spouse access to your blood alcohol levels, that is up to you. But I definitely have a choice in the matter.
 
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Translation: Even shorter battery life. o_O
Generally, I wear my Apple Watch for less than 12 hours a day. The rest of the time, it is charging. A shorter battery life for these functions that I want is okay with me. If there is a problem, I'll buy a second watch for the convenience.
 
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It would be very useful to know, this food spikes your glucose by X points 10 minutes after eating. That food brings it down by Y points. If you work out for 20 minutes, this is what it does to your levels...
Invasive CGMs can't do this. There are too many factors involved to draw such conclusions. the useful aspect is exactly in what they describe - trending. Knowing that your BG levels are dropping or rising is helpful. For a type I diabetic (I am one) this will not replace your invasive Dexcom CGM. It will be in addition. To be honest, I'm not terribly excited about this. My Dexcom already tells me on (on my watch) whether I'm dropping or rising. I won't be able to replace my Dexcom with an apple watch monitor. This will be a tool that athletes or active people will use as mostly a novelty. Knowing that your BG rises after lunch or that it drops overnight will not be terribly useful to most people who are not diabetic. Also, it will not help you determine whether you're pre-diabetic because that would require trends over an extended period of time (similar to an a1c reading). This will not provide that.
 
The laser is nothing to worry about, it's just light at a specific frequency that can be easily measured as a reference source. At that scale, it's a teeny, tiny laser with no power, it's not going to cut through your skin.

I know the movies make lasers look only like weapons, but they can be used in a variety of ways that don't harm people at all.
It's the sharks you have to be worried about!
 
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I’ve just been diagnosed with Type 2 at 53, that info would definitely appeal to me.
https://www.abbott.com/corpnewsroom...rst-glucose-sport-biosensor-for-athletes.html 129 Euros a month. These I think are slightly cheaper than regular Libres, and I think possibly because they don't hit MARD targets for approved medical use?

If insurance or state coverage can help pay for most of it, start off with an Abbott Freestyle Libre. Good for 14 days, and fairly accurate. Swipe the back of your arm with your phone for a reading.
If you're wanting to see your real time reading on your wrist, you'd need to take advantage of something like Bubble, Blucon, or Miao Miao, and team it up with some great software called Sugarmate.

I know... it's an adjustment having this thing attached to you. It's expensive. But, manually pricking for blood on fingers is by far the worst day to day bit of diabetes care, said from a guy who injects insulin six times a day. Accurate continuous blood glucose sensors with an easy way to see the reading is what I at least am after, and made possible with Dexcom and Sugarmate.
 
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[...] core body temperature, blood pressure, body hydration, alcohol, lactate, and glucose trends, and more.
OK wow, this is the next level.
If it does all of this, I'm upgrading my Series 6 without hesitation.
 
Constant glucose monitoring would be a big deal. Can you imagine seeing in real time what a Frappuccino does to your blood sugar? This feature could disrupt the food industry. There have been other constant glucose monitors but I haven't seen any get approved by the FDA in the US. SuperSapien has been trying for a couple years now, despite being available in many other countries.
I wear a Continuous Glucose Monitor (CGM) 24/7. It already does what you describe. The problem is that it doesn't work like everyone thinks. First, you rarely eat things in isolation. Usually you eat multiple items at a time, so you can't pinpoint, exactly which food is responsible for which result (although, we already know most of that information - carbohydrates make your blood sugar, or BG, rise. Fat can lower the pace of that rise, complex carbs will also rise more slowly than simple carbs). Secondly, your activity level has a major impact on your BG levels, so that will definitely skew the data. Finally, "real time" doesn't really mean what you think it does in this case. The impact of food, as mentioned above, can occur over several hours. With invasive monitors, the BG level you see as "current" is often about 20 minutes behind what a blood test would show. Who knows what it would be with an optical sensor? There is a reason why so many of us type I diabetics are so skeptical about these non-invasive CGMs.
 
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Sensors like these would revolutionize healthcare...... It would bring dramatic changes in preventative care and has the potential to significantly lower impacts of chronic conditions. And it would lower costs in many many areas.
 
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I don't think glucose "trends" would be useful for diabetics as a diagnostic tool and for making on the fly adjustments to insulin dosing, but it would be very useful for the general population to see if someone is developing indicators for diabetes and intervening before they get to that point. Hydration and blood alcohol sensors are a very useful feature for wide swaths of the population.
Trends are most definitely use in treating diabetes. They permit the making of helpful choices -- exercise or stay seated; eat a salad or eat a pie; etc. or another etc. There is an entire market for Constant Glucose Monitors (CGM) that only detects trends. They are intrusive since the CGM device is attached to the skin and a probe is inserted into the body to detect changes in glucose under the skin. Please educate yourself before you start "authoritizing" a subject -- at least talk to someone with diabetes!
 
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Anaesthesiologist here.

I'm extremely doubtful these things will produce data that can be validated against lab data. If they can't, at best they're worthless, at worst they're misleading & potentially dangerous for those that trust them. It would be like determining the size of the waves in the middle of the ocean by looking at the waves on the beach.

There is precious little real data here to go by, so I'll be thrilled to be proven wrong of course!

Currently in the medical world we use no such superficial, peripheral optical sensors to detect*:
  1. Core body temperature (you need a temperature probe close to your actual 'core' - usually deep nasopharyngeal or rectal). Making assumptions about temperature drops from the core to the periphery is unacceptable.
  2. Blood pressure. Again, you can make assumptions about someones blood pressure using the pulse oximeter waveform, but it's just that... an assumption. Even a physical pressure transducer inside the radial artery at the wrist has measuring errors dependant on the transducer, positioning or anatomical & pathophysiological variables.
  3. Alcohol, lactate & glucose. I'm not aware of any medical device currently in use, or being developed that can do any of these things accurately producing data with which you can make clinical decisions. There are some optical glucose measuring devices in the research stage I think, but their accuracy isn't great.
Honestly, the game changer would be blood glucose measuring. Not because it would be a good idea in everyone's Apple Watch (I think too much data for the average punter is actually unhelpful) but for diabetics or those with impaired glucose tolerance it would be fantastic for them to have it linked to their insulin delivery devices for a truly 'digital pancreas'.

Press releases, renders & industry sponsored 'studies' mean very little when we're talking about critical health data which people use to make decisions...

* Pulse oximetry is a different beast. It's been around for 40 years and it's possible due to the very interesting differential absorption spectra of oxygenated vs deoxygenated haemoglobin at two very specific and convenient wavelengths (red & infrared). Measuring pulse alone is best done with a green wavelength as it's less prone to external interference so better for sport/movement, etc. but can still be affected by poor pulse signal and excessive movement.
 
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In general, medicine doesn't adopt technology; it's forced upon them unless it allows them to bill more effectively.
You know this how?

The medical world is very quick to use technology that produces reliable, reproducible data that can be validated against a gold standard - people's lives depend on it - pulse oximetry being a perfect example. There is plenty of 'technology' in use in hospitals today that nobody in the public is even aware of as it has no application outside of medicine.

As a profession also very slow to adopt rubbishy and for good reason. Unless it gets forced on us by non-medical people (eg. bureaucrats pushing crappy electronic medical records (mainly for making money) designed by teenagers in the 90s, or tech companies pushing unproven shiny junk at medical conferences).

Unfortunately, some in our field are very quick to adopt unproven garbage and if they're in positions of power & influence, it gets adopted widely before everyone realises they've been duped.

We're talking about people's lives here.
 
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