User innovation COUCHING SESSION 2 Anza, david, rishendra, ville-matti & virpi

Diabetic meter: Background search Member of two closed Facebook group; users (local & nationwide in Finland) Created one poll in both groups. YES & NO. Important Information: the comments and advices for eachother (peer support) of the blood glucose meter users and also the reflections and comments about how the sensor is holding. Member of International facebook groups too; England, Sweden & Germany; same kind of problems there with the sensor. Google search/keywords: sensor, diabetes, Freestyle Libre, Dexcom, Medtronic Enlite

Usage of Glucose meter & sensor The GOOD things  NOT so GOOD  THE BLOOD GLUCOSE LEVEL HAD COME MORE BETTER NOT HAVE TO prick YOUR FINGER ”10” TIMES A DAY, just ”sensoring” will do it. Using this meter Has improved the patients blood glucose levels. The price/costs are reasonable Sensor Don’t hold the promised time Manufacturer replaces the sensor only when you have the manufacturing code.

Results from the users Problems with the tape & glue GOOD  Not good  The sensor holds good, no problems with it. it is working well if placed under the bra or on the thigh. It is hard to remove Can Create allergic symptoms to the skin and under the sensor The only suggested preferred examined place is in the upper arm/the company

calculations: PROBLEM in PUBLIC HEALTHCARE IF 50 000 type 1 diabetics uses 50 000 cheapest sensoring meters and one sensor in every two weeks the cost is. Price of diabetic meter: 50000*75.58€=3779000€ Price for sensor: 50000*12*60€=36000000€ Current price incurred: 50000*24*60€=72000000€ And if 50 % of the sensors don’t hold good enough, and you don’t get it replaced, the cost is… about 36000000 €. Public health care looses about 50 % of the money it has used to sensors, if they don’t send the inoperative sensors back.

Diabetes bulletin 1

Diabetes bulletin 2

Comparising meters & Sensors Freestyle libre Dexcom G4 & G5 Medtronic enlite EasySwim, shower or exercise — the FreeStyle Libre system is designed to be water-resistant and worn while bathing, showering, swimming5 and exercising Price in sweden FOR 1sensor/60 €/ONE SENSOR FOR 14 DAYS THE METER/SCANNER 75,58 € Dexcom IS MORE DEVELOPED. ALARMING WHEN LOW GLUCOSE DAY & NIGHT. Sensors 370 €/4 PIECES/ 1 for 7 days Beginners PACKAGE 2400 e WORKS WITH INSULIN PUMP Couldn’t find the prices, maybe only available from the public healthcare/central hospitals Demand for signing in to see the price. Suggested using with medtronic insulin pump

FACEBOOK POLLs: problems YES OR NO DO you have had problems with the sensor not holding good enough? Nationwide in finland Local vaasa group

Innovative IDEA: Printed electronics sticker or new tape

User tREND WHO ARE THE LEAD USERS? TRENDS/ LEADING EDGE ACTIVITIES? Healthcare, hospitals, patients TRENDS/ LEADING EDGE ACTIVITIES? Health care; they are using same tape in their sensors…. INTEREST GROUPS? Tape and glue; health care, everybody Sticker; hosptilas, festivals, groups, companies Glue; everybody; decoraters, body decorators, other medical needs – perhaps there is a suitable glue in plastic surgery?

3D printers in commercial use & Bio Reader/Meter The 3d printers are already in commercial use and are easily accessible to everyone. The bio reader/meter has been launched comersially by a Company in 2015 by dietsensor company.

THANK YOU!

SOURCES https://abbottdiabetescare.fi/tuotteemme/freestyle-libre Dexcom g4 sensor insertion tutorial https://www.youtube.com/watch?v=pPQ5oefkmNI Freestyle sensor insertion tutorial (in finnish) http://blogi.sokeriseuranta.fi/2016/05/nain-asetat-freestyle-libre-sensorin-kasivarteen/ http://www.freestylelibre.co.uk/ MEDTRONIC ENLITE SENSOR INSERTION TUTORIAL https://youtu.be/YUqMVFKb0GY https://www.youtube.com/watch?v=6xDRBAPyrzg https://www.youtube.com/watch?v=yhHC51xFAnk Medtronic innovations http://www.medtronic.com/us-en/about/plc.html DEXCOM https://www.dexcom.com/fi-FI Facts about diabetes http://www.idf.org/about-diabetes/facts-figures