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Glucose meters, Tight Glycemic Control and What Is Wrong with My Meter?

May 7, 2010

The poor performance of today's hand held glucose system was exposed when they were used to implement Tight Glycemic Control protocols in hospital ICU's to achieve the cost savings thought to be possible by more closely controlling patients' glucose levels. Not only were the meters not good enough but the TGC protocol has became enmeshed in various controversies as to whether, in fact, they are a good thing or not.

Personalized Medicine: It is Coming but NOT very quickly

May 7, 2010

Personalized medicine and the use of companion diagnostics to implement it have been coming for the last 10 years but it has never really arrived. There are smaller examples of were it is actively practiced today, however, due to technology hurdles, FDA regulations, low / no reimbursement, and lack of awareness, the PM wave has still not arrived on shore. It will eventually, the question is when.

The Point–of–Care (POC) Myth: Chasing Gold but finding bronze

May 7, 2010

A Point-of-Care market for diagnostic products and services does not exist. Rather it is conglomeration of many smaller markets, usually based on specific physician specialty and their specific diagnostic requirement for the disease states that they see. Because each component market has different technical demands and requires focused sales forces, history has shown it to be very difficult to build large, profitable businesses out of the mythical Point-of-Care market. In fact, the difficulty can be seen in Inverness' struggles to integrate all of the POC products that it bought into one, coherent, sustainable business that makes money.

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