Digital health can improve the lives of people with diabetes, Anders Weilandt, CEO of Diabetes Tools & Åsa Wallin, Head Nurse of the Diabetes Unit at Astrid Lindgrens Children’s Hospital, Karolinska University Hospital (Sweden)
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How digital health improves lives of children with diabetes
1. Digital health can improve the
lives of people with diabetes
Anders Weilandt
CEO of Diabetes Tools
Åsa Wallin
Head Nurse of the Diabetes Unit, Astrid
Lindgrens Children’s Hospital, Karolinska
University Hospital (Sweden)
2.
3. How digital health improves the
lives of children with diabetes
Anders Weilandt, CEO Diabetes Tools
Åsa Wallin, Innovator and Head Nurse at Astrid Lindgrens Children’s Hospital in Stockholm, Sweden
A case study
6. What is the problem?
• Children and teenagers who are insulin
dependent risk costly medical complications
later in life if their blood sugar is poorly
controlled
• Doctors, nurses and families agree that
having accurate information instantly
available is key to managing type 1
diabetes
• For children, parents, teachers, nurses and
doctors alike, it is:
• time consuming and stressful
• difficult to share information
10. Child Diabetes Unit at Astrid Lindgrens
Children’s Hospital at Karolinska University
Hospital, Stockholm
Why do we need to work more efficiently in diabetes care?
11. Type 1 diabetes is common in children and diagnosis rates are rising
Sweden
• 8,000 children <18 years
• 800 new cases every year
• 15–20% need intensive care when diagnosed
• Youngest under 1 year of age
Astrid Lindgrens Children’s Hospital
• 140 new cases per year
• Diabetes school for all parents and
department staffYear
Number of new cases per 100,000
78 80 82 84 86 88 90 92 94 96 98 00 02 04 06 08 10
0
10
20
30
40
50
60
70
10–14 years
5–9 years
0–4 years
11
12. Common question: How much insulin should I have with my meal?
• What is my blood glucose level?
• How much carbohydrate (g) does the food
contain?
• Measure?
• Weigh?
• Number?
• Read the label?
• Is a ”correction dose” needed?
• Am I going to exercise after the meal?
• Have I exercised before the meal?
• What time of day is it?
13. How are insulin doses controlled today?
Using the paper insulin form:
→ Patient or relative calls the clinic
→ Nurse fills in the insulin form
→ Doctor is contacted who prescribes the insulin
→ Nurse calls the patient or relative back to
inform them about the insulin dose
Remember:
• Shared custody families
• Many adults who must cooperate and share
information
14. Can you read this
handwriting?
The whispering game: exchanging papers and making phone calls
Pardon?
Please
repeat that
These
numbers don’t
add up!
Where is
Simon’s form?
Hmm… what
did she say?
• Errors and risks
• Inefficiencies
• Time consuming
• Unnecessary costs
15. The app idea
Quickly involve the family using a pedagogic tool
Streamline life for the child, family and supporters
Streamline workflow at the clinic
Improve safety and accuracy of the information flow
Increase patient-caregiver communication in a two-way
conversation
16. Criteria for long-term change
Security
High quality
Easy to use
Availability
• Legally secure communication, complying
with the Patient Data Act
• Reduce errors to improve efficiency and
safety
• Eliminate problems instead of creating
more complexity
• Long-term solution with data accessible
to everyone
Paper &
calls
Secure
mailbox
Triabetes
Clinic
✔ ✔ ✔✗
Normal
email
✗ ✗ ✔✗
✗ ✗ ✔✔
✗ ✔ ✔✔
18. Replaces paperwork
• No time-consuming form-filling
• Automates every carbohydrate quantity and insulin dose
calculation
Intervene when needed
• Data from iPad synchronizes with the TriabetesClinic system,
updating the medical team yet keeping patient information
accessible
• Set, change and see alerts for each patient
Uses time better
• Spend time with the children who need the care the most
Mobility in clinic with iPad app
20. Daily companion – personalized app
• TriabetesGo app handles the reality of day care, school,
sports, vacations and other activities
• Quickly involves the child – along with parents, relatives,
teachers and sports instructors – in their own care
Calculates insulin doses
• Personalized, in-app insulin dose calculator set by child’s
doctor
Everyone knows more
• Information flows between nurse, child and family. And vice
versa
• Maintains contact with the medical team between clinic visits
Confidence for families
22. In summary
For healthcare
Makes better use of time
Timely and accurate information
Automated, secure calculations
Reduces risks and mistakes
Reduces stress
For children and families
Simplifies family life
Easy to share information
Boosts confidence
Know more at the right time
Reduces stress
24. Go beyond diabetes
Other chronic diseases are
equally costly to treat
Apply the same digital health
model, so:
Patients are firmly in the
center of their own care
Healthcare providers get
productivity gains and
decision support tools
Healthcare payers control
costs and long-term risks
while improving care