EU REACTION project develops diabetes management tools
24 June 2014
The EU funded REACTION project has developed a set of software tools and
devices to help both diabetes patients and medical staff better manage the condition.
The REACTION technology platform provides integrated, professional,
management and therapy services to diabetes patients in different
healthcare regimes across Europe, including:
- professional decision support for in-hospital environments;
- safety monitoring for dosage and compliance;
- long term management of outpatients in clinical schemes;
- care of acute diabetic conditions; and
- support for self management and life-style changes for
Patients at the Medical University of Graz in Austria and patients
at primary care who are being treated at the Chorleywood Health
Centre in the UK have been using the system to manage their
condition and giving feedback that has helped the researchers to
design a system that is effective and intuitive.
In the hospital, nurses and doctors both said that the tools used
(REACTION GlucoTab system) helped them to create better care plans
for their patients. The improved on-site documentation and
predictions provided by the system meant that they could give more
accurate doses of insulin. The result is that patients’ glucose
levels stayed far more stable in the recommended target range.
In Chorleywood Health Centre, patients used the system to keep a
close eye on their symptoms and their vital signs. They could then
share these readings with their doctor or nurse, and were much
better able to stay healthy as a result.
The project teams developed a number of tools, including:
- GlucoTab, a tablet-PC-based system that advises doctors and nurses
on the best course of treatment for each patient. The Gateway
supports Continua and other protocols and exports data to different
back-ends. It is based on open standards.
- Nutrition App, a smartphone app that allows patients to
monitor their nutrition. The app exports data to a back-end server.
It stores dietary information and weekly lists of meals and can
export into the REACTION database using the service layer.
- Multi-Protocol Home Monitoring Gateway is a software-based gateway
running on a standard PC-platform with or without a user interface.
- Chip-based IR Glucose Sensor. The sensor is based on infrared
difference absorption spectroscopy on perfusion solution in a
disposable chip, attached to a non-disposable, wearable electronics
and connected to a microdialysis catheter.
- Wireless Sensor (ePatch) for Heart Rate Monitoring. The
ePatch is a miniaturised monitoring system applied to the skin
surface with a skin friendly adhesive. The ePatch primarily
records ECG but in REACTION the technology has been further
developed towards the needs in diabetes treatment. Activity
sensors and wireless data communication using ZigBee or Bluetooth
have been integrated.
- Patient Portal. The portal is a comprehensive diabetes data
management system designed to enable sharing of information
between clinicians and patients and supporting the patients in
managing their diabetes.
- Clinical Portal. The portal is a software application to
manage information collected from sensors, patient portal and
care plan in order to provide clinical management of diabetes
The IR glucose sensor
Zigbee home monitoring platform
The project has also developed a semantic search tool, notification
handler, risk models, risk management tool, a
glucose-insulin-glucagon model, and a software infrastructure for
connectivity and data communications.
The social, economic and legal implications of the technology
were studied to better understand what might make tools like this
more socially or professionally acceptable.
The REACTION lucoTab system was CE marked and can now be used in
a clinical routine. The monitoring devices adapted for primary care
patients and the gateway passed safety and EMC tests and have also
obtained a CE mark. Finally, in May 2014 the GlucoTab system won the research prize
for Human-Technology-Interface in the category “economic
applications” awarded by the government of the federal state of
Styria in Austria.
The project's website:
Link to the project on CORDIS:
Brochure summarising the project's achievements and products: