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  1. Article ; Online: Using ChatGPT to Predict the Future of Diabetes Technology.

    Huang, Jingtong / Yeung, Andrea M / Kerr, David / Klonoff, David C

    Journal of diabetes science and technology

    2023  Volume 17, Issue 3, Page(s) 853–854

    MeSH term(s) Humans ; Diabetes Mellitus ; Artificial Intelligence
    Language English
    Publishing date 2023-02-17
    Publishing country United States
    Document type Letter
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/19322968231161095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Regarding "Detection of Hypoglycemia and Hyperglycemia Using Noninvasive Wearable Sensors: ECG and Accelerometry".

    Huang, Jingtong / Yeung, Andrea M / Klonoff, David C / Kerr, David

    Journal of diabetes science and technology

    2022  Volume 17, Issue 6, Page(s) 1722–1723

    MeSH term(s) Humans ; Hypoglycemia/diagnosis ; Hyperglycemia/diagnosis ; Electrocardiography ; Accelerometry ; Wearable Electronic Devices
    Language English
    Publishing date 2022-10-31
    Publishing country United States
    Document type Letter ; Comment
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/19322968221133813
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  3. Article ; Online: Real-World Evidence Supports Higher Prevalence of Heart Failure Among Persons With Type 1 and Type 2 Diabetes Compared With the General Population.

    Garrett, Valerie / Gombar, Saurabh / Huang, Jingtong / Yeung, Andrea M / Klonoff, David C

    Journal of diabetes science and technology

    2023  Volume 17, Issue 3, Page(s) 864–865

    MeSH term(s) Humans ; Diabetes Mellitus, Type 2/epidemiology ; Prevalence ; Risk Factors ; Heart Failure/epidemiology
    Language English
    Publishing date 2023-02-23
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/19322968231155165
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  4. Article ; Online: The Need for Data Standards and Implementation Policies to Integrate Insulin Delivery Data Into the Electronic Health Record.

    Espinoza, Juan C / Yeung, Andrea M / Huang, Jingtong / Seley, Jane Jeffrie / Longo, Rebecca / Klonoff, David C

    Journal of diabetes science and technology

    2023  Volume 17, Issue 5, Page(s) 1376–1386

    Abstract: Integration of insulin dosing data into the electronic health record (EHR), combined with other patient-generated health care data, would facilitate the use of wirelessly connected insulin delivery systems, including smart insulin pens, insulin pumps, ... ...

    Abstract Integration of insulin dosing data into the electronic health record (EHR), combined with other patient-generated health care data, would facilitate the use of wirelessly connected insulin delivery systems, including smart insulin pens, insulin pumps, and advanced hybrid closed-loop systems. In 2022, Diabetes Technology Society developed the Integration of Continuous Glucose Monitoring Data into the EHR (iCoDE) Project, which is the first consensus standard for integrating data from a wearable device into the EHR. The iCoDE Standard is a comprehensive guide for any health care delivery organization or hospital for automatically integrating continuous glucose monitoring data into the EHR. Diabetes Technology Society is following iCoDE with the Integration of Connected Diabetes Device Data into the EHR (iCoDE-2) Project, to similarly provide guidance for integrating insulin delivery data into the EHR alongside continuous glucose monitoring data.
    MeSH term(s) Humans ; Electronic Health Records ; Insulin ; Blood Glucose Self-Monitoring ; Blood Glucose ; Diabetes Mellitus/drug therapy ; Insulin, Regular, Human
    Chemical Substances Insulin ; Blood Glucose ; Insulin, Regular, Human
    Language English
    Publishing date 2023-05-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/19322968231178549
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Newly FDA-Cleared Benchtop Glucose Analyzer Heralds the Dawn of the Post-YSI 2300 Era.

    Klonoff, David C / Yeung, Andrea M / Huang, Jingtong / Nichols, James H

    Journal of diabetes science and technology

    2022  Volume 17, Issue 2, Page(s) 269–273

    MeSH term(s) Humans ; Blood Glucose ; Blood Glucose Self-Monitoring ; Reproducibility of Results
    Chemical Substances Blood Glucose
    Language English
    Publishing date 2022-12-02
    Publishing country United States
    Document type Editorial
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/19322968221139514
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  6. Article ; Online: The Launch of the iCoDE-2 Standard Project: Integration of Connected Diabetes Device Data Into the Electronic Health Record.

    Aaron, Rachel E / Tian, Tiffany / Yeung, Andrea M / Huang, Jingtong / Klonoff, David C / Espinoza, Juan C

    Journal of diabetes science and technology

    2023  Volume 18, Issue 1, Page(s) 82–88

    Abstract: Introduction: Diabetes Technology Society virtually hosted the first meeting of the Integration of Connected Diabetes Device Data Into the Electronic Health Record #2 (iCoDE-2) Standards Project on May 31, 2023, via Zoom.: Methods: Clinicians, ... ...

    Abstract Introduction: Diabetes Technology Society virtually hosted the first meeting of the Integration of Connected Diabetes Device Data Into the Electronic Health Record #2 (iCoDE-2) Standards Project on May 31, 2023, via Zoom.
    Methods: Clinicians, patients, data aggregators, informaticists, manufacturers, attorneys, and cybersecurity experts discussed dosing data currently available from insulin delivery devices and data aggregators and the types of information that patients and clinicians want to see. This information along with technical and regulatory aspects of (1) data standards and (2) integration into the electronic health record (EHR) are the basis of iCoDE-2.
    Results: Six sessions were hosted discussing themes including (1) What's Currently Available: The Continuous Glucose Monitor Experience; (2) What's Currently Available: The Aggregator Experience; (3) What's Currently Available: The Insulin Pump Experience; (4) What's Currently Available: The Insulin Pen Experience; (5) What Do Clinicians and Patients Want Out of iCoDE-2 Data?; and (6) Technical and Regulatory Aspects of Data Aggregation.
    Conclusion: Additional working group meetings to discuss data standard and clinical workflow will be held to create additional technical specifications and clinical workflows to aid in insulin dosing data integration into the EHR. A mid-project meeting will convene in the second half of 2023.
    MeSH term(s) Humans ; Electronic Health Records ; Diabetes Mellitus/drug therapy ; Insulin/therapeutic use ; Blood Glucose
    Chemical Substances Insulin ; Blood Glucose
    Language English
    Publishing date 2023-10-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/19322968231207888
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: People With Diabetes Using Insulin Flying Across Multiple Time Zones: Limitations and Opportunities for Diabetes Technologies.

    Huang, Jingtong / Yeung, Andrea M / Klonoff, David C / Abdel-Malek, Aiman / Ahn, David T / Kerr, David

    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

    2023  Volume 29, Issue 10, Page(s) 830–847

    Abstract: Increasingly, people with diabetes (PWD) are using wearable and other devices to support self-management. During air travel, there are 4 stakeholders involved in maximizing the safety of wireless devices for diabetes care used in flight: (1) ... ...

    Abstract Increasingly, people with diabetes (PWD) are using wearable and other devices to support self-management. During air travel, there are 4 stakeholders involved in maximizing the safety of wireless devices for diabetes care used in flight: (1) manufacturers of the devices, (2) airlines, (3) the Transportation Security Administration, and (4) the U.S. Food and Drug Administration. These stakeholders have all developed technologies and policies that assist PWD who prepare for and take appropriate actions during long-haul flights. This article discusses the performance and use of 6 classes of specific wireless diabetes devices during an airplane flight, including the following: (1) blood glucose monitors, (2) continuous glucose monitors, (3) insulin pumps, (4) smart pens for dosing insulin injections, (5) advanced hybrid closed-loop systems, and (6) spinal cord stimulators for painful diabetic neuropathy. Through the policies and safeguards of the 4 stakeholders and the proper self-care measures that insulin-using PWD can take, it is possible to maintain safe glycemic levels on flights across multiple time zones.
    Language English
    Publishing date 2023-07-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1473503-9
    ISSN 1530-891X
    ISSN 1530-891X
    DOI 10.1016/j.eprac.2023.07.003
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    Zs.A 5034: Show issues Location:
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  8. Article ; Online: Twenty-first century management of diabetes with shared telemedicine appointments.

    Klonoff, David C / Yeung, Andrea M / Huang, Jingtong / Espinoza, Juan C / Raymond, Jennifer K / Lee, Wei-An Andy / Koliwad, Suneil K / Kerr, David

    Journal of telemedicine and telecare

    2023  , Page(s) 1357633X231184503

    Abstract: This commentary article discusses the benefits of utilizing telemedicine to conduct shared medical appointments for people with type 1 diabetes and type 2 diabetes. We conducted a literature review of articles about shared medical appointments or group ... ...

    Abstract This commentary article discusses the benefits of utilizing telemedicine to conduct shared medical appointments for people with type 1 diabetes and type 2 diabetes. We conducted a literature review of articles about shared medical appointments or group medical visits in people with diabetes with associated clinical data. We identified 43 articles. Models of this approach to care have demonstrated positive outcomes in adults and children with type 1 diabetes. Shared telemedicine appointments also have the potential to improve diabetes self-management, reduce the treatment burden, and improve psychosocial outcomes in adults with type 2 diabetes. Ten key recommendations for implementation are presented to guide the development of shared telemedicine appointments for diabetes. These recommendations can improve care for diabetes.
    Language English
    Publishing date 2023-07-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1340281-x
    ISSN 1758-1109 ; 1357-633X
    ISSN (online) 1758-1109
    ISSN 1357-633X
    DOI 10.1177/1357633X231184503
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    Zs.A 4525: Show issues Location:
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  9. Article ; Online: The prevalence of gastroesophageal reflux disease and laryngopharyngeal reflux in patients with dysphagia after radiotherapy for nasopharyngeal carcinoma.

    Ku, Peter K M / Vlantis, Alexander C / Hui, Thomas S C / Yeung, Zenon W C / Cho, Ryan H W / Wong, Marc H K / Lee, Alex K F / Yeung, David C M / Chan, Simon Y P / Chan, Becky Y T / Chang, Wai-Tsz / Mok, Florence / Wong, Kam-Hung / Wong, Jeffrey K T / Abdullah, Victor / van Hasselt, Andrew / Wu, Justin C Y / Tong, Michael C F

    Head & neck

    2024  

    Abstract: Background: The prevalence of gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) in post-irradiated patients with nasopharyngeal carcinoma (NPC) is unknown.: Materials and methods: In a cross-sectional study, 31 NPC and 12 ... ...

    Abstract Background: The prevalence of gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) in post-irradiated patients with nasopharyngeal carcinoma (NPC) is unknown.
    Materials and methods: In a cross-sectional study, 31 NPC and 12 control patients completed questionnaires for GERD/LPR before esophageal manometry and 24-h pH monitoring. The DeMeester score and reflux finding score (RFS) were used to define GERD and LPR, respectively. Risk factors were identified.
    Results: 51.6% of NPC and 8.3% of control patients, and 77.4% of NPC and 33% of control patients, were GERD-positive and LPR-positive, respectively. The GERD/LPR questionnaire failed to identify either condition in patients with NPC. No parameter differences in esophageal manometry or pneumonia incidence were noted between GERD/LPR-positive and GERD/LPR-negative patients. Post radiotherapy duration, high BMI, lack of chemotherapy, and dysphagia were positive risk factors for GERD/LPR.
    Conclusions: A high prevalence of GERD/LPR in patients with post-irradiated NPC exists, but reflux symptoms are inadequate for diagnosis.
    Language English
    Publishing date 2024-01-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645165-2
    ISSN 1097-0347 ; 0148-6403 ; 1043-3074
    ISSN (online) 1097-0347
    ISSN 0148-6403 ; 1043-3074
    DOI 10.1002/hed.27645
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    Zs.A 1493: Show issues Location:
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  10. Article ; Online: Automated Electronic Health Record Score to Predict Mortality Risk at the US Department of Veterans Affairs.

    Osborne, Thomas F / Veigulis, Zachary P / Ware, Anna / Arreola, David M / Curtin, Catherine / Yeung, Marianne

    The American journal of hospice & palliative care

    2024  , Page(s) 10499091241247841

    Abstract: Background: Terminally ill patients benefit from earlier engagement in palliative care. However, this does not always occur. This project assessed if an already available risk score, the Care Assessment Needs (CAN) score, would be able to identify ... ...

    Abstract Background: Terminally ill patients benefit from earlier engagement in palliative care. However, this does not always occur. This project assessed if an already available risk score, the Care Assessment Needs (CAN) score, would be able to identify patients at greatest risk for mortality within 30 days of hospital admission within the Veterans Health Administration (VHA).
    Methods: The cohort of this retrospective analysis included all VA acute are patients over 18 years of age with a recent CAN score. The CAN score is an automatically calculated VA risk score that was repurposed to determine if it could predict risk of mortality after acute care admission. Univariate logistic regression was performed to obtain the probability of mortality within 30 days of admission, based on their CAN score.
    Results: 298,467 patient records were assessed from January 1, 2019, to December 31, 2019. There was 6% mortality after 30 days of admissions, and 17% mortality within 1-year post-admission. Mean CAN score was 65 (SD: 29). On average, each incremental increase in the CAN score increased the probability of mortality by 7%. Patients with a CAN score of 90 had a 10% probability of 30-day post-admission mortality.
    Conclusion: A readily available risk score, automatically calculated from EHR data, was able to identify patients at high risk for 30-day mortality in the acute care setting. Next steps will be to assess how the CAN score can be utilized to in improve end of life care for high-risk hospitalized Veterans.
    Language English
    Publishing date 2024-04-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1074344-3
    ISSN 1938-2715 ; 1049-9091
    ISSN (online) 1938-2715
    ISSN 1049-9091
    DOI 10.1177/10499091241247841
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