The document discusses the importance of measuring key health metrics in order to manage, control, and improve outcomes. It emphasizes that measurement is the first step leading to better health management. It then discusses the value and benefits of using blood ketone measurement devices for patients, practitioners, and society. This includes benefits like improved health outcomes, accountability, lower costs, and prevention of chronic diseases. Finally, it considers the best options for ketone measurement and factors to consider like accuracy, clinical data, and minimizing outside influences.

2. • If you can’t measure something, you can’t
manage it.

3. • If you can’t measure something, you can’t
manage it.
• If you can’t manage it, you can’t control it.

4. • If you can’t measure something, you can’t
manage it.
• If you can’t manage it, you can’t control it.
• If you can’t control it, you can’t improve it.

5. • If you can’t measure something, you can’t
manage it.
• If you can’t manage it, you can’t control it.
• If you can’t control it, you can’t improve it.
“Measurement is the first step that leads to
control and eventually to improvement”
- H. James Harrington

6. Dorian Greenow
Advisory Board Member
Disclaimer, Disclosure and Conflict of Interest. Information is not intended to be medical or nutrition advice.
Founder and President of
Keto-Check, Inc,
Keto-Mojo Europe, BV. DBA KETO-MOJO.
Living keto since 2015!
Chairman and Founder of
The Ketogenic Foundation
The Ketogenic Foundation fosters Ketogenic
Education, Medical Research, and
Information Sharing for the benefit of
improving the health of humankind. 501(c)(3)
Public Charity

8. Value For The Patient
• Instant bio-feedback that the dietary
choices are (or not) working.
Maintaining ketosis compliance

9. Value For The Patient
• Instant bio-feedback that the dietary
choices are (or not) working.
Maintaining ketosis compliance
• Direct connection between their food
and their blood glucose

10. Value For The Patient
• Instant bio-feedback that the dietary
choices are (or not) working.
Maintaining ketosis compliance
• Direct connection between their food
and their blood glucose
• Gamification of lifestyle changes

11. Value For The Patient
• Instant bio-feedback that the dietary
choices are (or not) working.
Maintaining ketosis compliance
• Direct connection between their food
and their blood glucose
• Gamification of lifestyle changes
• Control of Self

12. Value For The Patient
• Instant bio-feedback that the dietary
choices are (or not) working.
Maintaining ketosis compliance
• Direct connection between their food
and their blood glucose
• Gamification of lifestyle changes
• Control of Self
• Lower Healthcare Costs!

13. Value For The Practitioner
Safety.
Keto can be “prescription strength” - Do no harm.

14. Source: Virta Health Trail Outcomes
Value For The Practitioner
• Safety. Keto can be
“prescription strength”
• Outcomes and Results
55%
T2 Diabetes Reversal Rate
91%
Eliminated or Reduced Exogenous Insulin
81%
Decrease In Average Insulin Dosage
67%
Of All Diabetes-Specific Medications Removed
*Results after two years on the Virta Treatment

15. Value For The Practitioner
• Safety. Keto can be
“prescription strength”
• Outcomes and Results
• Patient compliance /accountability.
Prescribed a Ketogenic Lifestyle
74%
Patient Retention
Antidiabetic / Antihypertensive /
Lipid -Lowering Medications
28.1%
Patient Nonadherence
Source: Virta Health Trail Outcomes

16. Value For The Practitioner
• Safety. Keto can be
“prescription strength”
• Outcomes and Results
• Patient compliance /accountability.
• Remote Patient Monitoring

17. Value For The Society
• Lowering the burden of health care costs

18. Value For The Society
• Lowering the burden of health care costs
• Greater health span and productivity
revenue generation
Diabetes is the
5th
Most common cause of
death in the world
Life expectancy is
reduced, on average, by According to the CDC,
10 79,535
Years in people with Occur each year due
Type 2 diabetes to diabetes
$129k
The yearly value of
quality human life
10 Year Loss Of Life

19. Value For The Society
Quality of life!

20. Value For The Society
• Lowering the burden of health care costs
• Greater health span and productivity
revenue generation
• Quality of life
• Prevention / reversal of NCD
NCDs could cost the global economy
$47,000,000,000
By 2030
NCDs are now responsible for
2/3
Of premature deaths around the world

21. Value For The Society
• Lowering the burden of health care costs
• Greater health span and productivity
revenue generation
• Quality of life
• Prevention / reversal of NCD
• Sequestration of carbon?
For every Kg of beef produced
3.5 kg
Of carbon are sequestered in the
farm’s plants and soil.

22. What is the right test?
It depends…
Blood Testing
Urine Testing Breath Testing

23. Types of Ketone Bodies

24. Easy to teach
Relatively cheap material:
Sodium nitroprusside
Non-invasive
Pain free
Ketone Testing: Urinalysis-Acetoacetate
Obtaining urine
Rapid changes in blood
Not used reliably in clinical trials
Subjective/semi-quantitative
Designed for ketoacidosis >10 mmol/L
PRO’s CON’s

25. Ketone Testing: Breath-Acetone
One-time up front cost
Non-invasive
Pain free
Accuracy for targeted therapies?
Calibration to known control?
Availability of clinical trials data?
Age & ability of the patient
Consistency of technique
Lifestyle-contaminates
Different response in relation to BHB
PRO’s CON’s

26. Original Study used Mass Spectrometry Tin dioxide (SnO2)ceramic
Limitation of Metal Oxide Sensors

27. • Alcohol
• Breath mints
• Chewing gum
• Cough drops
• Throat lozenges
• Tobacco and e-cigarettes
• Lip balm
• Lifestyle-contaminates
• Smoking
• Mint or green tea
• Non-sugar sweeteners (e.g. sorbitol)
• Toothpaste
• Water enhancers (e.g. mio)
• Fermented drinks (e.g. kombucha)
Breath-Acetone: Confounders
Lifestyle factors that could lead to false high readings or sensor failure
wait 60 minutes before testing:

28. Ketone Testing: Blood-BHB
CON’s
Minimally Invasive
Relative cost per strip (Global)
Painful? Genteel, 33G
Point in time vs CKM’s
PRO’s
Internationally Recognized
Accuracy standardized
ISO 15197:2015 CE & FDA Certification
Real time data points
Peer reviewed clinical trial data
Verification by control
Affordable

29. Bio-Individuality: How do you account for it?

30. What you do with the
data matters!

31. “Continuous remote care, with a
data-driven, proactive outreach
to patients, represents a decisive
step forward in contrast to the
currently available episodic,
reactive, patient-initiated care”
- Sarah Hallberg
This model has shown a retention and engagement
rate of 74% at a 2-year timepoint
Traditional implementation types of ketogenic diet,
a classical ketogenic diet, and a modified Atkins diet
were 42%, 52%, and 34%

32. Interoperability of EHR systems for
patient care and communication
• Telehealth is an essential tool
during the pandemic
• Telehealth up 64% in 2020
TELEHEALTH
• Increase in telemedicine
applications between hospitals
and clinicians/specialists leading
to greater expertise and support
for patients

33. Positive metabolic and
behavioral change through
interoperability and
communication in acute
remote care

34. Thank You
keto-mojo.com
Instagram: @ketomojo #ketomojo #whatsyourmojo
Facebook: keto-Mojo @misterketomojo
dorian@keto-mojo.com

35. Citations
Slide 14 + 15
Source: Virta Health
Slide 15
Source: https://pubmed.ncbi.nlm.nih.gov/30885952/
Slide 17
Source: The Cost of Diabetes | American Diabetics Association
Slide 18
Stefanos Zenious and his colleagues at Stanford Graduate school of business
Slide 32
Source: 260+ Telehealth Compainies to know | 2020 by Laura Dyrda
Slide 30
Source: Telemedicine via Continuous Remote Care: A Proactive, Patient-Centered Approach to Improve Clinical Outcomes
Source: Efficacy of and Patient Compliance with a Ketogenic Diet in Adults with Intractable Epilepsy: A Meta-Analysis