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Mobile and Internet System for Monitoring Blood Glucose Levels
Presented byRichard Strobridge
Entra Health Systems, UK
UK: +44 11 3815 5110USA: +1 619 846 6622
Presentation OverviewPresentation Overview
••
IntroductionIntroduction
••
Management of DiabetesManagement of Diabetes
••
Problems Encountered when using Problems Encountered when using Meter DataMeter Data
••
Identifying Solutions for Improved Identifying Solutions for Improved Chronic Disease ManagementChronic Disease Management
••
A Better Way to Manage DiabetesA Better Way to Manage Diabetes
••
ConclusionConclusion
IntroductionIntroduction••
Diabetes is widespread diseaseDiabetes is widespread disease
•• Incidents of diabetes has tripled in 20 yearsIncidents of diabetes has tripled in 20 years
•• 246 million people with diabetes in 2007 246 million people with diabetes in 2007
•• Diabetic population will grow to 380 million by 2025Diabetic population will grow to 380 million by 2025
•• The European region is ranked second worldwide with the The European region is ranked second worldwide with the number of diabetic persons totaling 53 millionnumber of diabetic persons totaling 53 million
•• Age of onset has moved from 55 years to 35 yearsAge of onset has moved from 55 years to 35 years
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SelfSelf--monitoring of Blood Glucose (SMBG) should be an monitoring of Blood Glucose (SMBG) should be an integral part of diabetes managementintegral part of diabetes management
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Managing diabetes helps prevent diabetesManaging diabetes helps prevent diabetes--related related complications such as cardiovascular disease, complications such as cardiovascular disease, retinopathy, nephropathy and neuropathyretinopathy, nephropathy and neuropathy
Management of DiabetesManagement of Diabetes••
Data collected by meters is nearly useless for identifying Data collected by meters is nearly useless for identifying patterns and making meaningful interventions patterns and making meaningful interventions
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Meters are not devices for real Blood Glucose control Meters are not devices for real Blood Glucose control but are mainly used for pointbut are mainly used for point--inin--time measurements time measurements
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Patterns in blood sugars come from looking at the Patterns in blood sugars come from looking at the whole picture, not at individual readingswhole picture, not at individual readings
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Identifying changes to diet or exercise that will result in Identifying changes to diet or exercise that will result in better readings can only occur better readings can only occur afterafter
seeing the patternseeing the pattern
In short: What is needed is better information, not just In short: What is needed is better information, not just more datamore data
Problems Encountered when using Problems Encountered when using Meter DataMeter Data
••
Data is often collected manually in log booksData is often collected manually in log books
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Data from existing meters, when incorporated Data from existing meters, when incorporated into a PC, is not webinto a PC, is not web--enabled or HL7 enabled or HL7 compliantcompliant
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Pattern analysis is done by a few individual Pattern analysis is done by a few individual users or doctorsusers or doctors
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Few devices allow for recording carb intake or Few devices allow for recording carb intake or insulin dosesinsulin doses
Identifying Solutions for Improved Identifying Solutions for Improved Chronic Disease ManagementChronic Disease Management
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What if the system provided feedback such as:What if the system provided feedback such as:
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““Your average preYour average pre--lunch blood sugar has lunch blood sugar has risen to 220 mg/dl from the previous 132 risen to 220 mg/dl from the previous 132 mg/dl. Has your breakfast or something mg/dl. Has your breakfast or something else changed?else changed?””
••
What if the information was communicated What if the information was communicated directly to a health care professional for realdirectly to a health care professional for real--
time analysis and feedback?time analysis and feedback?
Features Needed for Improved Chronic Features Needed for Improved Chronic Disease ManagementDisease Management
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Redesign meters to put focus on userRedesign meters to put focus on user--friendly designsfriendly designs
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Implement a relational database or a remote Implement a relational database or a remote connection to a relational serverconnection to a relational server
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Incorporate a keyboard or mobile phone for data entryIncorporate a keyboard or mobile phone for data entry
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Provide Web access for support of the patient and for Provide Web access for support of the patient and for communicating to the health care provider/EHRcommunicating to the health care provider/EHR
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Provide access to a network of health care Provide access to a network of health care professionals who can guide the patient in making professionals who can guide the patient in making choiceschoices
EHS has begun the implementation of www.myglucohealth.co.uk
as an online service providing end-to-end diabetes disease management.
Test results are sent via mobile phone or PC to the web portal which can:•Chart blood glucose results •Track other health and wellness related information•Easily share information with physicians and caregivers.
A Better Way to Manage A Better Way to Manage DiabetesDiabetes
Features: The first standalone CE-approved Bluetooth-enabled glucose meter on the market
World's first USB and Bluetooth meter
Automatic coding
Small sample size: 0.3 microliter
Fast testing: 3 second results
Easy strip ejector
Large display and buttons
Transmits results to via your cell phone (Bluetooth) or PC (USB)
State of the Art Glucose State of the Art Glucose MeterMeter
Online Diagnostic& Health Care Professionals
Glucose meter sends test resultsvia USB cable to a PC or…
……wirelessl
y via
a mobile phone
…..to themyglucohealth
portal
How it works with the Provider:How it works with the Provider:
Electronic Health Records
Online Information/Tools
Information and Analysis
Glucose meter sends test resultsvia USB cable to a PC or…
……wirelessl
y via
a mobile phone
…..to themyglucohealth
portal
How it works for the Patient:How it works for the Patient:
Text Messaging,
Email Alerts, etc
Test results automatically transferred to the web Test results automatically transferred to the web portal.portal.
Patients and health care providers have Patients and health care providers have access to the data in an informative formataccess to the data in an informative format
•• Readings are logged and color coded based on the userReadings are logged and color coded based on the user’’s specific criteria.s specific criteria.
•• Readings are automatically charted in a variety of views.Readings are automatically charted in a variety of views.
•• Information can be incorporated in the patientInformation can be incorporated in the patient’’s electronic health records electronic health record
myglucohealth provides significant advantages to patients, physicians and caregivers including:
• Highly accurate, state of the art meter
• Simple operation
• Connected…no more log books
• Automatic shipment of strips and lancets
• Access by health care professional to patient test results
• Health care analytics and alerts for out-of-range results
• Easy and secure patient-physician communication
AdvantagesAdvantages
•• Patient takes more Patient takes more ““ownershipownership””
of disease management and of disease management and will make better lifestyle choiceswill make better lifestyle choices
•• Alarms, reminders and feedback by text or email encourage Alarms, reminders and feedback by text or email encourage patient compliance with testing and interpretation of resultspatient compliance with testing and interpretation of results
•• Accurate, realAccurate, real--time information accessible by both patient and time information accessible by both patient and health professionals enables better disease managementhealth professionals enables better disease management
•• Reduction in treatment costs associated with poor disease Reduction in treatment costs associated with poor disease managementmanagement
•• Invaluable resource to parents of diabetic children or other Invaluable resource to parents of diabetic children or other caregiverscaregivers
•• Incorporation with Electronic Medical RecordsIncorporation with Electronic Medical Records
Potential BenefitsPotential Benefits
ConclusionConclusion
••
The system provides greater opportunity for collaboration The system provides greater opportunity for collaboration and information in the process of SMBG and information in the process of SMBG
••
A flexible mobile phoneA flexible mobile phone--based or internetbased or internet--based access based access provides a choice of platform for the patientprovides a choice of platform for the patient
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More study is needed to assess improvements to quality of More study is needed to assess improvements to quality of life and lower healthcare costslife and lower healthcare costs
••
Cost concerns may influence the use of mobile phones in Cost concerns may influence the use of mobile phones in telehealth interventiontelehealth intervention
••
The processes applied by EHS in managing diabetes can The processes applied by EHS in managing diabetes can be applied to other chronic diseases and conditionsbe applied to other chronic diseases and conditions
Thank you for your attentionThank you for your attention
Richard StrobridgeRichard Strobridge
President, Entra Health SystemsPresident, Entra Health Systems
www.myglucohealth.co.ukwww.myglucohealth.co.uk
[email protected]@entrahealthsystems.com
UK: +44 11 3815 5110UK: +44 11 3815 5110
USA: +1 619 846 6622USA: +1 619 846 6622
