The use of wearable devices is changing the way patients manage many chronic health conditions, such as diabetes and cardiovascular disease, outside the clinic. The ability of wearable to provide continuous monitoring makes them particularly suitable for the management of these chronic disorders which are disproportionately present in minorities. Compared to Caucasians, African American are 30% more likely to die of cardiovascular diseases, while Hispanic and Latino are 65% more likely to be diabetic. These groups have also significant higher rate of obesity. In this talk we will introduce some of our work aimed at the development of optical wearable devices targeting chronic diseases. We will show, through Monte Carlo modeling, how common optical wearable devices do not address the need of all users and are particularly limited in dealing with highly pigmented skin tones as well as large adipose layers. Strategies to overcome these limitations will be presented.
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