diabetes

24 Articles

Ask Hackaday: Preserving Electronic Devices

December 20, 2017 by 62 Comments

Conventional wisdom holds that we no longer make things to last for the long haul, and that we live in a disposable world. It’s understandable — after all, most of us have a cell phone in our pocket that’s no more than a year or two old, and it’s often cheaper to buy a new printer than replace the ink cartridges. But most of that disposability is driven by market forces, like new software that makes a device obsolete long before it breaks down, or the razor and blades model that makes you pay through the nose for ink. It turns out that most electronic devices are actually pretty well engineered, and as long as they’re not abused can still be operating decades down the road.

But what happens when you want to put an electromechanical device away and preserve it for a rainy day? What can you do to make sure the device will operate again a few years down the road? Are there steps one can take beyond the typical “keep it in a cool, dry place” advice? In short, how do you preserve electronic devices?

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Hackaday Prize Entry: Ebers – Diabetes Care, Step By Step

September 29, 2017 by 1 Comment

Diabetes is a disease that, among other things, has significant effects on the feet due to a combination of neuropathy, vascular issues, and other factors. You may have seen special diabetes socks with features like non-elasticated cuffs for better circulation and a lack of seams to prevent the formation of blisters. Taking care of  your feet is essential in diabetes to prevent injury and infection. Ebers is a project that seeks to help in just this area.

Ebers monitors plantar pressure, temperature, and humidity in the sole of the shoe. It then feeds this data back to a smartphone for analysis over Bluetooth. The brain of the project is an Arduino Pro Mini which is tasked with interfacing with the various sensors.

The project relies on 3D printed insoles which fit inside the shoe of the wearer. This is a particularly useful application of 3D printing, as it means the insole can be customised to fit the individual, rather than relying on a smaller selection of pre-sized forms. This has the additional benefit of allowing the insole to be designed to minimise pressure on the foot in the first place, further reducing the likelihood of injury and infection. The pressure sensing is actually built into the insole itself, and can measure pressure at several different areas of the foot.

Overall, it’s a project with huge potential health benefits for those with diabetes. We look forward to seeing where this project goes in future, and how it can bring improvements to the quality of life for people the world over.

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Getting Data Off Proprietary Glucometers Gets A Little Easier

June 23, 2017 by 22 Comments

Glucometers (which measure glucose levels in blood) are medical devices familiar to diabetics, and notorious for being proprietary. Gentoo Linux developer [Flameeyes] has some good news about his open source tool to read and export data from a growing variety of glucometers. For [Flameeyes], the process started four years ago when he needed to send his glucometer readings to his doctor and ended up writing his own tool. Previously it was for Linux only, but now has Windows support.

Glucometers use a variety of different data interfaces, and even similar glucometers from the same manufacturer can use different protocols. Getting the data is one thing, but more is needed. [Flameeyes] admits that the tool is still crude in many ways, lacking useful features such as HTML output. Visualization and analysis are missing as well. If you’re interested in seeing if you can help, head over to the GitHub repository for glucomerutils. Also needed are details on protocols used by different devices; [Flameeyes] has only been able to reverse-engineer the protocols of meters he owns.

Speaking of glucometers, there is a project for a Universal Glucometer which aims to be able to use test strips from any manufacturer without needing to purchase a different meter.

Thanks for the tip, [Stuart]!

Hackaday Prize Entry: Reverse Engineering Blood Glucose Monitors

July 10, 2016 by 26 Comments

Blood glucose monitors are pretty ubiquitous today. For most people with diabetes, these cheap and reliable sensors are their primary means of managing their blood sugar. But what is the enterprising diabetic hacker to do if he wakes up and realizes, with horror, that a primary aspect of his daily routine doesn’t involve an Arduino?

Rather than succumb to an Arduino-less reality, he can hopefully use the shield [M. Bindhammer] is working on to take his glucose measurement into his own hands.

[Bindhammer]’s initial work is based around the popular one-touch brand of strips. These are the cheapest, use very little blood, and the included needle is not as bad as it could be. His first challenge was just getting the connector for the strips. Naturally he could cannibalize a monitor from the pharmacy, but for someone making a shield that needs a supply line, this isn’t the best option. Surprisingly, the connectors used aren’t patented, so the companies are instead just more rigorous about who they sell them to. After a bit of work, he managed to find a source.

The next challenge is reverse engineering the actual algorithm used by the commercial sensor. It’s challenging. A simple mixture of water and glucose, for example, made the sensor throw an error. He’ll get it eventually, though, making this a great entry for the Hackaday Prize.

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Hacking Diabetes Meters, Towards An Artificial Pancreas

October 29, 2015 by 51 Comments

We’ve covered a number of diabetes-related hacks in the past, but this project sets its goals especially high. [Tim] has diabetes and needs to monitor his blood glucose levels and administer insulin accordingly. As a first step, he and a community of other diabetics have been working on Android apps to log the data when combined with a self-made Bluetooth re-transmitter.

But [Tim] is taking his project farther than previous projects we’ve seen and aiming at eventually driving an insulin pump directly from the app. (Although he’s not there yet, and user input is still required.) To that end, he’s looking into the protocols that control the dosage pumps.

We just read about [Tim] in this article in the Guardian which covers the diabetic-hacker movement from a medical perspective — the author currently runs a healthcare innovation institute and is a former British health minister, so he’s not a noob. One passage made us pause a little bit. [Tim] speaks the usual praises of tech democratization through open source and laments “If you try to commercialize [your products], you run up against all sorts of regulatory barriers.” To which the author responds, “This should ring alarm bells. Regulatory barriers are there for a reason.”

We love health hacking, and we’re sure that if we had a medical condition that could be helped by constant monitoring, that we’d absolutely want at least local smart-phone logging of the relevant data. But how far is too far? We just ran an article on the Therac-25 case study in which subtle software race conditions ended up directly killing people. We’d maybe hesitate a bit before we automated the insulin pump, but perhaps we’re just chicken.

The solution suggested by [Lord Ara Darzi] in the Guardian piece is to form collaborations between patients motivated by the DIY spirit, and the engineers (software and hardware) who would bring their expertise, and presumably a modicum of additional safety margin, to the table. We like that a lot. Why don’t we see more of that?

The Biohacking Movement And Open Source Insulin

July 30, 2015 by 123 Comments

In March of 2014, I knew my eight year old daughter was sick. Once borderline overweight, she was now skeletally thin and fading away from us. A pre-dawn ambulance ride to the hospital gave us the devastating news – our daughter had Type 1 diabetes, and would be dependent on insulin injections for the rest of her life.

This news hit me particularly hard. I’ve always been a preparedness-minded kind of guy, and I’ve worked to free myself and my family from as many of the systems of support as possible. As I sat in the dark of the Pediatric ICU watching my daughter slowly come back to us, I contemplated how tied to the medical system I had just become. She was going to need a constant supply of expensive insulin, doled out by a medical insurance system that doesn’t understand that a 90-day supply of life-saving medicine is a joke to a guy who stocks a year supply of toilet paper. Plus I had recently read an apocalyptic novel where a father watches his 12-year old diabetic daughter slip into a coma as the last of her now-unobtainable insulin went bad in an off-grid world. I swore to myself that I’d never let this happen, and set about trying to find ways to make my own insulin, just in case.

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Hackaday Prize Entry: The Chocometer

May 24, 2015 by 44 Comments

Diabetes affects almost 400 million people worldwide, and complications due to diabetes – blindness, cardiovascular disease, and kidney problems – can be reduced by regular monitoring of blood glucose. The usual way of measuring blood glucose is with a pin prick of blood and a small test strip that costs about $0.30. That’s a lot of test strips and blood used by 400 million diabetics every day. Wouldn’t it be better if there was a less invasive way of measuring blood glucose?

[marcelclaro]’s project for The Hackaday Prize aims to do just that. Instead of measuring blood directly, his project will measure blood glucose by shining light through a finger or an earlobe. Using light to detect blood glucose is something that has been studied in the lab, but so far, there aren’t any products on the market that use this technique.

There are two major problems [marcel] needs to overcome to turn this project into reality. The first is simply raw data for calibration. For [marcel], this is easy; he has Type 1 diabetes, and takes four glucose measurements a day. Patient heal thyself, or something.

The second problem is getting a photosensor that’s sensitive enough. By using an InGaAs PIN diode, a current-controlled oscillator, and a digital counter, [marcel] should have a sensor that’s good enough, with electronics that are cheap enough, to create some tech that is truly game changing for a few hundred million people around the world.

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