Mobile Diabetes Management Service with Diabetes Phone
18 June 2009 Kevin K. Yi Mobile Diabetes Management System_ Healthpia Co., Ltd.
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CONTENTS
Hardware Why Mobile Phone? System Structure Operation Reliability Test Usability Test Trial Test Conclusion
Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Hardware Dongle Dongle Type Type
Two types; Dongle & Phone embedded The Dongle type can be connected through the interface or USB port. The Embedded type is a battery cover that contains measuring circuit and a port to connect with phone.
Phone Phone Embedded Embedded Type Type Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Why Mobile Phone?
The best way to monitor vital sings of our body for 24/7, is to use cellular phone as a mobile gate way. The reasons are: - Personal device - Popularity - Power on always - Portability - Possibility of Data Communication
Mobile Diabetes Management System_ Healthpia Co., Ltd.
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System Structure Measuring glucose level with Mobile Phone Transmit the Results through Mobile Wireless Network Data saved in the Data Center Analyzing and Retrieving Data (WEB and WAB) Feedback the Analyzed Results to Doctor and/or to Guardians Managing Nutrition & Exercise
Data Feedback
Guardian Feedback Guardian Service Customer Center Data/Results
Measuring Glucose Level
D/B
Call Center
Healthcare Information
Hospital
Medical Doctor Analyzing Data And Feedback Emergency
Emergency Direct Counsel
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Operation (1) Measuring: Dongle Type
Connect the Dongle Type Gluco+ to the Mobile Phone
Inset Strip and Check the Blood Glucose Level
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Operation (2) Transmitting Data Test Result Transmit
On the WEB
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HealthPia Data Center Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Operation (3) Guardian Service : Test results can be transmitted to a designated patient’s family member, a medical doctor, or a guardian
06/30/06 12:30 pm James blood sugar 110 mg/dl
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SMS message Patient’s Phone
HealthPia Data Center
Mobile Diabetes Management System_ Healthpia Co., Ltd.
Guardian’s Phone
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Operation (4) Auto Consultation : Based on the test results, programmed automatic message is transmitted to the patient in real time.
The sugar level is too low, eat sugar and redo the test in 30 minutes
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HealthPia Data Center Programmed Message
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Operation (5) Data Retrieving from the Data Server
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On the WEB
Setting the Details
Personal Information
Test Results
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Nutrition Guide Process Basic Data
+ Questionnaire
Nutrition Diary (Food list and Volume)
Measuring System
Feedback
Practice Checking Counseling
Calorie Assessment
Nutrition Guide
Mobile Diabetes Management System_ Healthpia Co., Ltd.
Nutrition Assessment Data
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Exercise Guide Process
Basic Data
+
+ Questionnaire
Self Examination of Physical Strength
Measuring BMI, WHR
Activity Check
Measuring System
Feedback
Practice Checking Counseling
Exercise Guide
Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Prominent Services of MDMS The key point is that Healthpia solution enables to form a de facto monitoring group for each patient, composed of MDs, nursing agency, parents, friends, etc., while all other competing products perform as a stand-alone device. Mobile
Glucose Meter
Yes
Yes
Yes
Yes
Yes
No
(4) Retrieving all the former data
Yes
No
(5) Alerting the abnormal result through SMS
Yes
No
(6) Alarming the measuring time
Yes
No
(7) Checking daily step counts and managing exercise level
Yes
No
(8) Periodic diabetes news and dietary contents (ex: calorie book)
Yes
No
(9) Analyzing the result by hour, day, and month with graph and/or chart
Yes
No
(10) Automatically sends the result to the family or guardian (**)
Yes
No
(11) Direct counsel from doctor or professional institution
Yes
No
Functions and Services (1) Measuring Glucose Level (2) Automatic recording and storing the measuring result (Personal DB) (3) The phone speaks the result to the patient
Unique Service of Mobile Diabetes Management System (**) Called “Guardian service� as a killer application of Healthpia Diabetes Phone
Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Reliability Test Hospital: Seoul National University, College of Medicine, Seoul, Korea Department of Medicine Laboratory Title: Evaluation of Gluco-phone as a POCT Glucometer MD: Hyung-Doo Park, Kyoung Un Park, Junghan Song, and Jin Q Kim Year: 2004 Background : To prevent complications of diabetes, diabetic patients should test blood glucose level frequently. In these days, glucometers are widely used for self-monitoring, and many kinds of products are introduced. We performed the present study to evaluate the performance of glucophone (Healthpia,Co,Ltd.,Seoul,Korea) as a point-of-care testing glucometer. Methods : Glucometers including glucophone and FinetestTM (Infopia Co. Ltd., Anyang, Korea) were evaluated for its precision, linearity, and accuracy. The interpersonal variation by different operators, reagent stability, comparison capillary blood with venous blood, and user acceptability were also evaluated. Conclusions : Glucophone showed excellent precision, linearity, and correlation with the reference method. Since POCT glucometers are influenced by operator and multiple external factors, it is important that users recognize interfering factors and preservation conditions of test strips. It is hoped that glucophone becomes a good POCT glucose monitoring tool by establishing continuous quality control system and improved operation. Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Usability Test Hospital: Samsung Medical Center, Seoul, Korea Title: The Study of Effectiveness of Using Diabetes Phones for Juvenile Diabetes Patients CN: Eun Kyoung Kwon, Dong Kyu Jin, Kyoung Hoon Baek, Seong Joo Han Year: 2004 Total 26 patients (type 1 : juvenile diabetes patient) during 3 months. The parents’ opinions are reflected because the participants are teenagers or less. Questions
A
B
C
Easiness of usage (for measuring and using contents)
D
E
O
Portability (as a medical device)
O
Accuracy (compare to others)
O
SMS and Guardian Service
O
Effectiveness of glucose control (compare to previous data)
O
Direct Counseling Service
O
Overall customer satisfaction
O Evaluation: “A(Bad) E(Excellent)”
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Trial Test (1) Hospital: Kangnam Saint Mary’s Hospital, Seoul Korea Title: The Case Study of HbA1c Level Change by Monitoring Internet Diabetes System MD: Gun Ho Yoon Year: 2005 Total 120 patients during 12 weeks Intervention Group: Monitored with GlucoPack (Diabetes Phone) and Internet. Control Group: Monitored with their own glucose meters (normal self testing device) Intervention
Control
Before
After
Before
After
7.59
6.94
7.2
7.62
Normal Criteria
HbA1c<7.0
6.38
HbA1c<7.0
6.99
Normal Criteria
HbA1c≥7.0
7.38
HbA1c≥7.0
8.12
HbA1c
Conclusion : After 12 weeks, the average HbA1c of Intervention Group is decreased 8.5% from the initial value. It means that GlucoPack (Diabetes Phone) with Internet Diabetes System is a very effective method to control patients’ glucose level. Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Trial Test (2) Hospital: Yi Yong Ro Hospital, Beijing, China Title: The Effectiveness of Diabetes Phone for Diabetes. MD: Hae Lin Ko Year: 2004 Total 10 patients during 12 weeks. Before Test
After Test
Before Meal
10.96mmol/l (197mg/dl)
Before Meal
7.98mmol/l (144mg/dl)
After Meal
12.5mmol/l (225mg/dl)
After Meal
9.12mmol/l (164mg/dl)
Conclusion: Overall 27% of glucose level decreased during the test period. According to this pilot test, GlucoPack users have kept far more close relationship with their doctors. It concluded that the intensive care could be done and the effectiveness of managing diabetes is dramatically increased. Finally, this result ensure that GlucoPack (Diabetes Phone) is the most favorable self managing system for diabetes. Mobile Diabetes Management System_ Healthpia Co., Ltd.
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Trial Test (3) Company: Green Cross Co., Ltd., Seoul Korea (One of the largest Pharmaceutical Company in Korea) Title: The Effectiveness of Intensive Diabetes Management Dpt.: Customer Satisfaction Year: 2006 Total 20 patients were participated in this trial voluntarily for 3months. (from May to July 2006)
Customer center have monitored and sent messages continually. Conclusion: Overall the GlucoPlus is the most effective device for the intensive care. Patient A : MD recommended stop taking medicine. Patient B : Dramatically decreased Glucose level from 500 to 140.
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Conclusions
• The Mobile Diabetes Management System is – Effective for controlling glucose level – Efficient for disease management – Economic due to saving total medical expenses
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