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I distinctly remember trolls claiming Apple not including glucose monitoring in the Apple Watch like some manufacturers was Apple falling behind in innovation.
 
Will take a long time for Apple to launch an Apple watch with non invasive blood sugar measurement.
 
So what are you trying to tell me?

If, and when, it is available on your Apple Watch you:

1. Save money, assuming you have insurance co-pays.
2. If your Apple watch lasts 5 years that is $5K that insurance would not have to pay. When you have thousands of people saving that much then that gives your insurance options to cover more expensive drugs or drop their rates. Confess I don't know how the German system works though.
3. Avoid the inconvenience and minor infection risk of inserting it every couple of weeks
4. It would be right on your wrist. No need to pull out your phone to tap the sensor for a reading

Just a few advantages off the top of my head.
 
I distinctly remember trolls claiming Apple not including glucose monitoring in the Apple Watch like some manufacturers was Apple falling behind in innovation.

Not at all. It is an extremely difficult technical issue.

Will take a long time for Apple to launch an Apple watch with non invasive blood sugar measurement.

Supposedly they have been able to get it to work with lab sized equpment. The challenge is getting a room full of equipment into the watch. Suggested timeframe I've seen is 5 years.
 
If, and when, it is available on your Apple Watch you:

1. Save money, assuming you have insurance co-pays.
2. If your Apple watch lasts 5 years that is $5K that insurance would not have to pay. When you have thousands of people saving that much then that gives your insurance options to cover more expensive drugs or drop their rates. Confess I don't know how the German system works though.
3. Avoid the inconvenience and minor infection risk of inserting it every couple of weeks
4. It would be right on your wrist. No need to pull out your phone to tap the sensor for a reading

Just a few advantages off the top of my head.
Yes, and if there was a warp drive, we could all travel to Mars in no time at all, but there isn't one. So what?

Yes it would gorgeous if something like this would exist and it would be even better if research figures out how to use stemcells in the correct way. Also the google contactlenses that should have monitored you glucose level have been canceled.
Another point is that CGM how it is implemented, works everywhere and everytime. During sports, also swimming is possible. You don't have to stop, press your AW against you wrist for a minute. But even if this would be possible it would be a cheap alternatice.
 
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There's nothing wrong with using this tech. But it shouldn't be a substitute. If my Apple Watch says my heart rate spiked, I verify with a blood pressure monitor that shows heart rate data.
Glucose monitoring is completely different than blood pressure or heart rate monitoring.
 
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Well, as a T2 diabetic, Freestyle Libre isn’t 100% accurate either.
Yes, that is where the problems show up. For me it is super accurate and differs by maybe 10mg most of the time (you have to take the 10-15 minute latency into account).

But everyone is different and has different results. That is why AW would have to solve a calibration puzzle that is even more complicated. So maybe if you could train you AW sensor for a month or a year, it could be correct at least somehow. And additionally you will have to follow a certain procedure to get accurate results - maybe not sufficient to control a closed loop system (CGM + insulin pump).

Screenshot 2024-02-22 at 13.38.43.png
 
so in other words, if you're not doing the necessary rigor and go the the FDA process and get approval/clearance - you're a scam.
I think I've seen posts here in the AW forums that some chines makers already offer this, so why is Apple behind? - for the above
The other thing to note, Apple Watches are NOT medical devices. Apple warns users to always verify the information with a healthcare provider before taking necessary action against their health.

If I receive an alert that my heart rate is above /below normal, you better believe that I’m going to an urgent care then booking an appointment with my cardiologist.
 
I'm not sure I trust the FDA anymore. Not saying they are wrong in this instance, but I would not just automatically assume they are right either. I wonder how many medical device manufacturers see this as a threat and using their government connections to eliminate it? The truth is, with the government "following the money" seems to be a worthy endeavor.
 
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. . . .
If I receive an alert that my heart rate is above /below normal, you better believe that I’m going to an urgent care then booking an appointment with my cardiologist.
See this is the problem with a lack of critical thinking in the population. The error can be both ways, so it is possible that you have "heart rate is above /below normal" and the watch or ring does NOT report it.
 
It will be incredible if Apple can pull this off. 24/7 blood glucose monitoring would be a game changer. I'd ditch my mechanical watches for this.

I mean, you should have ditched mechanical watches decades ago, they're obsolete and have been since the 1970s.
 
See this is the problem with a lack of critical thinking in the population. The error can be both ways, so it is possible that you have "heart rate is above /below normal" and the watch or ring does NOT report it.
True, which is why you should always write down the symptoms that you are experiencing and constantly check in with your primary physician. No at-home device is a substitute for a professional
 
I'm not sure I trust the FDA anymore. Not saying they are wrong in this instance, but I would not just automatically assume they are right either. I wonder how many medical device manufacturers see this as a threat and using their government connections to eliminate it? The truth is, with the government "following the money" seems to be a worthy endeavor.

The FDA is a mess.

The mRNA COVID vaccines were developed in about a week once the virus was sequenced. It took nearly a year for the FDA to approve them, and that was considered extremely fast. But when an extremely profitable drug clearly doesn't work, as most of us knew all along about phenylephrine, it takes them many years to even admit it, and they still haven't pulled it off the market even though they know it's no more effective than placebo.

I don't know if Apple has a working blood glucose monitor ready for the watch yet. But with the pressure from the entrenched medical device manufacturers, once they do have it ready it'll take years for the FDA to approve it, and that means many unnecessary years of daily painful finger stabs for millions of people.
 
The FDA comments have nothing to do with Apple. FDA advises that people should not use smart watches that claim to measure blood glucose levels - cause they don't measure blood glucose levels.
When/If Apple releases a device that measure blood glucose, it will either be a "general trend" and thus not require the whole FDA approval process, or, it will be a device that provides accurate data so that type 1 diabetics can adjust their insulin intake accordingly, and that device will be an FDA approved medical device. IMHO the 2nd one will never be integrated into an AW ...

How long have you worked with the FDA? I gave my first product description to them in 1993. Ouch I am old LOL. But, did you read my whole text? Because I make it clear that I realize Apple hasn't gone for full approval with the HR and O2 sensors, and hence 'general trend' as you call it, but they DID communicate with the FDA prior, and they DID receive FDA 510(k) premarket clearance for that technology so I do know what Apple's regulatory game is.

And whether FDA mentioned in their release Apple by name or not (in this case, not), any comment they make in a field is a signal to the whole field. In particular, my field was elective surgery, but because a competitor of ours got into trauma, FDA made us ALL address trauma. This came out in any PRIVATE meetings we had, but subsequently in a written guideline that didn't name companies but did affect us all.

So two things, you better believe Apple is already in discussions with them regarding their regulatory strategy, and they are taking this announcement seriously. It impacts the whole field of glucose monitoring. Not just a few bad apples (ha, see what I did there?). This is exactly how the FDA sends signals.
The warning is nothing to do with Apple which sales no such technology, it is aimed at products that exist now and are being sold with unreliable claims about their abilities.

MacRumors has only reported on it because it is a market area which Apple hope to operate one-day.

See above. I disagree this has nothing to do with Apple. It will impact their future plans. Disagree if you will, but tell me how long have you worked with the FDA?
 
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True, which is why you should always write down the symptoms that you are experiencing and constantly check in with your primary physician. No at-home device is a substitute for a professional

Do you have any idea how much that would cost for Americans (I'm assuming you're not, because who does that here)? Constantly checking in with a doctor would be insane unless you have absolutely amazing insurance.

The other thing to note, Apple Watches are NOT medical devices. Apple warns users to always verify the information with a healthcare provider before taking necessary action against their health.

If I receive an alert that my heart rate is above /below normal, you better believe that I’m going to an urgent care then booking an appointment with my cardiologist.

Yeah, I'm just gonna take the alert as a reminder that I forgot to take my meds last night. No point in bothering a doctor about it.

I'm definitely not going to call my cardiologist, can't get that appointment for 6 months anyway, by which point I'll have already had the regular appointment. And I'm definitely not blowing $120 for urgent care to tell me I forgot to take my meds that I already knew I forgot, not from a single high heart rate alert.
 
Makes sense why the FDA is being strict. Too bad they don't do this for everything.

The FDA is a mess.

The mRNA COVID vaccines were developed in about a week once the virus was sequenced. It took nearly a year for the FDA to approve them, and that was considered extremely fast. But when an extremely profitable drug clearly doesn't work, as most of us knew all along about phenylephrine, it takes them many years to even admit it, and they still haven't pulled it off the market even though they know it's no more effective than placebo.

I don't know if Apple has a working blood glucose monitor ready for the watch yet. But with the pressure from the entrenched medical device manufacturers, once they do have it ready it'll take years for the FDA to approve it, and that means many unnecessary years of daily painful finger stabs for millions of people.
FDA is underfunded. Maybe we can debate whether they are inefficient, but still they need more resources to do all of the things we ask of them. FDA asked for more money last year but Congress still has not approved the FY2024 budgets. So it is kind of a catch-22: we don't fund (or trust) them and at the same time complain that they don't do enough things right.
 
I feel like checking blood glucose levels for diabetes management is a very different thing than checking it for general health.

…But people like my grandmothers, who is Diabetic but does not have to regularly monitor her blood sugar (it's well under control and has been for a very long time), could absolutely get an indicator that might suggest to her that she should check using her regular glucose meter.

The FDA’s point seems to be that there is no non-invasive device yet that can safely be relied upon to even make that suggestion.
 
I think the first company that can figure out how to measure blood glucose level without using having to draw blood and is not complex to use like a Freestyle Libre is going to make a fortune. Especially if they can fit it all into a smartwatch.
 
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Please the FDA is so corrupt at this point. All they care about is ensuring the lobbyists stuffing their pockets get a cut of revenues for any such technology. Until an FDA preferred vendor offers up a solution they won’t back it and will try and scare everyone into not using it.

This isn’t medical advice but I would take what the FDA claims about safety with a grain of salt.
 
I think the first company that can figure out how to measure blood glucose level without using having to draw blood and is not complex to use like a Freestyle Libre is going to make a fortune. Especially if they can fit it all into a smartwatch.
So will the inventor of the warp drive or stem cell therapies.
 
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