Keeping tabs on glucose levels

remotely in 2017

Melissa Holloway

About

Disclosures: consulting fees from

• Ascensia Diabetes Care UK Ltd

• Dexcom

Agenda

• Context

• Continuous glucose monitoring

• Flash glucose monitoring

• Blood glucose meters with Bluetooth

• Cloud-based diabetes data management

• The horizon

• Long-term goals

Early

2000s

http://www.cawt.com/Site/11/Documents/R

TMPrepregnancy1.pdf

2017

Why no HCP wants real-time alerts

CONTINUOUS GLUCOSE

MONITORING

US predecessor of Dexcom G5 Mobile:

G4 with Share

Dexcom G5 Mobile

+ Clarity web-based data

Dexcom G5 CGM user views

My husband is on a business trip in

Germany. My phone kept ringing at 4:30

this morning. I finally rolled over, looked

to see it was him, picked up and said

‘It's 4:30 in the morning here!’ He replied

with ‘I just wanted to let you know your

sugar is low.’ Checked my Dexcom and

did a manual check and sure enough

my sugar was low.

It is so amazing to have technology like

this and I am so grateful for it.

Tonight is the sixth anniversary of my

son's T1D diagnosis. It was the scariest

night of my life. I've learned so much

since then and I'm so grateful for

Dexcom – their technology allows me to

better manage my son's blood sugar

and sleep so much more peacefully

knowing that I'll be alerted if anything is

wrong.

Adult with T1D Parent of a child with T1D

Medtronic Guardian Connect

#wearenotwaiting – Nightscout

FLASH GLUCOSE MONITORING

(ABBOTT)

LibreLink and LibreLinkUp

BLOOD GLUCOSE METERS WITH

BLUETOOTH

OneTouch

Verio Flex

Ascensia Contour NEXT One

Dario

CLOUD-BASED DIABETES DATA

MANAGEMENT

Major players

• DiasendGlooko

• mySugr

• mumoActive

• Tidepool

glooko.com

mySugr.com

mySugr makes diabetes suck

less

mySugr removes the burden of

managing diabetes. Your

therapy information is just there

and it’s useful at a glance. All in

one place and easy to

understand.

• Over 227 years of life with

diabetes across the team

• Over 1,000,000 downloads

• Class I medical device (in

Europe)

mySugr.com

mySugr makes diabetes suck

less

mySugr removes the burden of

managing diabetes. Your

therapy information is just there

and it’s useful at a glance. All in

one place and easy to

understand.

• Over 227 years of life with

diabetes across the team

• Over 1,000,000 downloads

• Class I medical device (in

Europe)

mumoactive.com

Mumoactive makes

managing your health an

integral part of your life

❶ TRACK YOUR VALUES

❷ STAY IN CONTACT

❸ GET ON LIVING

tidepool.org

Building a Secure, Open

Platform

• A home for diabetes data

and the apps that use it

• Source code freely available

to everyone

• Secure, HIPAA-compliant,

industry-standard encryption

The horizon

• User input passive recording

• Pattern recognition decision support

Pattern recognition isn’t helping me manage diabetes

Pattern recognition isn’t helping me manage diabetes

CGM enables dynamic diabetes management

– and more decisions

The horizon

• User input passive recording

• Pattern recognition decision support

• Individual, retrospective data interpretation

big data trends and predictions

• Proprietary, closed device platforms

open-source, with data protection standards

Long-term goals

• Reducing the burden of diabetes decision-

making

• Increasing value to users, caregivers and

the health system as a whole

Q&A

www.inputdiabetes.org.uk

melissa@speakingdiabetes.com

www.speakingdiabetes.com