Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and Care

Diabetes patients suffer from abnormal blood glucose levels, which can cause diverse health disorders that affect their kidneys, heart and vision. Due to these conditions, diabetes patients have traditionally checked blood glucose levels through Self-Monitoring of Blood Glucose (SMBG) techniques, li...

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Main Authors: Tiago M. Fernández-Caramés, Iván Froiz-Míguez, Oscar Blanco-Novoa, Paula Fraga-Lamas
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/19/15/3319
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author Tiago M. Fernández-Caramés
Iván Froiz-Míguez
Oscar Blanco-Novoa
Paula Fraga-Lamas
author_facet Tiago M. Fernández-Caramés
Iván Froiz-Míguez
Oscar Blanco-Novoa
Paula Fraga-Lamas
author_sort Tiago M. Fernández-Caramés
collection DOAJ
description Diabetes patients suffer from abnormal blood glucose levels, which can cause diverse health disorders that affect their kidneys, heart and vision. Due to these conditions, diabetes patients have traditionally checked blood glucose levels through Self-Monitoring of Blood Glucose (SMBG) techniques, like pricking their fingers multiple times per day. Such techniques involve a number of drawbacks that can be solved by using a device called Continuous Glucose Monitor (CGM), which can measure blood glucose levels continuously throughout the day without having to prick the patient when carrying out every measurement. This article details the design and implementation of a system that enhances commercial CGMs by adding Internet of Things (IoT) capabilities to them that allow for monitoring patients remotely and, thus, warning them about potentially dangerous situations. The proposed system makes use of smartphones to collect blood glucose values from CGMs and then sends them either to a remote cloud or to distributed fog computing nodes. Moreover, in order to exchange reliable, trustworthy and cybersecure data with medical scientists, doctors and caretakers, the system includes the deployment of a decentralized storage system that receives, processes and stores the collected data. Furthermore, in order to motivate users to add new data to the system, an incentive system based on a digital cryptocurrency named GlucoCoin was devised. Such a system makes use of a blockchain that is able to execute smart contracts in order to automate CGM sensor purchases or to reward the users that contribute to the system by providing their own data. Thanks to all the previously mentioned technologies, the proposed system enables patient data crowdsourcing and the development of novel mobile health (mHealth) applications for diagnosing, monitoring, studying and taking public health actions that can help to advance in the control of the disease and raise global awareness on the increasing prevalence of diabetes.
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spelling doaj.art-0cce41c0f85046b29d821bb315bf481d2022-12-22T04:09:49ZengMDPI AGSensors1424-82202019-07-011915331910.3390/s19153319s19153319Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and CareTiago M. Fernández-Caramés0Iván Froiz-Míguez1Oscar Blanco-Novoa2Paula Fraga-Lamas3Department of Computer Engineering, Faculty of Computer Science, Centro de investigación CITIC, Universidade da Coruña, 15071 A Coruña, SpainDepartment of Computer Engineering, Faculty of Computer Science, Centro de investigación CITIC, Universidade da Coruña, 15071 A Coruña, SpainDepartment of Computer Engineering, Faculty of Computer Science, Centro de investigación CITIC, Universidade da Coruña, 15071 A Coruña, SpainDepartment of Computer Engineering, Faculty of Computer Science, Centro de investigación CITIC, Universidade da Coruña, 15071 A Coruña, SpainDiabetes patients suffer from abnormal blood glucose levels, which can cause diverse health disorders that affect their kidneys, heart and vision. Due to these conditions, diabetes patients have traditionally checked blood glucose levels through Self-Monitoring of Blood Glucose (SMBG) techniques, like pricking their fingers multiple times per day. Such techniques involve a number of drawbacks that can be solved by using a device called Continuous Glucose Monitor (CGM), which can measure blood glucose levels continuously throughout the day without having to prick the patient when carrying out every measurement. This article details the design and implementation of a system that enhances commercial CGMs by adding Internet of Things (IoT) capabilities to them that allow for monitoring patients remotely and, thus, warning them about potentially dangerous situations. The proposed system makes use of smartphones to collect blood glucose values from CGMs and then sends them either to a remote cloud or to distributed fog computing nodes. Moreover, in order to exchange reliable, trustworthy and cybersecure data with medical scientists, doctors and caretakers, the system includes the deployment of a decentralized storage system that receives, processes and stores the collected data. Furthermore, in order to motivate users to add new data to the system, an incentive system based on a digital cryptocurrency named GlucoCoin was devised. Such a system makes use of a blockchain that is able to execute smart contracts in order to automate CGM sensor purchases or to reward the users that contribute to the system by providing their own data. Thanks to all the previously mentioned technologies, the proposed system enables patient data crowdsourcing and the development of novel mobile health (mHealth) applications for diagnosing, monitoring, studying and taking public health actions that can help to advance in the control of the disease and raise global awareness on the increasing prevalence of diabetes.https://www.mdpi.com/1424-8220/19/15/3319diabetesglucose monitoringCGMfog computingIoTblockchaincrowdsourcing mHealthpublic healthdecision supportpersonalized medicine
spellingShingle Tiago M. Fernández-Caramés
Iván Froiz-Míguez
Oscar Blanco-Novoa
Paula Fraga-Lamas
Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and Care
Sensors
diabetes
glucose monitoring
CGM
fog computing
IoT
blockchain
crowdsourcing mHealth
public health
decision support
personalized medicine
title Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and Care
title_full Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and Care
title_fullStr Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and Care
title_full_unstemmed Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and Care
title_short Enabling the Internet of Mobile Crowdsourcing Health Things: A Mobile Fog Computing, Blockchain and IoT Based Continuous Glucose Monitoring System for Diabetes Mellitus Research and Care
title_sort enabling the internet of mobile crowdsourcing health things a mobile fog computing blockchain and iot based continuous glucose monitoring system for diabetes mellitus research and care
topic diabetes
glucose monitoring
CGM
fog computing
IoT
blockchain
crowdsourcing mHealth
public health
decision support
personalized medicine
url https://www.mdpi.com/1424-8220/19/15/3319
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