E-DES:

Eindhoven Diabetes Education Simulator

Anne Maas (anne.maas@mmc.nl)

Carola van Pul1, Ward Cottaar2, Peter Hilbers2, Natal van Riel2, Harm

Haak1.1 Máxima Medical Center, Eindhoven. 2 Eindhoven University of Technology, Eindhoven.

Diabetes

Norris 2002 Diabetes Care 25:1159–1171, 2002

Current diabetes

self-management

education

???

food

insulin–

stress +physical activity–

+

blood glucose

level

Improve efficacy through eHealth solutions

• More patients can benefit

• Reduced costs

• Opportunity to practice

883 diabetes apps for the iPhone alone…

so why another one?

• Most apps do not differentiate between

T1DM and T2DM.

• Focus on simple logging of blood

glucose instead of self-management.

• Only 20% give individualized feedback.

• Consumer apps don’t give evidence-

based guidance.

www.sugarpal.nl

Objective

• Individualized simulator (game)

• Predict glucose & insulin values over time

• Type 1 and type 2 patients

• Input: food, medication, exercise, stress,

illness

Physiological model

Models for healthy people eating different

meals

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time [min]

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tuna sandwich and muffinD = 96g; GL = 59

wholemeal wheat breadD = 50g; GL = 32

basmati riceD = 50g; GL = 29

corn pastaD = 50g; GL = 37

cereal with milk and fruitD = 50g; GL = 33

Current work: validating the diabetes model

• Currently gathering type 1 and type 2 data

• 84 patients, 47 timepoints, 180 mL blood

• Type 2 divided in 6 classes

Next phase: user interface

Take home messages

We are developing E-DES:

• a scientifically validated educational simulator

for patients with diabetes type 1 and 2

• it models different meals and can be

individualized

• it distinguishes different groups of diabetes

type 2 patients, rather than treating them as 1

• it will become freely available

We are still looking for partners to further

develop the user interface!

• N van Riel

• P Hilbers

• W Cottaar

• C van Pul

• H Haak

Sponsored by Novo Nordisk

The team

www.diabetessimulator.wordpress.com