1. Mobile and Internet System for Monitoring
Blood Glucose Levels
Presented by
Richard Strobridge
Entra Health Systems, UK
rstrobridge@entrahealthsystems.com
www.myglucohealth.co.uk
UK: +44 11 3815 5110
USA: +1 619 846 6622

2. Presentation Overview
• Introduction
• Management of Diabetes
• Problems Encountered when using
Meter Data
• Identifying Solutions for Improved
Chronic Disease Management
• A Better Way to Manage Diabetes
• Conclusion

3. Introduction
• Diabetes is widespread disease
Incidents of diabetes has tripled in 20 years
•
246 million people with diabetes in 2007
•
Diabetic population will grow to 380 million by 2025
•
The European region is ranked second worldwide with the
•
number of diabetic persons totaling 53 million
Age of onset has moved from 55 years to 35 years
•
• Self-monitoring of Blood Glucose (SMBG) should be an
integral part of diabetes management
• Managing diabetes helps prevent diabetes-related
complications such as cardiovascular disease,
retinopathy, nephropathy and neuropathy

4. Management of Diabetes
• Data collected by meters is nearly useless for identifying
patterns and making meaningful interventions
• Meters are not devices for real Blood Glucose control
but are mainly used for point-in-time measurements
• Patterns in blood sugars come from looking at the
whole picture, not at individual readings
• Identifying changes to diet or exercise that will result in
better readings can only occur after seeing the pattern
In short: What is needed is better information, not just
more data

5. Problems Encountered when using
Meter Data
• Data is often collected manually in log books
• Data from existing meters, when incorporated
into a PC, is not web-enabled or HL7
compliant
• Pattern analysis is done by a few individual
users or doctors
• Few devices allow for recording carb intake or
insulin doses

6. Identifying Solutions for Improved
Chronic Disease Management
• What if the system provided feedback such as:
• “Your average pre-lunch blood sugar has
risen to 220 mg/dl from the previous 132
mg/dl. Has your breakfast or something
else changed?”
• What if the information was communicated
directly to a health care professional for real-
time analysis and feedback?

7. Features Needed for Improved Chronic
Disease Management
• Redesign meters to put focus on user-friendly designs
• Implement a relational database or a remote
connection to a relational server
• Incorporate a keyboard or mobile phone for data entry
• Provide Web access for support of the patient and for
communicating to the health care provider/EHR
• Provide access to a network of health care
professionals who can guide the patient in making
choices

8. A Better Way to Manage
Diabetes
EHS has begun the implementation of
www.myglucohealth.co.uk
as an online service providing end-to-end diabetes
disease management.
Test results are sent via mobile phone or PC to the
web portal which can:
•Chart blood glucose results
•Track other health and wellness related information
•Easily share information with physicians and caregivers.

9. State of the Art Glucose
Meter
The first standalone CE-approved Bluetooth-enabled glucose meter on the market
Features:
World's first USB and Bluetooth
meter
Automatic coding
Small sample size: 0.3 microliter
Fast testing: 3 second results
Easy strip ejector
Large display and buttons
Transmits results to via your cell
phone (Bluetooth) or PC (USB)

10. How it works with the Provider:
Glucose meter sends test results
via USB cable to a PC or…
……wirelessl
…..to the
y via
myglucohealth
a mobile
portal
phone
Electronic
Health Records
Online Diagnostic
& Health Care Professionals

11. How it works for the Patient:
Glucose meter sends test results
via USB cable to a PC or…
……wirelessl
y via
…..to the
a mobile
myglucohealth
phone
portal
Text
Messaging,
Email Alerts,
etc
Online Information and
Information/Tools Analysis

12. Test results automatically transferred to the web
portal.

13. Patients and health care providers have
access to the data in an informative format
Readings are logged and color coded based on the user’s specific criteria.
•
Readings are automatically charted in a variety of views.
•
Information can be incorporated in the patient’s electronic health record
•

14. Advantages
myglucohealth provides significant advantages to patients,
physicians and caregivers including:
• Highly accurate, state of the art meter
• Simple operation
• Connected…no more log books
• Automatic shipment of strips and lancets
• Access by health care professional to patient test results
• Health care analytics and alerts for out-of-range results
• Easy and secure patient-physician communication

15. Potential Benefits
Patient takes more “ownership” of disease management and
•
will make better lifestyle choices
Alarms, reminders and feedback by text or email encourage
•
patient compliance with testing and interpretation of results
Accurate, real-time information accessible by both patient and
•
health professionals enables better disease management
Reduction in treatment costs associated with poor disease
•
management
Invaluable resource to parents of diabetic children or other
•
caregivers
Incorporation with Electronic Medical Records
•

16. Conclusion
• The system provides greater opportunity for collaboration
and information in the process of SMBG
• A flexible mobile phone-based or internet-based access
provides a choice of platform for the patient
• More study is needed to assess improvements to quality of
life and lower healthcare costs
• Cost concerns may influence the use of mobile phones in
telehealth intervention
• The processes applied by EHS in managing diabetes can
be applied to other chronic diseases and conditions

17. Thank you for your attention
Richard Strobridge
President, Entra Health Systems
www.myglucohealth.co.uk
rstrobridge@entrahealthsystems.com
UK: +44 11 3815 5110
USA: +1 619 846 6622