Applicability of a Continuous Glucose Monitoring System in a Military Environment and its Vulnerability

doi: 10.32563/hsz.2024.2.8

Abstract

The number of people suffering from diabetes is constantly increasing, and this also affects those who serve in the military. Actual knowledge of blood sugar levels is essential to avoiding extremely high and low blood sugar values. New technologies are now available for the treatment of diabetes, which offers a good opportunity for soldiers with diabetes to be deployed for various military missions. This paper discusses one such new sensor technology, the continuous glucose monitoring system. The study presents the connections between diabetes and health fitness, analyses the application possibilities, advantages, and possible disadvantages of the sensor system, focusing on the specifics of its use in the military environment. Due to the military environment, the study examines the vulnerability of the system and the threats that can be applied against it.

Keywords:

diabetes health fitness glucose monitoring sensor Bluetooth LE vulnerability

References

A Belügyminisztérium egészségügyi szakmai irányelve a diabetes mellitus kórismézéséről, a cukorbetegek antihyperglykaemiás kezeléséről és gondozásáról felnőttkorban (2023). Egészségügyi Közlöny, 73(13), 1137–1246. Online: http://www.kozlonyok.hu/kozlonyok/Kozlonyok/6/PDF/2023/13.pdf

AGIOSTRATIDOU, Gina et al. (2017): Standardizing Clinically Meaningful Outcome Measures Beyond HbA1c for Type 1 Diabetes: A Consensus Report of the American Association of Clinical Endocrinologists, the American Association of Diabetes Educators, the American Diabetes Association, the Endocrine Society, JDRF International, The Leona M. and Harry B. Helmsley Charitable Trust, the Pediatric Endocrine Society, and the T1D Exchange. Diabetes Care, 40(12), 1622–1630. Online: https://doi.org/10.2337/dc17-1624

American Diabetes Association Professional Practice Committee (2024): 6. Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes – 2024. Diabetes Care, 47(Supplement_1), S111–S125. Online: https://doi.org/10.2337/dc24-S006

CHOI, Sammy Y. – CUCURA, John (2018): US Army Soldiers With Type 1 Diabetes Mellitus. Journal of Diabetes Science and Technology, 12(4), 854–858. Online: https://doi.org/10.1177/1932296818767700

FOLARON, Irene et al. (2018): Effect of Military Deployment on Diabetes Mellitus in Air Force Personnel. Military Medicine, 183(11–12), e603–e609. Online: https://doi.org/10.1093/milmed/usy050

HAIG Zsolt et al. (2022): Possibilities of Electronic Jamming of WLAN Networks in the Physical Layer. Hadmérnök, 17(3),133–152. Online: https://doi.org/10.32567/hm.2022.3.9

HEVESI Judit Ildikó (2023): A folyamatos szöveti glükózmonitorozó rendszer elérhetősége Magyarországon. Belügyi Szemle. 71(12), 2207–2222. Online: https://doi.org/10.38146/BSZ.2023.12.6

HEVESI Judit Ildikó (2024): A szénhidrát-anyagcsere állapot jellemzése a folyamatos szöveti glükózmonitorozó rendszer alkalmazása mellett. Belügyi Szemle, 72(1), 75–88. Online: https://doi.org/10.38146/BSZ.2024.1.5

HLAPISI, Nthatisi (2016): Vulnerabilities and Attacks on Bluetooth LE Devices – Reviewing Recent Info. All About Circuit, 2016. július 16. Online: https://www.allaboutcircuits.com/technical-articles/vulnerabilities-and-attacks-on-bluetooth-le-devicesreviewing-recent-info

KLONOFF, David C. (2015): Cybersecurity for Connected Diabetes Devices. Journal of Diabetes Science and Technology, 9(5), 1143–1147. Online: https://doi.org/10.1177/1932296815583334

KÓRÓDI Gyula (2005): Az agykoponya lövési sérüléseinek korszerű ellátása szervezési- és szakmai szempontok alapján, a NATO tagságunkból fakadó kihívások tükrében. Doktori (PhD-) értekezés. Budapest: Zrínyi Miklós Nemzetvédelmi Egyetem Hadtudományi Doktori Iskola.

KÖPPEL, Steven (2013): Bluetooth Jamming. Bachelor’s Thesis. ETH Zürich. Online: https://pub.tik.ee.ethz.ch/students/2012-HS/BA-2012-16.pdf

WINKLER Gábor – BARANYI Éva (2014): A cukorbetegség egészségkárosító hatása. Budapest: SpringMed.

WU, Jianliang, et al. (2020): BLESA: Spoofing Attacks against Reconnections in Bluetooth Low Energy. 14th USENIX Workshop on Offensive Technologies (WOOT 20), 2020. augusztus 11. Online: https://www.usenix.org/system/files/woot20-paper-wu-updated.pdf

YU Xiaohui et al. (2023): Prevalence of Impaired Awareness of Hypoglycaemia in People with Diabetes Mellitus: A Systematic Review and Meta-Analysis from 21 Countries and Regions. Diabetic Medicine, 40(9), e15129. Online: https://doi.org/10.1111/dme.15129

Internetes források

APVRILLE, Axelle – LAKHANI, Aamir (2019): Medical IoT for diabetes and cybercrime. Virus Bulletin International Conference (VB2019), 2019. október 2–4. Online: https://www.virusbulletin.com/uploads/pdf/magazine/2019/VB2019-Apvrille-Lakhani.pdf

Bluetooth LE – Nordic (2020). Understanding Bluetooth LE Advertising. BeaconZone Blog, 2020. október 2. Online: https://www.beaconzone.co.uk/blog/understanding-bluetooth-le-advertising/

Daily Mail Reporter (2013): Dick Cheney Reveals He Feared Terrorists Would Kill Him by Staging Homeland-style Attack on His Pacemaker. Daily Mail, 2013. október 19. Online: http://www.dailymail.co.uk/news/article-2466951/Dick-Cheney-reveals-fearedterrorists-kill-staging-Homeland-style-attack-pacemaker.htm

Diabetic Supplies and Equipment [é. n.] Online: https://tricare.mil//CoveredServices/IsItCovered/DiabeticSupplies

GSM, GPS, WIFI Blokkolók (Jammer) [é. n.]. Online: https://spyonlineshop.com/termekkategoria/gsm-gps-wifi-blokkolok-jammer

International Diabetes Federation (2021): IDF Diabetes Atlas. 10th Edition. Online: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf

The Bluetooth® Low Energy Primer (2024). Bluetooth®. Online: https://www.bluetooth.com/wp-content/uploads/2022/05/the-bluetooth-le-primer-v1.2.0.pdf

Jogszabályok

- 2012. évi CCV. törvény a honvédek jogállásáról. Online: https://net.jogtar.hu/jogszabaly?docid=A1200205.TV

- 9/2013. (VIII. 12.) HM rendelet a honvédek jogállásáról szóló 2012. évi CCV. törvény egyes rendelkezéseinek végrehajtásáról. Online: https://net.jogtar.hu/jogszabaly?docid=a1300009.hm

- 10/2015. (VII. 30.) HM rendelet a katonai szolgálatra való egészségi, pszichikai és fizikai alkalmasságról, valamint a felülvizsgálati eljárásról. Online: https://net.jogtar.hu/jogszabaly?docid=a1500010.hm

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