Technology and Innovation - Canada India Network...
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Technology and Innovation: Reducing the Burden of Diabetes Lane Desborough Chief Engineer Insulin Delivery / Closed Loop Medtronic Diabetes Northridge, California
Transcript of Technology and Innovation - Canada India Network...
Technology and Innovation:
Reducing the Burden of Diabetes
Lane Desborough Chief Engineer
Insulin Delivery / Closed Loop
Medtronic Diabetes
Northridge, California
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Australia, Brazil, Britain, Canada, France, Germany, Hungary,
India, Japan, Korea, Malaysia, Mexico, Singapore, South Africa,
United States .
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August 2009, A1c 14.6, BG 43 mmol/l
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Today (A1c ~7%)
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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
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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
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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
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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
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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
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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
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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
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The Smartphone: 40 41 devices in one
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Open Source: free software tools and infrastructure
Diabetes Dashboard: Stanford University Student Project
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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
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FDA Issues Draft Guidance on Social Media
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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
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#WeAreNotWaiting: type 1 dad / tweeter / hacker
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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
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“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
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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
