Healthpia : Mobile Diabetes Management Service with Diabetes Phone

Mobile Diabetes Management System_ Healthpia Co., Ltd. 1

Mobile Diabetes Management Service

with Diabetes Phone

18 June 2009

Kevin K. Yi


CONTENTS

Why Mobile Phone?

System Structure

Hardware

Operation

Reliability Test

Usability Test

Trial Test

Conclusion


Hardware

Two types;

Dongle & Phone embedded

The Dongle type can be

connected through the

interface or USB port.

The Embedded type is a

battery cover that contains

measuring circuit and a port

to connect with phone.

Phone Embedded TypePhone Embedded Type

Dongle TypeDongle Type


Why Mobile Phone?

The best way to monitor vital sings of our body for 24/7,

is to use cellular phone as a mobile gate way.

The reasons are:

- Personal device

- Popularity

- Power on always

- Portability

- Possibility of Data Communication


System Structure

Customer Center

D/B Call Center

Emergency

Direct Counsel

Emergency

Hospital

Medical Doctor

Guardian Service

Guardian Feedback

Data/Results

Healthcare Information

Analyzing DataAnd Feedback

DataFeedback

MeasuringGlucose Level

Measuring glucose level with Mobile Phone Transmit the Results through Mobile Wireless Network Data saved in the Data Center Analyzing and Retrieving Data (WEB and WAB) Feedback the Analyzed Results to Doctor and/or to Guardians Managing Nutrition & Exercise


Operation

(1) Measuring: Dongle Type

Connect theDongle Type Gluco+to the Mobile Phone

Inset Strip andCheck the Blood Glucose Level


Operation

(2) Transmitting Data

HealthPiaData Center

On the WEB

Test Result

Transmit

110


Operation

(3) Guardian Service :Test results can be transmitted to a designated patient’s familymember, a medical doctor, or a guardian

Patient’sPhone


Guardian’sPhone

SMSmessage

06/30/0612:30 pmJames bloodsugar110 mg/dl

110


Operation

(4) Auto Consultation :Based on the test results, programmed automatic message istransmitted to the patient in real time.

The sugar level istoo low, eat sugarand redo the testin 30 minutes

Programmed Message


110


Operation

(5) Data Retrieving from the Data Server


On the WEB

Test Results

Personal Information

Setting the Details


Nutrition Guide Process

Questionnaire

Basic Data

Nutrition Diary

(Food list and Volume)

CalorieAssessment

Nutrition Assessment

DataPractice Checking

CounselingNutrition Guide

Feedback

+

MeasuringSystem


Exercise Guide Process

Questionnaire Self Examinationof Physical Strength

Measuring

BMI, WHRActivity Check

Basic Data

Feedback

++

Exercise Guide

MeasuringSystem

Practice CheckingCounseling


Prominent Services of MDMS

NoYes(11) Direct counsel from doctor or professional institution

NoYes(10) Automatically sends the result to the family or guardian (**)

NoYes(9) Analyzing the result by hour, day, and month with graph and/or

chart

NoYes(8) Periodic diabetes news and dietary contents (ex: calorie book)

NoYes(7) Checking daily step counts and managing exercise level

NoYes(6) Alarming the measuring time

NoYes(5) Alerting the abnormal result through SMS

NoYes(4) Retrieving all the former data

NoYes(3) The phone speaks the result to the patient

YesYes(2) Automatic recording and storing the measuring result (PersonalDB)

YesYes(1) Measuring Glucose Level

GlucoseMeter

MobileFunctions and Services

The key point is that Healthpia solution enables to form a de facto monitoringgroup for each patient, composed of MDs, nursing agency, parents, friends,etc., while all other competing products perform as a stand-alone device.

Unique Service of Mobile Diabetes Management System

(**) Called “Guardian service” as a killer application of Healthpia Diabetes Phone


Reliability Test

Hospital: Seoul National University, College of Medicine, Seoul, Korea Department of Medicine Laboratory

Title: Evaluation of Gluco-phone as a POCT GlucometerMD: Hyung-Doo Park, Kyoung Un Park, Junghan Song, and Jin Q KimYear: 2004

Background : To prevent complications of diabetes, diabetic patients should test blood glucoselevel frequently. In these days, glucometers are widely used for self-monitoring, and many kindsof products are introduced. We performed the present study to evaluate the performance of

glucophone (Healthpia,Co,Ltd.,Seoul,Korea) as a point-of-care testing glucometer.

Methods : Glucometers including glucophone and FinetestTM (Infopia Co. Ltd., Anyang, Korea)were evaluated for its precision, linearity, and accuracy. The interpersonal variation by differentoperators, reagent stability, comparison capillary blood with venous blood, and useracceptability were also evaluated.

Conclusions : Glucophone showed excellent precision, linearity, and correlation with thereference method. Since POCT glucometers are influenced by operator and multiple externalfactors, it is important that users recognize interfering factors and preservation conditions of teststrips. It is hoped that glucophone becomes a good POCT glucose monitoring tool byestablishing continuous quality control system and improved operation.


Usability Test

Hospital: Samsung Medical Center, Seoul, KoreaTitle: The Study of Effectiveness of Using Diabetes Phones for Juvenile

Diabetes PatientsCN: Eun Kyoung Kwon, Dong Kyu Jin, Kyoung Hoon Baek, Seong Joo HanYear: 2004

Total 26 patients (type 1 : juvenile diabetes patient) during 3 months.The parents’ opinions are reflected because the participants are teenagers or less.

OOverall customer satisfaction

ODirect Counseling Service

OEffectiveness of glucose control (compare to previous data)

OSMS and Guardian Service

OAccuracy (compare to others)

OPortability (as a medical device)

OEasiness of usage (for measuring and using contents)

EDCBAQuestions

Evaluation: “A(Bad)E(Excellent)”


Trial Test (1)

Hospital: Kangnam Saint Mary’s Hospital, Seoul KoreaTitle: The Case Study of HbA1c Level Change

by Monitoring Internet Diabetes SystemMD: Gun Ho YoonYear: 2005

6.99HbA1c<7.06.38HbA1c<7.0Normal Criteria

HbA1c≥7.0

7.2

Before

HbA1c≥7.0

7.59

Before

8.127.38Normal Criteria

7.626.94HbA1c

AfterAfter

ControlIntervention

Total 120 patients during 12 weeksIntervention Group: Monitored with GlucoPack (Diabetes Phone) and Internet.Control Group: Monitored with their own glucose meters (normal self testing device)

Conclusion : After 12 weeks, the average HbA1c of InterventionGroup is decreased 8.5% from the initial value. It means thatGlucoPack (Diabetes Phone) with Internet Diabetes System is a veryeffective method to control patients’ glucose level.


Trial Test (2)

Hospital: Yi Yong Ro Hospital, Beijing, ChinaTitle: The Effectiveness of Diabetes Phone for Diabetes.MD: Hae Lin KoYear: 2004

Total 10 patients during 12 weeks.

Conclusion: Overall 27% of glucose level decreased during the testperiod.

According to this pilot test, GlucoPack users have kept far more closerelationship with their doctors. It concluded that the intensive care couldbe done and the effectiveness of managing diabetes is dramaticallyincreased.Finally, this result ensure that GlucoPack (Diabetes Phone) is the mostfavorable self managing system for diabetes.

After Meal

Before Meal

9.12mmol/l (164mg/dl)12.5mmol/l (225mg/dl)After Meal

7.98mmol/l (144mg/dl)10.96mmol/l (197mg/dl)Before Meal

After TestBefore Test


Trial Test (3)

Conclusion: Overall the GlucoPlus is the most effective device for the

intensive care.

Patient A : MD recommended stop taking medicine.

Patient B : Dramatically decreased Glucose level from 500 to 140.

Total 20 patients were participated in this trial voluntarily for 3months.(from May to July 2006)

Customer center have monitored and sent messages continually.

Company: Green Cross Co., Ltd., Seoul Korea(One of the largest Pharmaceutical Company in Korea)

Title: The Effectiveness of Intensive Diabetes ManagementDpt.: Customer SatisfactionYear: 2006


Conclusions

• The Mobile Diabetes Management System is

–Effective for controlling glucose level

–Efficient for disease management

–Economic due to saving total medicalexpenses


Health & Medicine

Healthpia : Mobile Diabetes Management Service with Diabetes Phone