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ENGINEERING 
MEDICAL INFORMATICS 
UNIVERSITY OF 
HEIDELBERG 
HEILBRONN UNIVERSITY 
Campus Heilbronn 
BUSINESS INFORMATICS 
How Google Glass Could Support Patients with Diabetes Mellitus in Daily Life 
Hetterich, C, Pobiruchin, M, Wiesner, M, Pfeifer, D 
Christian Hetterich
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Agenda 
 
Google Glass – What‘s inside? 
 
Diabetes Mellitus 
 
Solution Ideas 
 
Outlook & Future Trends 
 
Discussion & Questions 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 2
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Google Glass – What‘s inside? 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 3
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Diabetes mellitus – a challenging disease 
 
chronic disease 
 
serious comorbidities and long-term complications 
 
damage to 
 
heart 
 
blood vessels 
 
nerves 
 
doubled risk of dying 
 
awareness and education 
are crucial! 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 
0 
100 
200 
300 
400 
500 
600 
700 
2013 
~2030 
[IDF13] 
Slide 4
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
solution ideas (1/3) 
 
two typical groups 
 
A: recently diagnosed diabetics 
 
B: long-term diabetics 
 
factors affecting both groups 
 
regular checks of blood glucose value 
 
changes in their diet 
 
physical activity 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 5
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
solution ideas (2/3) 
 
Education and personalized feedback 
 
Diet management 
 
Weight management 
 
Physical activity 
 
Communication and patient monitoring by primary care providers 
 
Insulin and medication management 
 
Other therapeutics (foot, eye care) 
 
Psychosocial care 
 
Immunization 
 
Complication management 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 
[Cho11] 
Slide 6
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
solution ideas (3/3) 
 
Group A: recently diagnosed diabetics 
 
reminders and visual alerts 
 
awareness & education 
 
context-sensitive nutrition facts & advice 
 
Group B: long-term diabetics 
 
digital wound documentation 
 
motivation to move 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 7
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
RECENTLY DIAGNOSED DIABETICS 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 8
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
reminders & visual alerts 
 
meals often skipped 
 
forget measurements 
 
in the user‘s field of view 
 
increase adherence 
 
reduce risk of hypoglycemic events 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 
[Mcn14] 
Slide 9
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
awareness & education 
 
low health literacy 
 
low health outcomes 
 
personalized education 
 
“an underrepresented feature in diabetes mobile applications” (Chomutare et al., 2011) 
 
“Did you know…?” 
 
diabetes quiz 
 
individually tailored content 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 10
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
 
need to change diet 
 
hardly readable nutrition facts 
 
scan barcode 
 
check for allergies 
 
bread unit / insulin bolus calculator 
 
trigger alert if product violates treatment plan 
 
“Diabetes Shopping App” (Marshfield Clinic Research Foundation) 
context-sensitive nutrition facts & advice 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 
[Wal14] 
Slide 11
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 
Slide 12
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 
Slide 13
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
LONG-TERM DIABETICS 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 14
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Digital wound documentation 
 
caregiver documenting wound progression 
 
take pictures while stabilizing a leg or foot 
 
hands-free use 
 
voice command or blinking to take a picture 
 
limitations: 
 
no flash 
 
stable lighting conditions 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 15
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Motivation to move 
 
physical activity can positively influence daily life 
 
encourage to be more active 
 
gamification approach 
 
badges 
 
high scores 
 
competition 
 
(mySugr diabetes companion) 
 
Glass provides GPS hardware 
 
reduce risk for long-term complications 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 16
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Conclusion & future trends 
 
use cases with significant improvements 
 
Glass is still in Beta program – limited availability 
conceptual work, no proof of concept 
partners interested in developing apps 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 17
MEDICAL INFORMATICS 
University of Heidelberg 
Heilbronn University 
Discussion 
Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 
 
Thank you 
 
Your questions? 
Slide 18

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Google Glass Support Diabetes Patients Daily Life

  • 1. ENGINEERING MEDICAL INFORMATICS UNIVERSITY OF HEIDELBERG HEILBRONN UNIVERSITY Campus Heilbronn BUSINESS INFORMATICS How Google Glass Could Support Patients with Diabetes Mellitus in Daily Life Hetterich, C, Pobiruchin, M, Wiesner, M, Pfeifer, D Christian Hetterich
  • 2. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Agenda  Google Glass – What‘s inside?  Diabetes Mellitus  Solution Ideas  Outlook & Future Trends  Discussion & Questions Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 2
  • 3. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Google Glass – What‘s inside? Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 3
  • 4. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Diabetes mellitus – a challenging disease  chronic disease  serious comorbidities and long-term complications  damage to  heart  blood vessels  nerves  doubled risk of dying  awareness and education are crucial! Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 0 100 200 300 400 500 600 700 2013 ~2030 [IDF13] Slide 4
  • 5. MEDICAL INFORMATICS University of Heidelberg Heilbronn University solution ideas (1/3)  two typical groups  A: recently diagnosed diabetics  B: long-term diabetics  factors affecting both groups  regular checks of blood glucose value  changes in their diet  physical activity Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 5
  • 6. MEDICAL INFORMATICS University of Heidelberg Heilbronn University solution ideas (2/3)  Education and personalized feedback  Diet management  Weight management  Physical activity  Communication and patient monitoring by primary care providers  Insulin and medication management  Other therapeutics (foot, eye care)  Psychosocial care  Immunization  Complication management Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 [Cho11] Slide 6
  • 7. MEDICAL INFORMATICS University of Heidelberg Heilbronn University solution ideas (3/3)  Group A: recently diagnosed diabetics  reminders and visual alerts  awareness & education  context-sensitive nutrition facts & advice  Group B: long-term diabetics  digital wound documentation  motivation to move Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 7
  • 8. MEDICAL INFORMATICS University of Heidelberg Heilbronn University RECENTLY DIAGNOSED DIABETICS Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 8
  • 9. MEDICAL INFORMATICS University of Heidelberg Heilbronn University reminders & visual alerts  meals often skipped  forget measurements  in the user‘s field of view  increase adherence  reduce risk of hypoglycemic events Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 [Mcn14] Slide 9
  • 10. MEDICAL INFORMATICS University of Heidelberg Heilbronn University awareness & education  low health literacy  low health outcomes  personalized education  “an underrepresented feature in diabetes mobile applications” (Chomutare et al., 2011)  “Did you know…?”  diabetes quiz  individually tailored content Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 10
  • 11. MEDICAL INFORMATICS University of Heidelberg Heilbronn University  need to change diet  hardly readable nutrition facts  scan barcode  check for allergies  bread unit / insulin bolus calculator  trigger alert if product violates treatment plan  “Diabetes Shopping App” (Marshfield Clinic Research Foundation) context-sensitive nutrition facts & advice Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 [Wal14] Slide 11
  • 12. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 12
  • 13. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 13
  • 14. MEDICAL INFORMATICS University of Heidelberg Heilbronn University LONG-TERM DIABETICS Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 14
  • 15. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Digital wound documentation  caregiver documenting wound progression  take pictures while stabilizing a leg or foot  hands-free use  voice command or blinking to take a picture  limitations:  no flash  stable lighting conditions Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 15
  • 16. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Motivation to move  physical activity can positively influence daily life  encourage to be more active  gamification approach  badges  high scores  competition  (mySugr diabetes companion)  Glass provides GPS hardware  reduce risk for long-term complications Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 16
  • 17. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Conclusion & future trends  use cases with significant improvements  Glass is still in Beta program – limited availability conceptual work, no proof of concept partners interested in developing apps Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014 Slide 17
  • 18. MEDICAL INFORMATICS University of Heidelberg Heilbronn University Discussion Heilbronn University, Medical Informatics, christian.hetterich@gmail.com 9/5/2014  Thank you  Your questions? Slide 18