The Sunday Times of Malta

Improving diabetes foot care through innovative wearables

- ROBERT FARRUGIA

In the field of diabetes care, the integratio­n of telehealth has emerged as an important advancemen­t, particular­ly in addressing the unique challenges linked to diabetic foot health. This includes the risk of ulceration­s and amputation­s.

Telehealth encompasse­s a wide range of health services delivered through technology, including clinical services such as telemedici­ne and non-clinical services such as health education and remote monitoring of vital signs.

To address these challenges, a collaborat­ive team of researcher­s from diverse specialisa­tions at the University of Malta (UM) developed an inshoe system that enables continuous monitoring of the diabetic foot through the Smart Insole Technology.

The team of researcher­s developed a wearable insole equipped with temperatur­e sensors for patients to use daily. The system can transmit real-time data to healthcare providers, allowing for proactive identifica­tion of potential issues. Timely interventi­on not only aids in preventing diabetic episodes but also significan­tly reduces the risk of complicati­ons that could lead to severe consequenc­es, including amputation­s.

By simply wearing these insoles, foot health data transmitte­d to a smartphone app will provide the wearer valuable insights into their foot health in real time, promoting self-management and fostering a proactive approach to their overall well-being.

Moreover, clinicians accessing this data will help identify possible foot complicati­ons related to diabetes, such as foot ulceration­s and amputation­s, ahead of time for immediate management and more personalis­ed care.

This innovative approach to healthcare, applicable in both a diagnostic and continuous care setting, empowers medical profession­als to monitor and care

patch that uses micro-needles to monitor glucose and ketone levels in individual­s with type 1 diabetes. The patch eliminates the need for daily finger pricks or urine tests and wirelessly transmits real-time data to smartphone­s, making monitoring blood sugar levels and preventing complicati­ons easier.

Scientists achieve potential breakthrou­gh in type 1 diabetes treatment Researcher­s at Rice University have developed a new screening method for biomateria­l formulatio­ns, successful­ly encapsulat­ing human insulin-secreting islet cells in diabetic mice using a single alginate formulatio­n. This could lead to a more sustainabl­e treatment for type 1 diabetes with long-term blood sugar regulation. The ‘barcoding’ technique used in this approach could also have extensive medical uses and improve diabetes treatment.

• for patients remotely, limiting the need for regular physical clinical or hospital visits. Not only does this streamline the medical process but it also allows patients to lead their lives in a more normative manner.

This integratio­n of telehealth in diabetes care, particular­ly concerning the diabetic foot, is vital. With this emerging and innovative technology, research at the UM aims not only to elevate the quality of patient care but also to revolution­ise the management of a condition that necessitat­es consistent attention and vigilance.

The AFTDA project is composed of the following members: Owen Falzon, Mark Borg from the Centre for Biomedical Cybernetic­s; Stephen Mizzi, Tiziana Mifsud, Robert Farrugia from the Faculty of Health Sciences; and Josef Bajada from the Faculty of ICT.

The AFTDA project (Analysis of Foot Temperatur­e Data) is funded by the Malta Council for Science & Technology (MCST), for and on behalf of the Foundation for Science and Technology through the Fusion: R&I Technology Developmen­t Programme.

Robert Farrugia is a physiother­apist, researcher at UM.

HTTPS://UWATERLOO.CA/NEWS/GLOBALFUTU­RES/PAINLESS-DIABETES-PATCH-HORIZON

HTTPS://NEWS.RICE.EDU/NEWS/2023/STUDYUNLOC­KS-POTENTIAL-BREAKTHROU­GH-TYPE-1DIABETES-TREATMENT

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 ?? ?? The photo is from an initial assessment during datacollec­tion sessions currently being performed at UM by the AFTDA research team. It shows the acquisitio­n of thermal images of subjects’ feet. Thermal images show variations across different foot regions, offering valuable insights into foot health. At UM, researcher­s are actively involved in developing an in-shoe temperatur­e monitoring system. This innovative system aims to facilitate continuous monitoring of foot temperatur­e distributi­on throughout daily activities. The intended outcome is the early detection of potential foot issues, which is crucial in preventing complicati­ons for individual­s living with diabetes. PHOTO: AFTDA, UNIVERSITY OF MALTA
The photo is from an initial assessment during datacollec­tion sessions currently being performed at UM by the AFTDA research team. It shows the acquisitio­n of thermal images of subjects’ feet. Thermal images show variations across different foot regions, offering valuable insights into foot health. At UM, researcher­s are actively involved in developing an in-shoe temperatur­e monitoring system. This innovative system aims to facilitate continuous monitoring of foot temperatur­e distributi­on throughout daily activities. The intended outcome is the early detection of potential foot issues, which is crucial in preventing complicati­ons for individual­s living with diabetes. PHOTO: AFTDA, UNIVERSITY OF MALTA
 ?? ?? The AFTDA Project at the University of Malta introduces Smart Insole Technology for remote monitoring, reshaping telehealth in diabetes management. PHOTO: UNDRAW
The AFTDA Project at the University of Malta introduces Smart Insole Technology for remote monitoring, reshaping telehealth in diabetes management. PHOTO: UNDRAW
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