1. The core view of this issue: The blood sugar test is divided into “netâ€, the concept is first and foremost
On February 3, Sannuo Biotech officially released the second version of Mobile Medical's new Bluetooth blood glucose tester WeChat version, and announced that it will be on the line in Jingdong. On February 6, Yuyue Medical Announcement will officially enter the Internet medical industry . Develop a remote health management platform for chronic diseases with diabetes as the main target. So far, various topics on blood glucose testing and diabetes management Internet platform have become the biggest hot spot in the domestic Internet medical field in the near future, and the related non-invasive blood glucose detection and dynamic blood glucose testing have also attracted a lot of attention, which seems to be a subversion of the blood glucose testing industry. The revolution is coming. It is true that as the vanguard of the POCT industry, the natural blood sugar detection with big data attributes has become the darling of Internet medical treatment, but we must also remind you that embracing the Internet does not mean that the technological revolution in the blood sugar testing industry has quietly arrived. Non-invasive blood glucose testing will remain the biggest goal of clinical research and development in a considerable period of time in the future, and POCTization of dynamic blood glucose testing is a hotspot of recent clinical application.
Why is non-invasive blood glucose testing still the biggest target for future clinical development? From the research and development of related fields in the past half century, although many scientists and companies have proposed methodologies or finished products to solve this century's problems, although the FDA approved the adoption of the world's first application in children as early as 2001. Non-invasive watch-type blood glucose meter for blood glucose measurement, but various practices have shown that whether it is blood substitute measurement, biosensor measurement, infrared measurement or even metabolic thermal measurement, individualized differences in diabetes patients and dynamic changes of tissue fluid and skin The situation is still helpless, and can not replace the current standard blood glucose test, so we believe that the current discussion on non-invasive blood glucose testing is more of a concept of market-oriented operation, and its real application to clinical applications still need Time.
1.1 The past and present of the blood glucose meter
The main target of the blood glucose meter is the insulin-dependent population, that is, type 1 diabetes patients, and some type 2 diabetes patients who need insulin therapy. For those who do not need insulin to treat other diabetic patients, the use of blood glucose meters can also help to correct the diet and improve living habits.
At present, blood glucose meters can be divided into two categories, namely blood glucose meter (BGM) and continuous blood glucose meter (CGM). As the blood sugar testing product with the longest development history and the most complete technical reserve, the blood glucose meter has been firmly occupying the majority of the blood sugar testing market since its inception. The continuous blood glucose meter, as its name suggests, can automatically be used continuously for 24 hours. Equipment for monitoring glycemic index. From the perspective of clinical treatment and patient experience, continuous blood glucose meters can be seen as a modified version of the blood glucose meter, but the high cost of consumables and the need for perfect precision and reliability are currently hindering continuous blood glucose meters in the home and The personal market has largely replaced the biggest problem with blood glucose meters. According to US data, the current continuous blood glucose meter market share in the US market is less than 10%, and the potential for future upgrades is huge. As for the non-invasive blood glucose meter, because the skin or blood substitute is mainly used as the detection object, it is greatly affected by internal and external environmental factors. The existing mathematical model can not completely solve the technical problem in the correlation degree and accuracy of the index, so although the countries in the world are non-invasive The research and development of blood glucose meters have invested heavily, and some products have been introduced one after another. However, all the clinical feedbacks that can be seen show that there is still a long way to go before the non-invasive blood glucose meter is transformed from research and development to application.
Figure 3: Comparison of the advantages and disadvantages of various types of blood glucose meters
Source: Dongxing Securities Research Institute
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