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Diabetes Technology Update: Practical Information for Clinicians

The first 20% of the full text of this article appears below.

Some would argue that the introduction of self-monitoring of blood glucose (SMBG) in the late 1970s marked the introduction of "diabetes technology." However, I would take issue with that. The real introduction came with the first use of insulin in the 1920s. Patients were often instructed to use cumbersome tests to measure glycosuria, and insulin adjustments were attempted based on this very crude data.

Elliot Joslin should be considered the father of diabetes technology. After all, he was the physician who realized the power of home-based data to make changes in diabetes therapy. He also appreciated how helpful it would be if there was a possibility for home blood glucose testing, because he realized the limitations of testing for urine glycosuria. In the seventh edition of his manual, published in 1941, he lamented, "Unfortunately, no method is available which is simple enough for patients or indeed most physicians to employ.... individual tests are expensive, because it is almost as easy to do ten tests as one."¹

So, even in the early days of insulin . . . [Full Text of this Article]

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