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.

1. OMG –
My Pancreas
Just Texted
John Pettengill
OMG – Your Pancreas Just Texted / Page 1

2. Hi, I’m John
Photo by Chris Acuna OMG – Your Pancreas Just Texted / Page 2

3. and I am
not a doctor
Photo by flickr user trp0 OMG – Your Pancreas Just Texted / Page 3

4. I am not a hospital
administrator
Photo by Dan McCullum OMG – Your Pancreas Just Texted / Page 4

5. I have never even
seen an episode of
Grey’s Anatomy
Photo by ABC & The Walt Disney Company OMG – Your Pancreas Just Texted / Page 5

6. but I am a diabetic
Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 6

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. there are 2 types of
diabetes
type 1 diabetes requires
injected medication
Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 8

9. type 2 diabetes can
be managed without
medication
most diabetics are
type 2
Photo by Sriram Bala OMG – Your Pancreas Just Texted / Page 9

10. I don’t want to
make a big deal
outta this...
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 10

11. I don’t want to
make a big deal
outta this...
but we’re kinda
experts
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 11

12. take this for
example
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 12

13. you see this
salad
meatloaf
potatoes
bread
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 13

14. we see this
8 carbs
15 carbs
45 carbs
25 carbs
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 14

15. and this
8 carbs
low glycemic index
15 carbs
medium glycemic index
45 carbs
25 carbs high glycemic index
high glycemic index
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 15

16. you see dinner
salad
meatloaf
potatoes
bread
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 16

17. we see disease
8 carbs
low glycemic index
15 carbs
medium glycemic index
45 carbs
25 carbs high glycemic index
high glycemic index
Photo by Ruben Swieringa OMG – Your Pancreas Just Texted / Page 17

18. we understand how
blood sugar should
vary over a day
Photo by flickr user MissTessmacher OMG – Your Pancreas Just Texted / Page 18

19. and we know why
lab values like an
A1c are important
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 19

20. so we’re not doctors
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 20

21. so we’re not doctors
but we’re kinda experts
Photo by Pete Prodoehl OMG – Your Pancreas Just Texted / Page 21

22. some of us are bigger
experts than others
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 22

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, 2005
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 23

24. that leads to a shorter
life and unpleasant
complications
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 24

25. we could blame it
on them
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 25

26. we could blame it
on them
we could say they’re
lazy or aren’t trying
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 26

27. we could blame it on
all 17 million who are
having problems
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 27

28. but that’s too
many people
having problems
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 28

29. but that’s too
many people
having problems
something is wrong
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 29

30. this is
Don Norman
he wrote The Design of
Everyday Things
Photo by Peter Belanger OMG – Your Pancreas Just Texted / Page 30

31. “When people
have trouble with
something, it isn’t
their fault—it’s the
fault of the design.”
Donald A. Norman
Photo by Peter Belanger OMG – Your Pancreas Just Texted / Page 31

32. the system has a
problem and it’s
time to fix it
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 32

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, 2011
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 33

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. 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.pdf
Photo by D Sharon Pruitt OMG – Your Pancreas Just Texted / Page 35

36. can technology
help us manage
chronic disease?
Photo by Jay Reed OMG – Your Pancreas Just Texted / Page 36

37. can technology
help us manage
chronic disease?
something has to
Photo by Jay Reed OMG – Your Pancreas Just Texted / Page 37

38. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 38

39. doctors like to
talk about this
Photo by Kevin Walsh OMG – Your Pancreas Just Texted / Page 39

40. about how this
Photo by Abhishek Jacob OMG – Your Pancreas Just Texted / Page 40

41. is affected by that
Photo by Aki Hanninen OMG – Your Pancreas Just Texted / Page 41

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. but the rest of
the time we’re
on our own
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 43

44. choosing whether
or not to order a
sugary drink
Photo by Phil Gyford OMG – Your Pancreas Just Texted / Page 44

45. or eat any of the
bread served
with dinner
Photo by Alan Chan OMG – Your Pancreas Just Texted / Page 45

46. doctors aren’t there
for any of that
Photo by flickr user larique OMG – Your Pancreas Just Texted / Page 46

47. i’m not saying
that doctors aren’t
important
Photo by flickr user larique OMG – Your Pancreas Just Texted / Page 47

48. doctors fill a vital
role, they diagnose
and prescribe
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 48

49. doctors fill a vital
role, they diagnose
and prescribe
but that isn’t enough
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 49

50. patients aren’t happy,
and aren’t doing well
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 50

51. patients aren’t happy,
and aren’t doing well
remember the 67%
that’s having trouble
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 51

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. 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. 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. 57% 64%
31%
Photo by Till Westermayer OMG – Your Pancreas Just Texted / Page 55

56. it’s the two things
doctors can’t write
prescriptions for...
that patients are
having problems with
Photo by Chris Riebschlager OMG – Your Pancreas Just Texted / Page 56

57. turns out that saying
“Eat better and
exercise” isn’t working
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 57

58. and I don’t think we
ever thought it would
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 58

59. but it’s those 2 things
that are most effective
preventing diabetes
Photo by Chris Riebschlager OMG – Your Pancreas Just Texted / Page 59

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. 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 medication
Photo by flickr user webgrl OMG – Your Pancreas Just Texted / Page 61

62. the system isn’t
supporting those
lifestyle changes
Photo by Seattle Municipal Archives OMG – Your Pancreas Just Texted / Page 62

63. patients need to
be educated
Photo by Ruth Rogers OMG – Your Pancreas Just Texted / Page 63

64. doctors have tried a
few different things
Photo by Tulane Publications OMG – Your Pancreas Just Texted / Page 64

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. 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. 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. 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 pamphlets
Photo by Justin O’Neill OMG – Your Pancreas Just Texted / Page 68

69. patients need
something motivating
and personable
Photo by Pewari Naan OMG – Your Pancreas Just Texted / Page 69

70. they need something
easy to expand to
people everywhere
Photo by Tim Moreillon OMG – Your Pancreas Just Texted / Page 70

71. patients need each
other
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 71

72. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 72

73. okay, so web 2.0
to save the day
Photo by Hans Põldoja OMG – Your Pancreas Just Texted / Page 73

74. okay, so web 2.0
to save the day
again
Photo by Hans Põldoja OMG – Your Pancreas Just Texted / Page 74

75. Photo by B Zedan OMG – Your Pancreas Just Texted / Page 75

76. it’s not much of a
stretch for these
patients
Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 76

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. 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. there are some pretty
inspiring examples
Photo by Paul Downey OMG – Your Pancreas Just Texted / Page 79

80. people are sharing
information
http://en.wheelmap.org/ OMG – Your Pancreas Just Texted / Page 80

81. http://en.wheelmap.org/ OMG – Your Pancreas Just Texted / Page 81

82. and making it
available everywhere
Wheelmap iPhone App OMG – Your Pancreas Just Texted / Page 82

83. Wheelmap iPhone App OMG – Your Pancreas Just Texted / Page 83

84. they’re also
comparing results
http://curetogether.com/migraine/causes/ OMG – Your Pancreas Just Texted / Page 84

85. http://curetogether.com/migraine/causes/ OMG – Your Pancreas Just Texted / Page 85

86. there are a lot of
tools for diabetics
too
Photo by Jeff Vogt OMG – Your Pancreas Just Texted / Page 86

87. most of them seem
to focus on charts
and graphs
iPhone Apps : Diabetes Diary, Blood Sugar Diabetes Control OMG – Your Pancreas Just Texted / Page 87

88. testing blood sugar
and monitoring food
intake is important
iPhone Apps : Diabetes Manager, BGluMon OMG – Your Pancreas Just Texted / Page 88

89. but the charts and
graphs we end up
with aren’t
iPhone Apps : Diabetes Plus, Easy Diabetes OMG – Your Pancreas Just Texted / Page 89

90. patients end up
focusing on numbers
iPhone Apps : Vree For Diabetes, UTS Diabetes OMG – Your Pancreas Just Texted / Page 90

91. and not on the
behaviors that create
those numbers
iPhone Apps : Bant, Glucose Charter OMG – Your Pancreas Just Texted / Page 91

92. these siloed tools
are missing an
even bigger point
iPhone Apps : Diamedic, Glucose Buddy OMG – Your Pancreas Just Texted / Page 92

93. Photo by Steven Yeh OMG – Your Pancreas Just Texted / Page 93

94. Photo by Marieke Kuijjer OMG – Your Pancreas Just Texted / Page 94

95. you get the idea
Photo by flickr user BenSpark OMG – Your Pancreas Just Texted / Page 95

96. they’re missing
other people
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 96

97. being surrounded by a
culture of self-care is
the best way to change
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 97

98. that’s what makes
Weight Watchers work
Photo by Brian Rutledge OMG – Your Pancreas Just Texted / Page 98

99. and Alcoholics
Anonymous
Photo by Marius Watz OMG – Your Pancreas Just Texted / Page 99

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/12684357
Photo by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 100

101. it’s hard to reinvent
your life and habits
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 101

102. it’s hard to reinvent
your life and habits
especially when it
feels like no one else is
Photo by Jonny Wikins OMG – Your Pancreas Just Texted / Page 102

103. having supporters
doesn’t just make
change easier
Photo by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 103

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 study
Photo by flickr user SuperFantastic OMG – Your Pancreas Just Texted / Page 104

105. diabetics have tried
to form their own
communities
Photo by flickr user Sheryl’s Boys OMG – Your Pancreas Just Texted / Page 105

106. on places like
twitter
http://twitter.com/#search?q=%23bgnow OMG – Your Pancreas Just Texted / Page 106

107. http://twitter.com/#search?q=%23bgnow OMG – Your Pancreas Just Texted / Page 107

108. and on forums
http://juvenation.org/forums/TopicsActive.aspx OMG – Your Pancreas Just Texted / Page 108

109. http://juvenation.org/forums/TopicsActive.aspx OMG – Your Pancreas Just Texted / Page 109

110. http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 110

111. patients are
validating each other
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 111

112. user forums also have
a lot of helpful info
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 112

113. it’s where you
learn what to do
about this
Photo by Emilie Hardman OMG – Your Pancreas Just Texted / Page 113

114. and how to find
room for a glucose
tester on that
Photo by flickr user mayhem OMG – Your Pancreas Just Texted / Page 114

115. but it’s a little
bit like the wild
wild west
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 115

116. patients have to
sift through to find
meaningful content
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 116

117. http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 117

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. 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 that
http://www.tudiabetes.org/forum/category/listByTitle OMG – Your Pancreas Just Texted / Page 119

120. we need to remake
the tools that manage
diabetes
Photo by Jeff Vogt OMG – Your Pancreas Just Texted / Page 120

121. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 121

122. if diabetes is being
managed well
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 122

123. if diabetes is being
managed well
it needs to be
managed all
day long
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 123

124. it also has to be
managed forever
Photo by Lynn Schnitzer OMG – Your Pancreas Just Texted / Page 124

125. well, as many of
you know, forever
is a long time
Photo by Diane Hammond OMG – Your Pancreas Just Texted / Page 125

126. 95%
of blogs have been
abandoned
Source : http://www.nytimes.com/2009/06/07/fashion/07blogs.html
http://pasta.blogspot.com/ OMG – Your Pancreas Just Texted / Page 126

127. Source : http://www.nytimes.com/2009/06/07/fashion/07blogs.html
http://pasta.blogspot.com/ OMG – Your Pancreas Just Texted / Page 127

128. 65%
of this audience has
already broken their
new years resolutions
Photo by Amodiovalerio Verde OMG – Your Pancreas Just Texted / Page 128

129. 65%
of this audience has
already broken their
new years resolutions
i made that one
up but it sounds
totally believable
Photo by Amodiovalerio Verde OMG – Your Pancreas Just Texted / Page 129

130. people have
trouble managing
forever
Photo by flickr user abrinsky OMG – Your Pancreas Just Texted / Page 130

131. that’s why we have
phrases like one
day at a time
Photo by Rosa Say OMG – Your Pancreas Just Texted / Page 131

132. that’s why we have
phrases like one
day at a time
again, like Weight
Watchers or AA
Photo by Rosa Say OMG – Your Pancreas Just Texted / Page 132

133. and take it
step by step
Photo by ‘Step by Step’, Intro Credits of the Television Show OMG – Your Pancreas Just Texted / Page 133

134. management has
to be broken into
steps to work
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 134

135. some colleagues
and I have made
some first steps
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 135

136. we realized
three key things
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 136

137. we realized
three key things
patients are
isolated
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 137

138. we realized
three key things
patients are the current
isolated solutions
are clinical
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 138

139. we realized
three key things
patients are the current forever is
isolated solutions really hard
are clinical
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 139

140. we’ve created a concept
that attempts to address
these problems
patients are the current forever is
isolated solutions really hard
are clinical
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 140

141. your doctor can’t
come with you,
but your phone
can
create a “new
normal” with
a community
invested in better
self-care
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 141

142. our categories
are based upon
the things that
people already
talk about
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 142

143. you’re presented
with faces, not
with numbers
focused on
behavior moving
forward, not
looking back
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 143

144. a micro-network,
full of people
in similar
situations
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 144

145. commiseration
is an important
part of dealing
with diabetes
users prompted
to share the
situation behind
the sugars
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 145

146. users can gather
support to help
them get back on
track
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 146

147. achievable
goals offer more
rewards more
frequently
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 147

148. provides ideas
and encourages
snacking
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 148

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 do
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 149

150. users are
reminded that
they’re never
doing this alone
updating is
quick
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 150

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. the emotion is
what motivates
updates, but
the data is still
important
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 152

153. quickly compare
a week’s blood
sugar average
with activity
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 153

154. mini-goals ground
conversations in
what daily life is
really like
Design by Kjell Reigstad OMG – Your Pancreas Just Texted / Page 154

155. it’s just an idea, a step
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 155

156. it’s just an idea, a step
but that’s how you
start difficult things
Photo by flickr user dincsi OMG – Your Pancreas Just Texted / Page 156

157. 1/the problem
2/how to fix it
3/an example
4/the wrap up
OMG – Your Pancreas Just Texted / Page 157

158. we mostly talked
about type 2
diabetics today
Photo by Adrian Black OMG – Your Pancreas Just Texted / Page 158

159. we mostly talked
about type 2
diabetics today
they need more
tools, better tools
Photo by Adrian Black OMG – Your Pancreas Just Texted / Page 159

160. but there are patients
with heart disease too
Photo by flickr user illicit_monkey OMG – Your Pancreas Just Texted / Page 160

161. but there are patients
with heart disease too
and Crohn’s
Photo by flickr user illicit_monkey and Bryan Costin OMG – Your Pancreas Just Texted / Page 161

162. but there are patients
with heart disease too
and Crohn’s and
arthritis
Photo by flickr user illicit_monkey, Bryan Costin and Henry M. Diaz OMG – Your Pancreas Just Texted / Page 162

163. but there are patients
with heart disease too
and Crohn’s and
arthritis and MS
Photo by flickr user illicit_monkey, Bryan Costin, Henry M. Diaz and flickr user theqspeaks OMG – Your Pancreas Just Texted / Page 163

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. 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 people
Photo by Joe Shlabotnik OMG – Your Pancreas Just Texted / Page 165

166. we need to create new
solutions, new tools
Photo by Jeff Vogt OMG – Your Pancreas Just Texted / Page 166

167. the way things worked
relied on appointment
based care
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 167

168. but chronic diseases
require a lot more
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 168

169. but chronic diseases
require a lot more
patients have to
manage their
disease every day
Photo by flickr user Susan NYC OMG – Your Pancreas Just Texted / Page 169

170. so patients need
a tool that is with
them every day
Photo by Farid Iqbal Ibrahim OMG – Your Pancreas Just Texted / Page 170

171. so patients need
a tool that is with
them every day
every moment
Photo by Farid Iqbal Ibrahim OMG – Your Pancreas Just Texted / Page 171

172. mobile phones
are already there
Photo by Wade Morgen OMG – Your Pancreas Just Texted / Page 172

173. mobile phones
are already there
and more people
use them to go
online each year
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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.aspx
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175. we could continue to
deliver care three or
four times a year
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176. or, we could offer
it continuously and
conveniently
Photo by Wade Morgen OMG – Your Pancreas Just Texted / Page 176

177. let’s make mobile
health solutions a
priority
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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.
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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.
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180. Kjell Reigstad
Libby Groettum
Kim Cortese
Michael Harper
Bryan Hamilton
Elliott Trice
Katy Thorbahn
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181. d
OM G – My Pancreas Just Texte
John Pettengill
Razorfish
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