Three studies from ENDO 2017 focused on improving patient care through brain stimulation, an artificial pancreas system, and videoconferencing.
Three studies from ENDO 2017 featured a noninvasive electromagnetic brain stimulation technique to help patients with obesity lose weight, a “smart” artificial pancreas system to improve blood glucose control, and a videoconferencing education system to improve care of complex diabetes cases in rural areas.
Deep Transcranial Magnetic Stimulation (dTMS) Exerts Anti-Obesity Effects Via Microbiota Modulation. Abstract link.
A noninvasive electromagnetic brain stimulation technique can help obese people lose weight, partly by changing the composition of their gut microbiota.Previous studies have found that deep transcranial magnetic stimulation (dTMS) reduced food cravings and induced weight loss in obese patients. An electromagnetic coil placed on the scalp sends magnetic pulses to stimulate specific deep regions of the brain. Impaired gut microbiota can alter the brain’s signals for appetite and satiety.
dTMS appears to have a beneficial effect on both weight loss and change in microbiota composition, and may exert anti-obesity effects through alteration of the gut-brain axis.
Performance of an Artificial Pancreas System for Young Children with T1D. Abstract link.
A “smart” artificial pancreas system can improve blood glucose control in young T1DM patients better than home diabetes management with an insulin pump.Studies show the artificial pancreas improves blood glucose control in adults and adolescents with T1DM. The wearable artificial pancreas uses two available diabetes devices-an insulin pump and a continuous glucose monitor to sense blood glucose levels on an ongoing basis. The experimental system connects the devices using sophisticated computer algorithms.
Among young children, an artificial pancreas can maintain blood glucose in the target range and may become the standard of care for T1DM control.
Endo Echo Improves Primary Care Provider and Community Health Worker Self-Efficacy in Complex Diabetes Management in Medically Underserved Communities. Abstract link.
A videoconferencing educational program led by diabetes specialists can improve the confidence of primary care providers and community health workers in rural areas to manage patients with complex diabetes.The program, called Endo ECHO, aims to improve access to care for underserved populations with complex health problems by training primary care providers (PCPs) to deliver specialty care services. Endo ECHO, launched in 2014 to improve medical access for patients with T1DM and those with uncontrolled diabetes of any type, connects PCPs and community health workers at 10 rural health centers in New Mexico with endocrinologists, nurses, certified diabetes educators, behavioral health specialists and social workers. The experts deliver weekly two-hour videoconferencing sessions with diabetes education and mentoring on actual cases of de-identified diabetes patients.