OMG - My Pancreas Just Texted

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I am not a doctor. I am not a medical researcher or lab technician. I have never watched a complete episode of Grey’s Anatomy. But I am a Type 1 Diabetic. I am just one of 25.8 million Americans with Diabetes. We're all kinda experts on managing chronic disease. Because, really, outside of a doctor’s visit every 6 months or so, we’re the ones doing all the work. No one taught us how to do this. A meeting or two with a dietician isn’t enough, the behavioral changes necessary for those with a chronic disease are wholly unsupported in our current medical system. We have to do something. 7 out of 10 deaths in the US are caused by a chronic disease, and between heart disease and diabetes alone we are, as a nation, hemorrhaging money. Many of these conditions are preventable through lifestyle changes that no doctor can write a prescription for. Doctors like to talk about charts and graphs, blood tests and medicine. Let’s start talking about the patient, the person, instead. Let’s make a disease that you have for life something that’s simply managed every day. Let’s get isolated patients together, talking, trading tips and tricks.

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OMG - My Pancreas Just Texted

  1. 1. OMG –My PancreasJust TextedJohn PettengillKjell ReigstadLibby Groettum OMG – Your Pancreas Just Texted / Page 1
  2. 2. Hi, I’m JohnPhoto by Chris Acuna OMG – Your Pancreas Just Texted / Page 2
  3. 3. and I am not a doctorPhoto by flickr user trp0 OMG – Your Pancreas Just Texted / Page 3
  4. 4. I am not a hospital administratorPhoto by Dan McCullum OMG – Your Pancreas Just Texted / Page 4
  5. 5. I have never even seen an episode of Grey’s AnatomyPhoto by ABC & The Walt Disney Company OMG – Your Pancreas Just Texted / Page 5
  6. 6. but I am a diabeticPhoto by Sriram Bala OMG – Your Pancreas Just Texted / Page 6
  7. 7. but I am a diabetic along with 25.8 million other people in the U.S.Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 7
  8. 8. there are 2 types of diabetes type 1 diabetes requires injected medicationPhoto by Sriram Bala OMG – Your Pancreas Just Texted / Page 8
  9. 9. type 2 diabetes can be managed without medication most diabetics are type 2Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 9
  10. 10. I don’t want to make a big deal outta this...Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 10
  11. 11. I don’t want to make a big deal outta this... but we’re kinda expertsPhoto by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 11
  12. 12. take this for examplePhoto by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 12
  13. 13. you see this salad meatloaf potatoes breadPhoto by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 13
  14. 14. we see this 8 carbs 15 carbs 45 carbs 25 carbsPhoto by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 14
  15. 15. and this 8 carbs low glycemic index 15 carbs medium glycemic index 45 carbs 25 carbs high glycemic index high glycemic indexPhoto by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 15
  16. 16. you see dinner salad meatloaf potatoes breadPhoto by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 16
  17. 17. we see disease 8 carbs low glycemic index 15 carbs medium glycemic index 45 carbs 25 carbs high glycemic index high glycemic indexPhoto by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 17
  18. 18. we understand how blood sugar should vary over a dayPhoto by flickr user MissTessmacher OMG – Your Pancreas Just Texted / Page 18
  19. 19. and we know why lab values like an A1c are importantPhoto by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 19
  20. 20. so we’re not doctorsPhoto by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 20
  21. 21. so we’re not doctors but we’re kinda expertsPhoto by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 21
  22. 22. some of us are bigger experts than othersPhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 22
  23. 23. 67% of diabetics in the US aren’t managing their blood sugars Source : Adults in the US above A1C goal of 6.5%, “State of Diabetes in America.” AACE, 2005Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 23
  24. 24. that leads to a shorter life and unpleasant complicationsPhoto by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 24
  25. 25. we could blame it on themPhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 25
  26. 26. we could blame it on them we could say they’re lazy or aren’t tryingPhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 26
  27. 27. we could blame it on all 17 million who are having problemsPhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 27
  28. 28. but that’s too many people having problemsPhoto by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 28
  29. 29. but that’s too many people having problems something is wrongPhoto by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 29
  30. 30. this is Don Norman he wrote The Design of Everyday ThingsPhoto by Peter Belanger OMG – Your Pancreas Just Texted / Page 30
  31. 31. “When people have trouble with something, it isn’t their fault—it’s the fault of the design.” Donald A. NormanPhoto by Peter Belanger OMG – Your Pancreas Just Texted / Page 31
  32. 32. the system has a problem and it’s time to fix itPhoto by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 32
  33. 33. 133 million adults in the US have at least one chronic disease Source : Centers for Disease Control and Prevention. Chronic Disease Overview page. Available at: http://www.cdc.gov/nccdphp/overview.htm. Accessed January 10, 2011Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 33
  34. 34. each year chronic disease costs the U.S. 1.3 billion Source : “The Economic Burden of Chronic Disease on The United States.” Milken Institute, October 2007.Photo by David Beyer OMG – Your Pancreas Just Texted / Page 34
  35. 35. and each year chronic disease is responsible for 7 out of 10 deaths Source : Kung HC, Hoyert DL, Xu JQ, Murphy SL. Deaths: Final Data for 2005. National Vital Statistics Reports, 2008. http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdfPhoto by D Sharon Pruitt OMG – Your Pancreas Just Texted / Page 35
  36. 36. can technology help us manage chronic disease?Photo by Jay Reed OMG – Your Pancreas Just Texted / Page 36
  37. 37. can technology help us manage chronic disease? something has toPhoto by Jay Reed OMG – Your Pancreas Just Texted / Page 37
  38. 38. 1/the problem2/how to fix it3/an example4/the wrap up OMG – Your Pancreas Just Texted / Page 38
  39. 39. doctors like to talk about thisPhoto by Kevin Walsh OMG – Your Pancreas Just Texted / Page 39
  40. 40. about how thisPhoto by Abhishek Jacob OMG – Your Pancreas Just Texted / Page 40
  41. 41. is affected by thatPhoto by Aki Hanninen OMG – Your Pancreas Just Texted / Page 41
  42. 42. in 21 minute segments we talk about our health Source : “Primary Care Visit Duration and Quality.” Archives of Internal Medicine. 2009;169(20):1866-1872.Photo by Judy Baxter OMG – Your Pancreas Just Texted / Page 42
  43. 43. but the rest of the time we’re on our ownPhoto by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 43
  44. 44. choosing whether or not to order a sugary drinkPhoto by Phil Gyford OMG – Your Pancreas Just Texted / Page 44
  45. 45. or eat any of the bread served with dinnerPhoto by Alan Chan OMG – Your Pancreas Just Texted / Page 45
  46. 46. doctors aren’t there for any of thatPhoto by flickr user larique OMG – Your Pancreas Just Texted / Page 46
  47. 47. i’m not saying that doctors aren’t importantPhoto by flickr user larique OMG – Your Pancreas Just Texted / Page 47
  48. 48. doctors fill a vital role, they diagnose and prescribePhoto by Tulane Publications OMG – Your Pancreas Just Texted / Page 48
  49. 49. doctors fill a vital role, they diagnose and prescribe but that isn’t enoughPhoto by Tulane Publications OMG – Your Pancreas Just Texted / Page 49
  50. 50. patients aren’t happy, and aren’t doing wellPhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 50
  51. 51. patients aren’t happy, and aren’t doing well remember the 67% that’s having troublePhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 51
  52. 52. 31% of diabetic 45 – 54 year olds in the US are dissatisfied with their medication regimen Source : Satisfaction with medication regimen, “Diabetics: Attitudes and Behaviors – US.” Mintel, May 2010. Base : Internet users aged 18+ who have diabetes by gender and age. .Photo by flickr user webgrl OMG – Your Pancreas Just Texted / Page 52
  53. 53. 57% of diabetic 45 – 54 year olds in the US are dissatisfied with their diet or eating plan Source : Satisfaction with diet/eating plan, “Diabetics: Attitudes and Behaviors – US.” Mintel, May 2010. Base : Internet users aged 18+ who have diabetes by gender and age. .Photo by Wally Hartshorn OMG – Your Pancreas Just Texted / Page 53
  54. 54. 64% of diabetic 45 – 54 year olds in the US are dissatisfied with their exercise schedule Source : Satisfaction with exercise schedule, “Diabetics: Attitudes and Behaviors – US.” Mintel, May 2010. Base : Internet users aged 18+ who have diabetes by gender and age.Photo by flickr user yuan2003 OMG – Your Pancreas Just Texted / Page 54
  55. 55. 57% 64% 31%Photo by Till Westermayer OMG – Your Pancreas Just Texted / Page 55
  56. 56. it’s the two things doctors can’t write prescriptions for... that patients are having problems withPhoto by Chris Riebschlager OMG – Your Pancreas Just Texted / Page 56
  57. 57. turns out that saying “Eat better and exercise” isn’t workingPhoto by Tulane Publications OMG – Your Pancreas Just Texted / Page 57
  58. 58. and I don’t think we ever thought it wouldPhoto by Tulane Publications OMG – Your Pancreas Just Texted / Page 58
  59. 59. but it’s those 2 things that are most effective preventing diabetesPhoto by Chris Riebschlager OMG – Your Pancreas Just Texted / Page 59
  60. 60. 58% reduction for those using diet & exercise diet and exercise reduce the chance of developing type 2 Source : DPP, February 2002. Base : Overweight adults with impaired glucose tolerance.Photo by flickr user webgrl OMG – Your Pancreas Just Texted / Page 60
  61. 61. 58% reduction for those using diet & exercise diet and exercise reduce the chance of developing type 2 Source : DPP, February 2002. Base : Overweight adults with impaired glucose tolerance. 31% reduction for those taking medicationPhoto by flickr user webgrl OMG – Your Pancreas Just Texted / Page 61
  62. 62. the system isn’t supporting those lifestyle changesPhoto by Seattle Municipal Archives OMG – Your Pancreas Just Texted / Page 62
  63. 63. patients need to be educatedPhoto by Ruth Rogers OMG – Your Pancreas Just Texted / Page 63
  64. 64. doctors have tried a few different thingsPhoto by Tulane Publications OMG – Your Pancreas Just Texted / Page 64
  65. 65. 1/5 physicians use group visits to educate their patients Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with chronic conditions.” Center for Studying Health System Change, December 2009.Photo by Andrew Forgrave OMG – Your Pancreas Just Texted / Page 65
  66. 66. 1/2 physicians use nonphysician educators Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with chronic conditions.” Center for Studying Health System Change, December 2009.Photo by flickr user CarynNL OMG – Your Pancreas Just Texted / Page 66
  67. 67. 3/4 physicians hand out pamphlets Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with chronic conditions.” Center for Studying Health System Change, December 2009.Photo by Justin O’Neill OMG – Your Pancreas Just Texted / Page 67
  68. 68. 3/4 physicians hand out pamphlets Source : “Expectations Outpace Reality: Physicians’ use of care management tools for patients with chronic conditions.” Center for Studying Health System Change, December 2009. patients do not need pamphletsPhoto by Justin O’Neill OMG – Your Pancreas Just Texted / Page 68
  69. 69. patients need something motivating and personablePhoto by Pewari Naan OMG – Your Pancreas Just Texted / Page 69
  70. 70. they need something easy to expand to people everywherePhoto by Tim Moreillon OMG – Your Pancreas Just Texted / Page 70
  71. 71. patients need each otherPhoto by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 71
  72. 72. 1/the problem2/how to fix it3/an example4/the wrap up OMG – Your Pancreas Just Texted / Page 72
  73. 73. okay, so web 2.0 to save the dayPhoto by Hans Põldoja OMG – Your Pancreas Just Texted / Page 73
  74. 74. okay, so web 2.0 to save the day againPhoto by Hans Põldoja OMG – Your Pancreas Just Texted / Page 74
  75. 75. Photo by B Zedan OMG – Your Pancreas Just Texted / Page 75
  76. 76. it’s not much of a stretch for these patientsPhoto by Paul Downey OMG – Your Pancreas Just Texted / Page 76
  77. 77. 83% of internet users with a chronic disease have looked online for health information Source : Health Information is a Popular Pursuit Online, “Health Topics.” Pew Internet, February 2011. Base : U.S. internet users aged 18+Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 77
  78. 78. 57% of e-patients with a chronic disease are looking at user- generated health information Source : Use of Internet to gather Health Information, “Chronic Disease and the Internet.” Pew Internet, March 2010. Base : U.S. internet users aged 18+Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 78
  79. 79. there are some pretty inspiring examplesPhoto by Paul Downey OMG – Your Pancreas Just Texted / Page 79
  80. 80. people are sharing informationhttp://en.wheelmap.org/ OMG – Your Pancreas Just Texted / Page 80
  81. 81. http://en.wheelmap.org/ OMG – Your Pancreas Just Texted / Page 81
  82. 82. and making it available everywhereWheelmap iPhone App OMG – Your Pancreas Just Texted / Page 82
  83. 83. Wheelmap iPhone App OMG – Your Pancreas Just Texted / Page 83
  84. 84. they’re also comparing resultshttp://curetogether.com/migraine/causes/ OMG – Your Pancreas Just Texted / Page 84
  85. 85. http://curetogether.com/migraine/causes/ OMG – Your Pancreas Just Texted / Page 85
  86. 86. there are a lot of tools for diabetics tooPhoto by Jeff Vogt OMG – Your Pancreas Just Texted / Page 86
  87. 87. most of them seem to focus on charts and graphsiPhone Apps : Diabetes Diary, Blood Sugar Diabetes Control OMG – Your Pancreas Just Texted / Page 87
  88. 88. testing blood sugar and monitoring food intake is importantiPhone Apps : Diabetes Manager, BGluMon OMG – Your Pancreas Just Texted / Page 88
  89. 89. but the charts and graphs we end up with aren’tiPhone Apps : Diabetes Plus, Easy Diabetes OMG – Your Pancreas Just Texted / Page 89
  90. 90. patients end up focusing on numbersiPhone Apps : Vree For Diabetes, UTS Diabetes OMG – Your Pancreas Just Texted / Page 90
  91. 91. and not on the behaviors that create those numbersiPhone Apps : Bant, Glucose Charter OMG – Your Pancreas Just Texted / Page 91
  92. 92. these siloed tools are missing an even bigger pointiPhone Apps : Diamedic, Glucose Buddy OMG – Your Pancreas Just Texted / Page 92
  93. 93. Photo by Steven Yeh OMG – Your Pancreas Just Texted / Page 93
  94. 94. Photo by Marieke Kuijjer OMG – Your Pancreas Just Texted / Page 94
  95. 95. you get the ideaPhoto by flickr user BenSpark OMG – Your Pancreas Just Texted / Page 95
  96. 96. they’re missing other peoplePhoto by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 96
  97. 97. being surrounded by a culture of self-care is the best way to changePhoto by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 97
  98. 98. that’s what makes Weight Watchers workPhoto by Brian Rutledge OMG – Your Pancreas Just Texted / Page 98
  99. 99. and Alcoholics AnonymousPhoto by Marius Watz OMG – Your Pancreas Just Texted / Page 99
  100. 100. these programs don’t just work, they work better Source : “Weight loss with self-help compared with a structured commercial program: a randomized trial.” New York Obesity Research Center, 2003. http://www.ncbi.nlm.nih.gov/pubmed/12684357Photo by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 100
  101. 101. it’s hard to reinvent your life and habitsPhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 101
  102. 102. it’s hard to reinvent your life and habits especially when it feels like no one else isPhoto by Jonny Wikins OMG – Your Pancreas Just Texted / Page 102
  103. 103. having supporters doesn’t just make change easierPhoto by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 103
  104. 104. 50% lower chance to have another heart attack if you have close friends *Proven only for the year after first heart attack Source : “Heart attack survivors half as likely to suffer further attacks if they have love and friends.” Medical News Today, April 2004. http://www.medicalnewstoday.com/articles/7280.php Base : Adults who had a heart attack within a year of the studyPhoto by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 104
  105. 105. diabetics have tried to form their own communitiesPhoto by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 105
  106. 106. on places like twitterhttp://twitter.com/#search?q=%23bgnow OMG – Your Pancreas Just Texted / Page 106
  107. 107. http://twitter.com/#search?q=%23bgnow OMG – Your Pancreas Just Texted / Page 107
  108. 108. and on forumshttp://juvenation.org/forums/TopicsActive.aspx OMG – Your Pancreas Just Texted / Page 108
  109. 109. http://juvenation.org/forums/TopicsActive.aspx OMG – Your Pancreas Just Texted / Page 109
  110. 110. http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 110
  111. 111. patients are validating each otherhttp://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 111
  112. 112. user forums also have a lot of helpful infohttp://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 112
  113. 113. it’s where you learn what to do about thisPhoto by Emilie Hardman OMG – Your Pancreas Just Texted / Page 113
  114. 114. and how to find room for a glucose tester on thatPhoto by flickr user mayhem OMG – Your Pancreas Just Texted / Page 114
  115. 115. but it’s a little bit like the wild wild westhttp://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 115
  116. 116. patients have to sift through to find meaningful contenthttp://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 116
  117. 117. http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 117
  118. 118. 8% of internet users with a chronic disease participate in online support groups or forums Source : Use of Online Support Groups, “Chronic Disease and the Internet.” Pew Internet, March 2010. Base : U.S. internet users aged 18+http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 118
  119. 119. 8% of internet users with a chronic disease participate in online support groups or forums Source : Use of Online Support Groups, “Chronic Disease and the Internet.” Pew Internet, March 2010. Base : U.S. internet users aged 18+ we can do better than thathttp://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 119
  120. 120. we need to remake the tools that manage diabetesPhoto by Jeff Vogt OMG – Your Pancreas Just Texted / Page 120
  121. 121. 1/the problem2/how to fix it3/an example4/the wrap up OMG – Your Pancreas Just Texted / Page 121
  122. 122. if diabetes is being managed wellPhoto by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 122
  123. 123. if diabetes is being managed well it needs to be managed all day longPhoto by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 123
  124. 124. it also has to be managed foreverPhoto by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 124
  125. 125. well, as many of you know, forever is a long timePhoto by Diane Hammond OMG – Your Pancreas Just Texted / Page 125
  126. 126. 95% of blogs have been abandoned Source : http://www.nytimes.com/2009/06/07/fashion/07blogs.htmlhttp://pasta.blogspot.com/ OMG – Your Pancreas Just Texted / Page 126
  127. 127. Source : http://www.nytimes.com/2009/06/07/fashion/07blogs.htmlhttp://pasta.blogspot.com/ OMG – Your Pancreas Just Texted / Page 127
  128. 128. 65% of this audience has already broken their new years resolutionsPhoto by Amodiovalerio Verde OMG – Your Pancreas Just Texted / Page 128
  129. 129. 65% of this audience has already broken their new years resolutions i made that one up but it sounds totally believablePhoto by Amodiovalerio Verde OMG – Your Pancreas Just Texted / Page 129
  130. 130. people have trouble managing foreverPhoto by flickr user abrinsky OMG – Your Pancreas Just Texted / Page 130
  131. 131. that’s why we have phrases like one day at a timePhoto by Rosa Say OMG – Your Pancreas Just Texted / Page 131
  132. 132. that’s why we have phrases like one day at a time again, like Weight Watchers or AAPhoto by Rosa Say OMG – Your Pancreas Just Texted / Page 132
  133. 133. and take it step by stepPhoto by ‘Step by Step’, Intro Credits of the Television Show OMG – Your Pancreas Just Texted / Page 133
  134. 134. management has to be broken into steps to workPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 134
  135. 135. some colleagues and I have made some first stepsPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 135
  136. 136. we realized three key thingsPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 136
  137. 137. we realized three key things patients are isolatedPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 137
  138. 138. we realized three key things patients are the current isolated solutions are clinicalPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 138
  139. 139. we realized three key things patients are the current forever is isolated solutions really hard are clinicalPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 139
  140. 140. we’ve created a concept that attempts to address these problems patients are the current forever is isolated solutions really hard are clinicalPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 140
  141. 141. your doctor can’t come with you, but your phone can create a “new normal” with a community invested in better self-careDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 141
  142. 142. our categories are based upon the things that people already talk aboutDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 142
  143. 143. you’re presented with faces, not with numbers focused on behavior moving forward, not looking backDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 143
  144. 144. a micro-network, full of people in similar situationsDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 144
  145. 145. commiseration is an important part of dealing with diabetes users prompted to share the situation behind the sugarsDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 145
  146. 146. users can gather support to help them get back on trackDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 146
  147. 147. achievable goals offer more rewards more frequentlyDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 147
  148. 148. provides ideas and encourages snackingDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 148
  149. 149. allows users to find the small changes that can fit in their lives now, today managing diabetes forever is too hard, managing it today we can doDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 149
  150. 150. users are reminded that they’re never doing this alone updating is quickDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 150
  151. 151. celebrate the small victories that lead to better management days aren’t open ended, a user can be “done”Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 151
  152. 152. the emotion is what motivates updates, but the data is still importantDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 152
  153. 153. quickly compare a week’s blood sugar average with activityDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 153
  154. 154. mini-goals ground conversations in what daily life is really likeDesign by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 154
  155. 155. it’s just an idea, a stepPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 155
  156. 156. it’s just an idea, a step but that’s how you start difficult thingsPhoto by flickr user dincsi OMG – Your Pancreas Just Texted / Page 156
  157. 157. 1/the problem2/how to fix it3/an example4/the wrap up OMG – Your Pancreas Just Texted / Page 157
  158. 158. we mostly talked about type 2 diabetics todayPhoto by Adrian Black OMG – Your Pancreas Just Texted / Page 158
  159. 159. we mostly talked about type 2 diabetics today they need more tools, better toolsPhoto by Adrian Black OMG – Your Pancreas Just Texted / Page 159
  160. 160. but there are patients with heart disease tooPhoto by flickr user illicit_monkey OMG – Your Pancreas Just Texted / Page 160
  161. 161. but there are patients with heart disease too and Crohn’sPhoto by flickr user illicit_monkey and Bryan Costin OMG – Your Pancreas Just Texted / Page 161
  162. 162. but there are patients with heart disease too and Crohn’s and arthritisPhoto by flickr user illicit_monkey, Bryan Costin and Henry M. Diaz OMG – Your Pancreas Just Texted / Page 162
  163. 163. but there are patients with heart disease too and Crohn’s and arthritis and MSPhoto by flickr user illicit_monkey, Bryan Costin, Henry M. Diaz and flickr user theqspeaks OMG – Your Pancreas Just Texted / Page 163
  164. 164. 45% of the U.S. population lives with at least one chronic disease Source : Center for Studying Health System Change, 2009.Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 164
  165. 165. 45% of the U.S. population lives with at least one chronic disease Source : Center for Studying Health System Change, 2009. nearly 1 in 2 peoplePhoto by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 165
  166. 166. we need to create new solutions, new toolsPhoto by Jeff Vogt OMG – Your Pancreas Just Texted / Page 166
  167. 167. the way things worked relied on appointment based carePhoto by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 167
  168. 168. but chronic diseases require a lot morePhoto by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 168
  169. 169. but chronic diseases require a lot more patients have to manage their disease every dayPhoto by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 169
  170. 170. so patients need a tool that is with them every dayPhoto by Farid Iqbal Ibrahim OMG – Your Pancreas Just Texted / Page 170
  171. 171. so patients need a tool that is with them every day every momentPhoto by Farid Iqbal Ibrahim OMG – Your Pancreas Just Texted / Page 171
  172. 172. mobile phones are already therePhoto by Wade Morgen OMG – Your Pancreas Just Texted / Page 172
  173. 173. mobile phones are already there and more people use them to go online each yearPhoto by Wade Morgen OMG – Your Pancreas Just Texted / Page 173
  174. 174. 13% more are online with their phones than last year Source : Mobile Access 2010, “The use of non-voice data applications has grown significantly over the last year” Pew Internet, July 2010. Base : Cell Phone Owners http://pewinternet.org/Reports/2010/Mobile-Access-2010.aspxPhoto by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 174
  175. 175. we could continue to deliver care three or four times a yearPhoto by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 175
  176. 176. or, we could offer it continuously and convenientlyPhoto by Wade Morgen OMG – Your Pancreas Just Texted / Page 176
  177. 177. let’s make mobile health solutions a priorityPhoto by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 177
  178. 178. problems The current model There is a clinical of care doesn’t emphasis on disease support patients and numbers, who must manage rather than on chronic disease daily. lifestyle and patients. Stigma or isolation forces patients to attempt behavioral changes on their own. OMG – Your Pancreas Just Texted / Page 178
  179. 179. fixes Add ontop of Facilitate the appointment based discussions patients care a continuous are already having. ‘soft touch’ using (Just make doing it mobile. easier.) Recording behavior Place the emphasis and medication is a on bite-sized, lot more interesting daily goals to help if it’s social, rooted maintain patient in emotion. engagement. OMG – Your Pancreas Just Texted / Page 179
  180. 180. Kjell Reigstad Libby Groettum Kim Cortese Michael Harper Bryan Hamilton Elliott Trice Katy ThorbahnPhoto by Jeramey Jannene OMG – Your Pancreas Just Texted / Page 180
  181. 181. OMG – My Pancreas Just Texted John Pettengill, Kjell Reigstad, Libby Groettum RazorfishPhoto by Ethan Lofton OMG – Your Pancreas Just Texted / Page 181

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