Technology and Innovation:

Reducing the Burden of Diabetes

Lane Desborough Chief Engineer

Insulin Delivery / Closed Loop

Medtronic Diabetes

Northridge, California

2 | MDT Confidential

9301179-011

Australia, Brazil, Britain, Canada, France, Germany, Hungary,

India, Japan, Korea, Malaysia, Mexico, Singapore, South Africa,

United States .

4 | MDT Confidential

9301179-011

August 2009, A1c 14.6, BG 43 mmol/l

5 | MDT Confidential

9301179-011

Today (A1c ~7%)

6 | MDT Confidential

9301179-011

Diabetes Stakeholder Burden

Stakeholder Person with

Diabetes

Family Healthcare

Professional

Payer

Physical X

Emotional X X

Cognitive X X X

Financial X X X X Bu

rde

n

7 | MDT Confidential

9301179-011

Assertions

• Diabetes is a large global burden

• There are ways to reduce the burden in the Social Era

– Jugaad Innovation

– Pervasive Sensing, Smartphones, Open Source Software

– Social Media

– Social Technology Development

The burden of

diabetes is not evenly

distributed Source: IDF Diabetes Atlas 2014

9 | MDT Confidential

9301179-011

10 | MDT Confidential

9301179-011

Global Innovation Fellows Pilot

• Skills-based volunteering

• 3 weeks in Chennai, India,

Sept 2013

• Gestational Diabetes

– Datamining Electronic Health

Records to develop predictors of

gestational diabetes

• Clinic flow and patient follow-up

– Stanford Bio Design and Lean

services

11 | MDT Confidential

9301179-011

Assertions

• Diabetes is a large global burden

• There are ways to reduce the burden in the Social Era

– Jugaad Innovation

– Pervasive Sensing, Smartphones, Open Source Software

– Social Media

– Social Technology Development

12 | MDT Confidential

9301179-011

Jugaad

Hindi word meaning an innovative

fix; an improvised solution born

from ingenuity and cleverness;

resourceful

“a jagaad can be thought of more

as a survival tactic, whereas a

hack, especially nowadays, is

seen as an intellectual art form”

- Wikipedia.com

Jugaad Innovation

14 | MDT Confidential

9301179-011

Assertions

• Diabetes is a large global burden

• There are ways to reduce the burden in the Social Era

– Jugaad Innovation

– Pervasive Sensing, Smartphones, Open Source Software

– Social Media

– Social Technology Development

15 | MDT Confidential

9301179-011

Internet of Things, pervasive low cost sensing

• SenseCam

• Nike Fuelband

• Mio Alpha

• Basis Activity Watch

• Bodymedia Armband

• Bodymedia Sensewear

• Garmin GPS Watch

• Metawatch

• Food Teleporter

• Zamzee

• Misfit Shine

• Jawbone UP

• Google Glass

• Fitbit Flex

16 | MDT Confidential

9301179-011

The Smartphone: 40 41 devices in one

17 | MDT Confidential

9301179-011

Open Source: free software tools and infrastructure

Diabetes Dashboard: Stanford University Student Project

19 | MDT Confidential

9301179-011

Assertions

• Diabetes is a large global burden

• There are ways to reduce the burden in the Social Era

– Jugaad Innovation

– Pervasive Sensing, Smartphones, Open Source Software

– Social Media

– Social Technology Development

20 | MDT Confidential

9301179-011

21 | MDT Confidential

9301179-011

FDA Issues Draft Guidance on Social Media

22 | MDT Confidential

9301179-011

Assertions

• Diabetes is a large global burden

• There are ways to reduce the burden in the Social Era

– Jugaad Innovation

– Pervasive Sensing, Smartphones, Open Source Software

– Social Media

– Social Technology Development

23 | MDT Confidential

9301179-011

24 | MDT Confidential

9301179-011

#WeAreNotWaiting: type 1 dad / tweeter / hacker

25 | MDT Confidential

9301179-011

An unmet need + repurposed technology = jugaad

1. A medical device

2. A bunch of consumer

devices we already own

3. Open source software

4. Know-how to connect it all

together

Now we can be secure

in the knowledge that

we will be notified if

our child is in danger

Our child’s diabetes requires

constant monitoring to maintain

safety and peace of mind

26 | MDT Confidential

9301179-011

“This is making living with T1D

better.

Today my 5 year old won't

come home from preschool

crazy high because I am able

to work with the preschool

staff and prevent that.

School

28 | MDT Confidential

9301179-011

Assertions

• Diabetes is a large global burden

• There are ways to reduce the burden in the Social Era

– Jugaad Innovation

– Pervasive Sensing, Smartphones, Open Source Software

– Social Media

– Social Technology Development

• Raises new questions

– Privacy, Security, Liability, Regulation