The caution applies to any watch or ring, regardless of
brand, that claims to measure blood glucose levels in a noninvasive way, the
agency said. The FDA said it has not authorized any such device.
The agency’s notice doesn’t apply to smartwatch apps linked
to sensors, such as continuous glucose monitoring systems that measure blood
sugar directly.
Roughly 37 million Americans have diabetes. People with the
disease aren’t able to effectively regulate their blood sugar because their
bodies either don’t make enough of the hormone insulin or they have become
resistant to insulin.
To manage the condition, they must regularly check their
blood sugar levels with a finger prick blood test or with a sensor that places
needles just under the skin to monitor glucose levels continuously.
Using the unapproved smartwatch and smart ring devices could
result in inaccurate blood sugar measurements, with “potentially devastating”
consequences, said Dr. Robert Gabbay, of the American Diabetes Association.
That could cause patients to take the wrong doses of medication, leading to
dangerous levels of blood sugar and possibly mental confusion, coma or even
death.
Several companies are working on noninvasive devices to
measure blood sugar, but none has created a product accurate and secure enough
to get FDA approval, said Dr. David Klonoff, who has researched diabetes
technology for 25 years.
The technology that allows smartwatches and rings to measure
metrics like heart rate and blood oxygen is not accurate enough to measure
blood sugar, said Klonoff, of the Sutter Health Mills-Peninsula Medical Center
in San Mateo, California. Efforts to measure blood sugar in body fluids such as
tears, sweat and saliva are not ready for prime time, either.
“It’s challenging, and I believe at some point there will be
at least one scientist or engineer to solve it,” Klonoff said.
In the meantime, consumers who want to measure their blood
sugar accurately can buy an FDA-cleared blood glucose monitor at any pharmacy.
“It comes down to risk. If the FDA approves it, the risk is
very small,” he said. “If you use a product that is not cleared by the FDA,
very often the risk is very large.” -AP
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