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)

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)

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

4. Diabetes Tools Sweden AB © 2015
Anders Weilandt
CEO, Diabetes Tools

5. Diabetes Tools Sweden AB © 2015
Healthcare is out of money, out of staff and out of time
1. Chronic disease care is increasingly expensive
2. Type 1 diabetes is one of the most common chronic
diseases among children and adolescents in Sweden.
Diagnosis rates are rising…
3. Demographic shifts mean fewer taxpayers support health
services where, in turn, there are fewer healthcare workers
4. Typically diagnosed early in life, patients with insulin-
dependent diabetes face life-long medical complications
Sources
• The Swedish Agency for Health and Care Services Analysis. Report 2014:2 “VIP – about change in care of chronic patients”
• Statistics Sweden (SCB)
Chronic disease
care = 80-85%
Other
conditions
15-20%
Healthcare costs in Sweden, 2014

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

7. Diabetes Tools Sweden AB © 2015
A smarter way to work
Need
Solution
Effect
Care driven by incidents and calendars
replaced by
self-care apps for early intervention and prevention

8. Diabetes Tools Sweden AB © 2015
Collaborate to make the
solution have an effect
Innovation Center

9. Åsa Wallin
Innovator and Head Nurse,
Astrid Lindgrens Children’s Hospital in Stockholm, Sweden

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
✗ ✗ ✔✗
✗ ✗ ✔✔
✗ ✔ ✔✔

17. App replaces insulin form
From paper to iPad app, on ward and at bedside

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

19. Diabetes Tools Sweden AB © 2015
Smartphone app for children and families at home
From paper to TriabetesGo iPhone app, connecting with the medical team

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

21. Diabetes Tools Sweden AB © 2015
The solution: TriabetesClinic for Children
Optimized for insulin-dependent children and
teenagers. At home and in hospital.
Three connected parts:
1. TriabetesClinic diabetes management
system via web
2. TriabetesClinic iPad app for mobility at the
clinic and on the wards
3. TriabetesGo iPhone app for patients,
families and supporters

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

23. Diabetes Tools Sweden AB © 2015
Live data. Know more. Care better.
At Astrid Lindgrens Children’s
Hospital, the care process is
becoming more time efficient
and family friendly
… thanks to TriabetesClinic
apps and online services

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

25. Diabetes Tools Sweden AB © 2015
Questions?
Thank you for your attention
www.diabetestools.se