Apple Watch for Diabetes: The Latest on Apple's Plans for Non-Invasive Blood Sugar Monitoring - MacRumors
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Apple Watch for Diabetes: The Latest on Apple's Plans for Non-Invasive Blood Sugar Monitoring

For many years now, it has been rumored that the Apple Watch will eventually gain non-invasive blood sugar monitoring capabilities, which would enable millions of people with diabetes to track their blood glucose levels without needing to prick their skin with a needle or wear a dedicated continuous glucose monitor.

Apple Watch Blood Glucose Monitoring Feature 2
According to Bloomberg's Mark Gurman, Apple recently shifted oversight of the project from its platform architecture chief Tim Millet to Zongjian Chen, a senior engineer overseeing advanced technologies within the company.

He framed this change as positive news for the project, which has apparently been in development for more than 15 years.

"Some view the transition as a sign the work may finally be progressing to a point where Chen, known as someone who delivers, can ramp up development of the technology into an eventual consumer-grade offering," he said.

In 2023, Gurman reported that Apple's system would rely on a laser that would emit light under the skin to determine a person's blood glucose level.

"The system uses lasers to emit specific wavelengths of light into an area below the skin where there is interstitial fluid — substances that leak out of capillaries — that can be absorbed by glucose," he said. "The light is then reflected back to the sensor in a way that indicates the concentration of glucose."

An algorithm would ultimately determine a person's blood glucose level, and the feature could also alert users to potential signs of prediabetes.

While the project has new leadership, the Apple Watch is still unlikely to gain non-invasive blood sugar monitoring for several more years, if ever. But if Apple eventually achieves this moonshot, the Apple Watch would provide diabetic people with a more comfortable and convenient solution for keeping track of their blood sugar.

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Top Rated Comments

brett_x Avatar
1 hour ago at 09:41 am
My wife and I have a rule that we won't discuss things around dinner time... because "hangry" really is a thing.

Now I see our future:
Me: "Honey, how's your glucose, because I have a question or two about our credit card bill."
Wife: Looks at watch. "Not great. Lets talk later."
Me: "Okay.. grab a snickers or something... it's gonna be a doozy."
Score: 3 Votes (Like | Disagree)
Boil Avatar
52 minutes ago at 10:09 am
As someone who recently lost a foot to Type 2 diabetes, this would be a godsend...!
Score: 2 Votes (Like | Disagree)
1 hour ago at 09:45 am
This would be absolutely massive if they could make an accurate glucose monitor without puncturing the skin. I am very skeptical that they could do this though would love it if they did as a T1 Diabetic. Accuracy of the read is paramount here, if it cannot be trusted completely then it is not a solution for diabetics. Now IF they can do this then they have disrupted a multi billion dollar industry with something that costs far less than what is paid for a year just with glucose monitoring alone. This would truly make an Apple Watch a must have for ALL diabetics and I would never question whether I want to switch to another watch.
Score: 2 Votes (Like | Disagree)
jbernie Avatar
19 minutes ago at 10:41 am
Medical device, and it would need to be one = FDA (etc.) approval and likely also = review of all future devices if the device changes. I would think this is more likely a separate distinct model as opposed to being included in the standard watch. Also, being realistic, most of the population doesn't need this data, but for those who do *really really* need it and need it to be good they need to be really careful on the promises. For most people it would be similar to doing your blood pressure on a free machine in the pharmacy area of your grocery store. It could definitely have potential to help catch things, but many times you will know because type 1 diagnose is pretty sudden.

The technology isn't really measuring "blood glucose", it is really non-invasive CGM "sensor glucose" which actually measures interstitial fluid and very different. A blood glucose test (finger prick) is real time data (with margin of error), sensor glucose is typical shows what you were 15 or so minutes ago, though they can be identical if you don't have food, exercise, bolus insulin or other influences in play.

The Mean Absolute Relative Difference (MARD) will be critical, you need to be below 10% to be a more proper device. When you think about what diabetics live with, a 10% MARD even if your blood glucose is at 100 is still a pretty big difference, but it gets way worse as you deal with much higher levels. My CGM and glucometer are both around 8% which means putting numbers side by side is nowhere near an exact science, but hopefully there is an overlap and that is likely where you really are.

I know of non-invasive blood glucose discussions happening back in the very early 90s (get off my lawn etc.), so while I would really love to see something like this happen, I am still waiting 35 years and endless promises later, so my excitement levels haven't really moved the needle (diabetic pun) with all this talk.
Score: 1 Votes (Like | Disagree)
I7guy Avatar
22 minutes ago at 10:38 am

Apple would not be able to keep up with demand for the watch.

Get this wrong and the lawsuits would bankrupt Apple.
The watch won’t be classified as a medical device. IMO, making lawsuits much more difficult.
Score: 1 Votes (Like | Disagree)
one more Avatar
44 minutes ago at 10:16 am
“While the project has new leadership, the Apple Watch is still unlikely to gain non-invasive blood sugar monitoring for several more years, if ever.”

This is a tough one and the sentence above gives a good summary on the topic. So far neither Google nor Apple managed to deliver, despite their virtually unlimited resources.

Currently nothing beats the accuracy of the old good finger prick test. The most advanced (invasive) CGM systems on the market (Dexcom & Abbott) are close, with their MARD values at about 8, but even they lag behind.
Score: 1 Votes (Like | Disagree)