Recently, I spoke to someone who may have accidentally taken a duplicate dose of insulin, resulting in a dangerously low blood sugar.
He knows that I am interested in assistive memory technology because I work with many patients with memory challenges. . So he asked if I could recommend a way to quickly record his insulin doses using his iPhone in order to prevent accidental overdosing.
I did some research on the many available apps for diabetes management. While I found many highly-rated apps, I tried to think of the simplest and easiest methods to use. I like the KISS (Keep It Simple, Stupid) approach.
The videos below demonstrate 2 fast ways I found to easily record actions, events, and doses using Siri and your iPhone.
Note that both of these methods can be used to record any type of action or event, not just insulin doses.
iPhone Note app:
Pro: All insulin doses are in one note titled “insulin.” This overview method makes it easier to view frequency, types, and trends of doses.
Con: This method requires more steps than using Siri and the Calendar app.
Open the Note app, then create a new page titled with the action / event you want to record and track.
Then follow these steps:
1, "Hey, Siri. Open note insulin."
2. After the Note app page titled "insulin" displays,
touch the screen to position the cursor.
3. Launch Siri and dictate (for example): "August 31st, 1 pm. 10 units of humalog insulin."
4. Close note.
Recording doses on iPhone using Siri and Note app
iPhone Calendar app:
Pro: Quick, one-step process to record dose/ type of insulin (and other actions.)
Con:You must search the calendar for the records of type and dose of insulin.
But you can search with Siri.
Recording step: "Hey, Siri. Create event 10 units of humalog insulin today at 1 pm."
Searching step: "Hey, Siri. Search my calendar for humalog insulin."
Recording doses on iPhone using Siri and Calendar app
Please leave a comment below on what methods you use to record doses, events , and actions.
Study focuses on people not treated effectively with antidepressants
August 21, 2018 Source: Washington University School of Medicine
People treated with vagus nerve stimulation experience significant improvements in quality of life, even when their depression symptoms don't completely dissipate, according to a new study.
Portable device capable of diagnosing within ten minutes mild traumatic brain injury, using a single drop of blood
July 30, 2018
Source: Université de Genève
Every year, millions of people are admitted into hospitals for suspected mild traumatic brain injury cases. Today, the only reliable diagnosis is the CT Scan, which is only available in some hospitals and exposes patients to radiation. Researchers have now developed a small device that analyzes the level of proteins in the blood and allows, using a single drop of blood, to diagnose the possibility of a mild traumatic brain injury. Read more.
Traumatic Brain Injury literature searches
Cognitive training can reduce depressive symptoms in individuals with traumatic brain injury
by Eric Dolen
Cognitive training can reduce depressive symptoms in patients with traumatic brain injury, according to new research published in Human Brain Mapping.
“Individuals with traumatic brain injury (TBI) are a complex population because they often have other clinical conditions, such as depression. However, little is known about what happens to the brain when individuals with TBI receive treatment for depression. So this research focused on how the brain responds to cognitive training for individuals with TBI and depression,” said Kihwan Han of the Center for BrainHealth at The University of Texas at Dallas.
In the study, 79 individuals with chronic TBI underwent either strategy- or information-based cognitive training in a small group for 8 weeks. Researchers used the Beck Depression Inventory to classify 53 of the participants as depressed.
What can cause emotional, behavioral, and cognitive problems after a Traumatic Brain Injury?
By Dan Gardner, MD, Traumatic Brain Injury Psychiatry Consultant in San Diego
How do we understand and treat the causes of emotional, behavioral, and cognitive problems resulting from Traumatic Brain Injury?
Evaluating the problems caused by brain injury can be complicated. For example, how can we tell the difference between cognitive impairments caused by brain injury, PTSD, depression, anxiety, pain, and medication side effects? What causes memory and attention problems after? What causes depression and irritability post-TBI?
I try to consider these potential causes and contributing factors to emotional, behavioral, and cognitive problems following traumatic brain injury:
These pre-injury factors should be considered:
(Note that this list is not exhaustive.)
Evaluation of the above biological, psychological, and social factors may include:
The relative effects of the bio-psycho-social factors can vary greatly according to
1) the force of the impact and 2) the unique brain that is injured.
I believe that brain injury is best viewed from a biological, psychological, social perspective:
Injury occurs to a person with a particular physical status, particular life experiences and coping style, particular current relationships with individuals and organizations.
Every person is unique; so similar impacts may have dramatically different results.
The problems resulting from most concussions resolve in weeks or months after injury. But in some cases of (so-called) mild TBI, the resulting problems may be significant and long-lasting.
Hopefully,our evaluation will take all these factors into account in carefully diagnosing and treating the causes of and contributors to a traumatic brain injury.
See filtered TBI literature searches on topics concerning evaluation and treatment.
What other factors do you think are important to consider in evaluating the emotional, behavioral, and cognitive problems resulting from Traumatic Brain Injury?
Please leave a comment.
Dan Gardner, MD
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