Diabetes Alert Dogs (DADs): An assessment of accuracy and implications.

Abstract:

AIMS:To test the accuracy of Diabetes Alert Dogs (DADs) by comparing recorded alerts to continuous glucose monitoring (CGM) device readings during waking and sleeping hours. METHODS:14 individuals (7 adults with type 1 diabetes and 7 youth with type 1 diabetes/parents) who owned DADs for ≥6 mos wore masked CGM devices over a several-week period while recording DAD alerts electronically and in paper diaries. RESULTS:During waking hours, sensitivity scores across participants were 35.9% for low BG events and 26.2% for high BG events. DAD accuracy was highly variable with 3/14 individual dogs performing statistically higher than chance. Sensitivity scores were lower during sleep hours of the person with diabetes (22.2% for low BG events and 8.4% for high BG events). DAD accuracy during sleeping hours was also highly variable, with 1/11 individual dogs performing statistically better than chance. Rate of change analyses indicated that DADs were responding to absolute BG level, rather than rapid shifts in glucose levels. CONCLUSIONS:In this study the majority of DADs did not demonstrate accurate detection of low and high BG events. However, performance varied greatly across DADs and additional studies are needed to examine factors contributing to this variability. Additionally, more research is needed to investigate the significant gap between the positive experiences and clinical outcomes reported by DAD owners and the mixed research findings on DAD accuracy.

authors

Gonder-Frederick LA,Grabman JH,Shepard JA

doi

10.1016/j.diabres.2017.09.009

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

121-130

eissn

0168-8227

issn

1872-8227

pii

S0168-8227(17)30899-9

journal_volume

134

pub_type

杂志文章
  • Carbohydrate metabolism and cardiovascular risk factors 4 years after a pregnancy complicated by gestational diabetes.

    abstract:AIMS:The aim of the present study was to determine the prevalence of abnormal glucose tolerance and the metabolic syndrome in a cohort of previously gestational diabetic (GDM) women 4 years after delivery. METHODS:Sixty-eight prior GDM and a control group of 39 women with normal glucose tolerance during pregnancy were...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2009.05.001

    authors: Madarász E,Tamás G,Tabák AG,Kerényi Z

    更新日期:2009-08-01 00:00:00

  • Associations between glucose tolerance and sex hormone binding globulin among women with recent gestational diabetes mellitus.

    abstract::We examined cross-sectional associations of sex hormone binding globulin (SHBG) with glucose among women recent GDM (n=55). SHBG was associated with fasting glucose levels before and after adjustment for covariates (p=0.015), but not with 2-h glucose. We conclude SHBG should be explored in prospective studies in GDM w...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2011.06.001

    authors: Kim C,Sen A,Osborne E,Lee JM,Richardson CR

    更新日期:2011-09-01 00:00:00

  • Effect of yoga intervention on biochemical, oxidative stress markers, inflammatory markers and sleep quality among subjects with type 2 diabetes in South India: Results from the SATYAM project.

    abstract:AIMS:The aim of this study was to investigate the effect of yoga intervention on the biochemical, oxidative stress markers and inflammatory markers and sleep quality among subjects with type 2 diabetes. METHODS:Subjects with type 2 diabetes attending a tertiary care centre for diabetes during Feb 2017 to Oct 2019 in C...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2020.108644

    authors: Viswanathan V,Sivakumar S,Sai Prathiba A,Devarajan A,George L,Kumpatla S

    更新日期:2020-12-25 00:00:00

  • Diabetes among migrants in Denmark: Incidence, mortality, and prevalence based on a longitudinal register study of the entire Danish population.

    abstract:OBJECTIVE:Studies of diabetes in migrant populations have shown a higher prevalence compared to their respective countries of origin and to people natively born in the host country, but there is little population-based data on diabetes incidence and mortality in migrant populations. The aim of the current study was (1)...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2016.09.020

    authors: Andersen GS,Kamper-Jørgensen Z,Carstensen B,Norredam M,Bygbjerg IC,Jørgensen ME

    更新日期:2016-12-01 00:00:00

  • Sitagliptin but not alpha glucosidase inhibitor reduced the serum soluble CD163, a marker for activated macrophage, in individuals with type 2 diabetes mellitus.

    abstract:AIMS:Dipeptidyl peptidase-4 inhibitor (DPP-4i) is commonly used worldwide for the treatment of type 2 diabetes mellitus. In addition to its hypoglycemic activity, DPP-4i might have anti-inflammatory effects. In this study we examined the effects of DPP-4i on the serum levels of soluble CD163 (sCD163), a marker for acti...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.diabres.2017.02.010

    authors: Hattori A,Takemoto M,Tokuyama H,Koshizaka M,Yokote K

    更新日期:2017-04-01 00:00:00

  • Decreasing incidence of type 2 diabetes mellitus in the United States, 2007-2012: Epidemiologic findings from a large US claims database.

    abstract:AIMS:To explore epidemiological trends in type 2 diabetes mellitus (T2D) in the US between 2007 and 2012 using a large US claims database, with a particular focus on demographics, prevalence, newly-diagnosed cases, and comorbidities. METHODS:Truven Health MarketScan® Databases were used to identify patients with claim...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2016.04.043

    authors: Weng W,Liang Y,Kimball ES,Hobbs T,Kong SX,Sakurada B,Bouchard J

    更新日期:2016-07-01 00:00:00

  • Association of the adiponectin gene rs1501299 G>T variant, serum adiponectin levels, and the risk of coronary artery disease in a Chinese population.

    abstract:BACKGROUND:The present study aimed to investigate whether the single nucleotide polymorphism (SNP) 276G>T (rs1501299) of the adiponectin (ADIPOQ) gene was associated with the risk of coronary artery disease (CAD) and serum adiponectin levels in a Chinese population. METHODS:The rs1501299 polymorphism of the ADIPOQ gen...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2012.05.011

    authors: Gui MH,Li X,Jiang SF,Gao J,Lu DR,Gao X

    更新日期:2012-09-01 00:00:00

  • C-reactive protein and the risk of developing type 2 diabetes in Aboriginal Australians.

    abstract:OBJECTIVE:To investigate the association between C-reactive protein (CRP) and the risk of developing diabetes in Aboriginal Australians. RESEARCH DESIGN AND METHODS:High sensitivity CRP levels were measured in 620 Aboriginal participants aged 20-74 years free from diabetes at baseline in a remote community in the Nort...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2006.07.018

    authors: Wang Z,Hoy WE

    更新日期:2007-04-01 00:00:00

  • Rye products in the diabetic diet. Postprandial glucose and hormonal responses in non-insulin-dependent diabetic patients as compared to starch availability in vitro and experiments in rats.

    abstract::Rye flakes, rye bread and white wheat bread were given as suspensions to rats and in standardized breakfast meals to non-insulin-dependent diabetics. In both cases the postprandial glucose response was lower after rye bread than after wheat bread. A larger amount of starch remained in the stomach of the rats 15 min af...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(87)80012-8

    authors: Hagander B,Björck I,Asp NG,Efendić S,Holm J,Nilsson-Ehle P,Lundquist I,Scherstén B

    更新日期:1987-03-01 00:00:00

  • Global perspectives on the provision of diabetic retinopathy screening and treatment: Survey of health care professionals in 41 countries.

    abstract:AIM:To assess the level of awareness and provision of screening and treatment for Diabetic Eye Disease (DED) comprising Diabetic Retinopathy (DR) and Diabetic Macular Edema (DME) among health care professionals. METHODS:The study was conducted in two phases. The first phase consisted of a qualitative study, based on s...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.diabres.2018.07.004

    authors: Cavan D,Makaroff LE,da Rocha Fernandes J,Karuranga S,Sylvanowicz M,Conlon J,Chaney D,Malhi A,Barratt J

    更新日期:2018-09-01 00:00:00

  • Overcoming disparities in diabetes care: eight years' experience changing the diabetes care system in Changhua, Taiwan.

    abstract:AIMS:To enhance the universal coverage of quality diabetes care and overcome disparities in care among different care-provider levels by changing the diabetes care system in Changhua, Taiwan. METHODS:The Changhua Diabetes Shared Care program's second stage commenced in 2004. Two levels of diabetes care were proposed t...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1016/S0168-8227(14)70736-3

    authors: Yeh YP,Chang CJ,Hsieh ML,Wu HT

    更新日期:2014-12-01 00:00:00

  • The human red blood cell glyoxalase system in diabetes mellitus.

    abstract::Methylglyoxal and other alpha-oxoaldehydes are formed from glycolytic intermediates and may be involved in the development of diabetic microangiopathy. Glyoxalase I and glyoxalase II metabolise methylglyoxal to D-lactic acid, via the intermediate S-D-lactoylglutathione. The activities of the glyoxalase enzymes and the...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(89)90101-0

    authors: Thornalley PJ,Hooper NI,Jennings PE,Florkowski CM,Jones AF,Lunec J,Barnett AH

    更新日期:1989-08-01 00:00:00

  • Novel mutations in ATPase 8, ND1 and ND5 genes associated with peripheral neuropathy of diabetes.

    abstract::Type 2 diabetes (T2D), being a complex, multi factorial metabolic disorder, its chronic complications development remains puzzled. In this case report, we describe four novel mutations in Cyt b, ATPase 8, ND1 and ND5 genes' synergistic activity as plausible factors for the secondary complications of a patient with chr...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2013.12.015

    authors: Elango S,Venugopal S,Thangaraj K,Viswanadha VP

    更新日期:2014-03-01 00:00:00

  • Effects of evolving lipid-lowering drugs on carbohydrate metabolism.

    abstract::The understanding that statins reduce but not eliminate the cardiovascular risk associated with disturbed lipid metabolism and the existence of forms of dyslipidemia that are unresponsive or only partially responsive to statins have led to the development of many novel lipid-lowering drugs. Accumulating evidence sugge...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/j.diabres.2017.12.012

    authors: Tsimihodimos V,Elisaf M

    更新日期:2018-03-01 00:00:00

  • Evaluation of a community Diabetes Prevention Program delivered by diabetes educators in the United States: one-year follow up.

    abstract::Strategies for management of pre-diabetes within the community setting are needed. An adaptation of the successful Diabetes Prevention Program lifestyle intervention delivered by trained diabetes educators was evaluated. Results indicate that trained diabetes educators offer an important community resource for health ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.diabres.2014.10.012

    authors: Kramer MK,Miller RG,Siminerio LM

    更新日期:2014-12-01 00:00:00

  • Cognition in the Finnish diabetes prevention study.

    abstract::We studied cognition in the Finnish Diabetes Prevention Study (DPS), a trial of lifestyle intervention that prevented diabetes in persons with impaired glucose tolerance. Cognition was similar in the randomization arms 9 years after the intervention in 364 participants, suggesting that the intervention did not benefit...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.diabres.2015.02.023

    authors: Luchsinger JA,Lehtisalo J,Lindström J,Ngandu T,Kivipelto M,Ahtiluoto S,Ilanne-Parikka P,Keinänen-Kiukaanniemi S,Eriksson JG,Uusitupa M,Tuomilehto J,Finnish Diabetes Prevention Study (DPS).

    更新日期:2015-06-01 00:00:00

  • Maternal age and the risk of gestational diabetes mellitus: A systematic review and meta-analysis of over 120 million participants.

    abstract:AIMS:The objective of the present analysis was to evaluate and quantify the risk for gestational diabetes mellitus (GDM) according to maternal age. METHODS:Three electronic databases were searched for publications from inception to July 2018. Odds ratio (OR) and 95% confidence interval (95% CI) were calculated. A dose...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.diabres.2020.108044

    authors: Li Y,Ren X,He L,Li J,Zhang S,Chen W

    更新日期:2020-04-01 00:00:00

  • Serum lipoprotein (a) levels in patients with diabetic foot lesions.

    abstract::Our aim was to see the levels of lipoprotein (a) (Lp (a)) in patients with gangrenous or non-gangrenous diabetic foot lesions. Twenty-two patients with gangrenous foot lesions, 11 with non-gangrenous foot lesions and 10 healthy subjects were included in the study. All the patients had similar glycemic control and dura...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2005.06.005

    authors: Unlühizarci K,Muhtaroğlu S,Kabak S,Bayram F,Keleştimur F

    更新日期:2006-02-01 00:00:00

  • Subcutaneous antihistamine injection is effective to control a local allergic reaction to human insulin.

    abstract::A 31-year-old woman, having a type-1 diabetes and an insulin allergy, was successfully treated with a subcutaneous antihistamine injection to the next continuous subcutaneous insulin infusion site. ...

    journal_title:Diabetes research and clinical practice

    pub_type: 信件

    doi:10.1016/j.diabres.2009.05.013

    authors: Imakado S,Hamada K,Atsumi Y

    更新日期:2009-09-01 00:00:00

  • Height at onset of insulin-dependent diabetes mellitus in high- and low-risk countries. Japan and Pittsburgh Childhood Diabetes Research Groups.

    abstract::The relative height at the onset of insulin-dependent diabetes mellitus was recorded in 340 cases from Japan and 191 cases from Pittsburgh, U.S.A. In Pittsburgh, the children diagnosed after puberty were shorter than normal whereas those diagnosed prior to puberty were much taller than normal. However, in Japan, there...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(89)90026-0

    authors:

    更新日期:1989-04-01 00:00:00

  • Dropout of young non-insulin-dependent diabetics from diabetic care.

    abstract::We investigated the follow-up status and prognosis of 109 patients with non-insulin-dependent diabetes mellitus aged from 10 to 19 years old (66 males and 43 females). Patients who had not attended hospital for at least 20 months up to the end of September 1990 were regarded as defaulters, and were surveyed by questio...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(94)90114-7

    authors: Kawahara R,Amemiya T,Yoshino M,Miyamae M,Sasamoto K,Omori Y

    更新日期:1994-07-01 00:00:00

  • The significance of neutrophil-lymphocyte ratio, platelet-lymphocyte ratio and lymphocyte-monocyte ratio in predicting peripheral arterial disease, peripheral neuropathy, osteomyelitis and amputation in diabetic foot infection.

    abstract:AIMS:The aim of the study was to evaluate the value of neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR) and lymphocyte to monocyte ratio (LMR) in predicting peripheral arterial disease, peripheral neuropathy, osteomyelitis and need for amputation in diabetic foot infection (DFI). METHODS:A tota...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2018.08.009

    authors: Demirdal T,Sen P

    更新日期:2018-10-01 00:00:00

  • Increased angiopoietin-like protein 8 levels in patients with type 2 diabetes and cardiovascular disease.

    abstract::In the present study, we recruited 124 patients with type 2 diabetes, among which 22 had a history of cardiovascular disease (CVD). The study demonstrated that compared with type 2 diabetes without CVD, those with CVD had remarkably higher levels of angiopoietin-like protein 8 (ANGPTL8). Moreover, the close relationsh...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2016.08.017

    authors: Huang Y,Fang C,Guo H,Hu J

    更新日期:2016-10-01 00:00:00

  • Changes in the TNF-alpha/IL-10 ratio in hyperglycemia-associated pregnancies.

    abstract:AIMS:TNF-α is a diabetogenic cytokine associated with adverse outcomes during pregnancy that can be counterbalanced by IL-10. We have investigated IL-10 and TNF-α balance at maternal and placental levels in hyperglycemia-associated pregnancies. METHODS:One hundred and ninety-two pregnant women participated, which incl...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2015.01.005

    authors: Moreli JB,Corrêa-Silva S,Damasceno DC,Sinzato YK,Lorenzon-Ojea AR,Borbely AU,Rudge MV,Bevilacqua E,Calderon IM

    更新日期:2015-03-01 00:00:00

  • Fluid shear stress as a regulator of gene expression in vascular cells: possible correlations with diabetic abnormalities.

    abstract::Diabetes mellitus is associated with increased frequency, severity and more rapid progression of cardiovascular diseases. Metabolic perturbations from hyperglycemia result in disturbed endothelium-dependent relaxation, activation of coagulation pathways, depressed fibrinolysis, and other abnormalities in vascular home...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/s0168-8227(99)00036-4

    authors: Papadaki M,Eskin SG,Ruef J,Runge MS,McIntire LV

    更新日期:1999-09-01 00:00:00

  • Glucose tolerance and insulin response in parents of patients with insulin-dependent and juvenile-onset non-insulin-dependent diabetes mellitus.

    abstract::Glucose tolerance and insulin response were examined using a 100 g oral glucose tolerance test (OGTT) in 108 parents of 23 patients with insulin-dependent (IDDM) and 31 patients with non-insulin-dependent diabetes mellitus (NIDDM), whose age of onset of diabetes was less than 35 years. Thirty-two age-matched healthy v...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(92)90133-c

    authors: Matsuda A,Kuzuya T

    更新日期:1992-04-01 00:00:00

  • Prevalence of chronic complications in Japanese diabetic patients.

    abstract::In November 1990, we carried out a survey of chronic complications of diabetes in more than 2000 diabetic patients who were seen on one day in 35 medical institutions including university hospitals, other hospitals and small clinics. More than 60% were aged 55-74 years. About 7% of patients had IDDM. Hypertension was ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(94)90244-5

    authors: Kuzuya T,Akanuma Y,Akazawa Y,Uehata T

    更新日期:1994-10-01 00:00:00

  • Association between screen time and metabolic syndrome in children and adolescents in Korea: the 2005 Korean National Health and Nutrition Examination Survey.

    abstract:OBJECTIVE:To examine the association between screen time and the metabolic syndrome (MetS) in a nationally representative sample of children and adolescents. METHODS:A cross-sectional survey was conducted in 845 children and adolescents (10-18 years of age) from the 2005 Korean National Health and Nutrition Examinatio...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2010.02.016

    authors: Kang HT,Lee HR,Shim JY,Shin YH,Park BJ,Lee YJ

    更新日期:2010-07-01 00:00:00

  • Reduction of urinary albumin excretion by thromboxane synthetase inhibitor, OKY-046, through modulating renal prostaglandins in patients with diabetic nephropathy.

    abstract::We evaluated the effects of thromboxane synthetase inhibitor, OKY-046, on urinary albumin and prostaglandin (PG) excretion in 14 patients with non-insulin-dependent diabetes mellitus (NIDDM). Urinary excretion of 6-keto-PGF1 alpha (a stable metabolite of PGI2), TXB2 (a stable metabolite of TXA2) and PGE2 in NIDDM pati...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(90)90066-3

    authors: Tajiri Y,Inoguchi T,Umeda F,Nawata H

    更新日期:1990-11-01 00:00:00

  • Lipid peroxidation in type 2 normolipidemic diabetic patients.

    abstract::Vascular complications, as a consequence of atherosclerosis, are the main causes of morbidity and mortality in diabetes. Low density lipoprotein (LDL) oxidation is accepted as a relevant pathogenic mechanism in atherogenesis. The aim of this work was to study the relationship between lipid peroxidation (LPO) and metab...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(97)00032-6

    authors: Freitas JP,Filipe PM,Rodrigo FG

    更新日期:1997-05-01 00:00:00