In the next 3 to 5 years, we will have a new generation of control upon us providing continuous glucose monitoring. Some of these marvelous technologies will not require a drop of blood, while others will embody the tried-and-true stick-to-itiveness we all know and loathe.

Please join me as we browse the isles of things to come (and things now available) for continuous glucose monitoring.

The DexCom STS Continuous Glucose Monitoring System is a glucose sensor that reports glucose values every 5 minutes for up to 72 hours. The sensor is inserted in the abdomen. After a 2 hour start-up period, the STS System is calibrated with 2 fingerstick measurements taken by a traditional glucose meter. Checkout Amy Tenderich's review on Diabetes Mine of the DexCom Continuous Glucose Monitoring Sytem.

MiniMed Medtronic has 3 different versions: the Gold, the Guardian RT, and the Paradigm Real-Time Continuous Monitor.

Menarini GlucoDay S is a device worn by the patient for the continuous monitoring of glucose in the subcutaneous interstitial fluid. Monitoring is performed via insertion in the abdominal region of a microfibre for dialysis having the diameter of a human hair. Inside the microfibre a solution transports the patient's glucose to a biosensor within the instrument.

M-Biotech Glucose Biosensor is a minimally invasive implantation for painless and convenient monitoring. The key feature of our efficient Glucose Biosensor is the combination of a glucose-sensitive hydrogel and a miniature pressure sensor. Glucose-responsive hydrogels are biocompatible materials that either swell or contract when the glucose concentrations change in the body fluid surrounding the hydrogel.

The PreciSense System includes a microcapsule placement unit and a light detecting non-invasive reader unit. The microcapsule placement unit poses the right dose of glucose-responding microcapsules in the upper layer of the skin, painlessly. The glucose assay components in the microcapsules generate a fluorescence signal that corresponds to the glucose level. The non-invasive reader unit monitors this glucose binding event through FRET, Fluorescence Resonance Energy Transfer, which is directly related to the concentration of glucose.

Sensors for Medicine and Science glucose sensor is implanted under the skin in a short outpatient procedure. The sensor automatically measures interstitial glucose every few minutes, without any user intervention. The sensor implant will communicate wirelessly with a small external reader.

Synthetic Blood Implanted Glucose Biosensor claims to offer significantly more accurate glucose readings in a range of 30-500 mg/dl. The implanted Glucose Biosensor continuously monitors blood glucose without the need for finger sticks. The most accurate glucose monitor available, the implanted biosensor can be programmed to monitor blood glucose according to a predetermined schedule, thus eliminating problems of patient compliance. The sensor alarms for dangerous, life threatening conditions such as hypoglycemia.

GlucoLight Corporation is developing a low-cost non-invasive blood glucose monitor for home use by diabetic patents. GlucoLight's unique optical approach, microScatterTM (microscatter) technology, is based on patented technologies in the area of Optical Coherence Tomography (OCT) and Low Coherence Interferometry (LCI). There is a working prototype with published clinical data on healthy volunteers.

The GlucoWatch G2 Biographer was approved to detect glucose level trends and track patterns in people with diabetes. It must be used along with conventional blood glucose monitoring of blood samples. The device, which looks like a wristwatch, pulls body fluid from the skin using small electric currents. It can provide six measurements per hour for 13 hours. (See David Mendosa's review).

No kidding! The rats are leading researchers to triggering events causing diabetes. The new findings suggest that there is, indeed, a genetic susceptibility to diabetes, but that the precipitating event is a viral infection.

The virus in question is the Ljungan virus. Previous reports indicate that infections with the Ljungan virus can induce diabetes in laboratory rats, and that the diabetes can be reversed if the animals are treated with antiviral drugs before the destruction of insulin-secreting islet cells becomes widespread.

I'm not sure how everybody else out there got their D-card. My diagnosing event happened shortly after I had the chicken pox, back in '85. The childhood christening event apparently left me out in the cold and caused the love-hate relationship between my islets and my insulin autoantibodies. Lucky me. Thanks to all the readers out there who have already shared their sequence of diagnosis with me. What's your story? Please, share with us.

It is with great pleasure that I have the opportunity to blog about someone I consider to be a first string player in the sport of diabetes. Her name is Kerri, and her position is all over the place! Yes, you read that correctly. Kerri is a trifecta of talent. She currently works as an editorial assistant for dLife, where she writes a monthly column, "Generation D." She also finds time to contribute as a co-editor for EXIST Magazine, an online resource of CNN news with an MTV voice. You might recognize her co-editor (who is also her ever-supportive boyfriend) Chris Sparling. But the main event that drew my attention to Kerri was her blog, Six Until Me.

She started SUM in May of 2005 after Googling "diabetes" and finding not much more than a list of complications and the American Diabetes Association website. She was one of the pioneering blogs in the diabetes community. When she first set it up, SUM was one of 5. Nowadays you'll find more than 150 diabetes blogs out there in cyberspace. SUM has become reassurance for Kerri that she is not alone in dealing with diabetes. Having that kind of reassurance means the world to her, as I'm sure it does for those of us reading. Kerri puts her heart and soul into SUM and I invite any of you who spend a few minutes there to prove me wrong.

Throughout her twenty-something years of experience as a type 1 diabetic, Kerri insightfully shares her tricks of the trade in diabetes management. Grab a pen because this girl knows what she's talking about! First, she says to test often. Yes ma'am. You can't argue logic and that seems to be the only avenue open these days to tight control. Her second suggestion is just as important, but far more effective: personal forgiveness. Kerri says: diabetes is a very psychological disease... There is no such thing as a perfect diabetic. But you can be one that tries your best. Don't do yourself the disservice of calling certain foods "bad," because you don't deserve that. If your management takes a tumble, dust yourself off, forgive yourself, and move on. Life is too short to be saddled with guilt. Kerri, your words epitomize the emotional exuberance we all need to withstand diabetes. You inspire me. You share your wisdom in ways that make me proud to have you along for the ride on the D-train. That alone, should win you the Diabetes OC Awards, for which you have been nominated. Good Luck and congratulations on your ever-growing success!