© GSM Association 2012

Michael Morgan-Curran

Diabetes Programme Director

© GSM Association 2013

Connected Life…..

……….world where everything intelligently connects

• 25 billion connected devices by 2020

• Mobile Health solutions could save $400 billion from healthcare bills in developed countries in 2017

• Mobile Health solutions could save 1 million lives in sub-Saharan Africa over the next 5 years

Source: GSMA/PwC

© GSM Association 2013

mHealth benefits

Supports cost-effective delivery of better healthcare for everyone

patients,providers

payers,vendors,nations

and the world

Source: GSMA

© GSM Association 2013

Number of people with type 2 diabetes is increasing in every country

The greatest number of people with diabetes are between 40 to 59 years of age

187 million people (50%) with diabetes are undiagnosed

80% of people with diabetes live in low- and middle- income countries

www.idf.org

Why is Diabetes a global burden

© GSM Association 2013

1 person is diagnosed with diabetes every 3 seconds 1 person dies of the complications of diabetes every 7

seconds

1 person loses a limb because of the complications of diabetes every 24 seconds

4.8 million deaths in 2012 - half under 60

Why is Diabetes a global burden

www.idf.org

© GSM Association 2013

552 million individuals will suffer from diabetes by 2030 up by 150%

www.idf.org

© GSM Association 2013

12% of total healthcare expenditures attributable to diabetes Expenditure will rise by 34% The cost of prescribing medication for complications of diabetes is around 3

to 4 times the cost of prescribing diabetes medication

Managing diabetes is expensive (on top of healthcare costs)

2011 20300

100200300400500600700800

US$ 595 billion

US$ 465 billion

High income countries: US$ 387 billion

Upper mid-income countries: US$ 64 billion

Low- and middle-income: US$ 10 billion

Low-income countries:US$ 1 billion

Global Diabetes healthcare-related spending

www.idf.org & Zhang survey 2011

© GSM Association 2013

Financial opportunity across the patient pathway in mDiabetes

MNOs are expected to account for 50% of the US$23 billion mHealth market, with monitoring the most attractive

Chronic Disease Management/Remote MonitoringPayments Integration

Cloud Based Health Records/Imaging/Applications

Tele-health

Managed Services

Enterprise Collaboration

Enterprise Hosting and Storage

Consumer Health Hotline

Personalised Health Tips

Health Messaging

Tele-care

Enterprise ICT

Consumer Voice and

Data

GlobalBusiness

Integration

Wellness Prevention Diagnosis Treatment Monitoring

$ 8.8 bn$ 0.9 bn$ 1.0 bn$ 0.8 bnmHealth source of revenue for MNOs, 2017

Source: GSMA and PwC

© GSM Association 2013

Source: Intel

Monitor standard vital signs

Monitor and manage standard

vital signs

PhysicianCaregiver

Data-rich Health management

systems

One-way communication Real-time two-way communication

Connection to friends and caregivers

Connection to healthcare advice

Independence

Safety and friendly environment

Friendly check-in mechanisms

Information sharing

Qua

lity

of c

are

and

soci

al c

onne

ctio

nRemote Patient Monitoring

Electronic Records

© GSM Association 2013

Impact of mHealth 958

North America Latin America Europe Africa Middle East W Asia SE Asia0

50

100

150

200

250

300

350

2011 May June July AugustSeptember October November January

Source: GSMA

© GSM Association 2013

mDiabetes is represented

North America Latin America Europe Africa Middle East W Asia SE Asia0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

HIV/AIDS Tuberculosis Malaria Psychiatric conditions

Diabetes Cardiovascular diseases (hypertension, ischaemic heart disease) Asthma and COAD/COPD

Source: GSMA

© GSM Association 2013

Solution Features

•US FDA approved

•Fully scalable solution backed by

•Secure network infrastructure

•Compliant with HIPAA Privacy and Security Rules

AT&T & WellDoc’s ‘DiabetesManager’

Integrated patient coaching and nurse case management system to improve diabetes care

Source: WellDoc & AT&T

Solution Benefits

• Real-time, clinically-based feedback and coaching

• Instruction or intervention

•Promotes self-care

•On-going engagement and drives down costs

© GSM Association 2013

Source: Progress in Cardiovascular Diseases 53 (2010) G⃰ Stratton IM, Adler AI, Neil HA, et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS

35): prospective observational study.

With demonstrated success

Cluster-randomised controlled trial 163 patients in 26 primary care practices

Results• A1c levels reduced by 1.9%

Benefits• 37% decrease in loosing - limbs/blindness• 14% decrease all-cause mortality

Results•58% reduction in hospital stays•100% increase in self management

© GSM Association 2013

Alignment & eng’ment

Technical & Organisational

support

An effective Solution Industry

Leading Solutions

Key success factors

Operators & Healthcare Alliance

HCPs & Patient engagement

Source: GSMA

© GSM Association 2013

What challenge lies ahead

Source: GSMA