We hacked the 2014 Diabetes Technology Meeting! A presentation by John Costik, Adrien de Croy, Weston Nordgren II, The Nightscout community, and Joyce Lee, MD, MPH, Doctor as Designer. John has the video; we will embed when it's available.

1. Participatory Design,
the “Making” of Health,
and the Future of
Diabetes Technology
John Costik, Adrien de Croy, Weston
Nordgren II, The Nightscout community,
Joyce Lee, MD, MPH, Doctor as Designer

2. Co-director-Mott Mobile
Technology for Enhancing Health
Social Media Editor, JAMA
Pediatrics
Healthdesignby.us

3. The promise of mobile health has
yet to be realized
Hard to !nd
Too many
Uncertain Quality
Uncertain Bene!t
Lack of link to provider
Lack information on security/data
Eng DS, Lee JM. The Promise and Peril of Mobile Health Applications
for Diabetes and Endocrinology. Pediatric Diabetes 2013: 14: 231–238.

4. @joyclee

5. https://medium.com/@joyclee

6. 75%
of children fail to achieve recommended
blood sugar goals in Type 1 Diabetes
Diabetes through the
eyes of healthcare

7. But is it really their fault?
Look at this series of
#design #fails

8. What do those buttons mean &
why are they so hard to press?

9. Why are the menus all
different and confusing?
A green screen? Really?

10. Why does your doctor ask
you to keep a paper
logbook? To practice your
penmanship?

11. Hi-tech #dataviz in the clinic!
Circles for highs, triangles for lows?

12. Which cord? A desktop software
program? No cloud connectivity?
Really?

13. #waiting

14. #waiting

15. How many different data displays
are there for all the different
meters/pumps?

16. Not so helpful? Not so
Interactive? Not so useful?

17. Oh and the devices don’t talk to
each other, so many caregivers still
use paper for communication

18. Don’t forget to fax BS to your MD
and wait for a rotary phone call!
Kid: “Mom, what’s a fax? Is it
compatible with Snapchat?”

19. “Design was at fault,
not the operators”
-Don Norman
http://bit.ly/1xcgR4Z

20. http://bit.ly/1wIvdc6

21. 75%
of health care providers/systems fail to help
children achieve recommended blood sugar
goals in Type 1 Diabetes
Diabetes through the
eyes of a designer

22. Patient problems
are really
design problems
Joyce Lee
Medical Designer

23. Fix the design,
and it’s no longer the
patient’s problem
Joyce Lee
Medical Designer

24. Let patients and caregivers
design, and they will
!x the problem!
The Nightscout
Project

25. But we have to overcome the
#cultureofhealthcare
which says:

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28. “D!"#$t%& t%'()o*+,- i.
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29. Have you guys heard
about the
Nightscout Project?

30. http://on.wsj.com/1zFbT1I

31. Patient as
expert
maker
collaborator
#thefutureofdiabetestechnology

32. Patient as
expert
http://bit.ly/10IUyph

33. Patient as
maker

34. http://bit.ly/1qyPESH
Patient as
collaborator

35. John
Costik
Adrien de
Croy
Weston
Nordgren II

36. John
Costik
Adrien de
Croy
Weston
Nordgren II

51. #currentdiabetestechinnovation
MD to Patient
Passive
Solitary

52. #futurediabetestechinnovation
Patient to Patient
Active
Collaborative

53. THANK YOU
John Costik
Adrien de Croy
Weston Nordgren II
The Nightscout/#doc community
David Klonoff
Twitter: @NightscoutProj
FB: CGM in the Cloud
#wearenotwaiting