Diabetes Innovation 2013 – The Tweetstream Archive

Last week’s conference was a great success. You can relive some aspects of the in-person meeting by checking out the tweetstream from the event. Enjoy! Check out the twitter analytics on #iDiabetes, courtesy of Symplur.

We look forward to seeing you next year, and to keeping the conversation going between now and then.

Tweets after the jump.

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Diabetes Innovation: The Secret Sauce

BEOften, when we think about innovation, we immediately think of hi-tech devices, software or platforms.

In the midst of this year’s Diabetes Innovation conference, and even acknowledging that many people with diabetes are joined at the hip (literally) to some pretty hi-tech tools, it is worth slowing down for a moment to consider the value and efficacy of decidedly low-tech solutions.

Earlier this year, Susannah Fox (a speaker at this year’s conference) coauthored a report published by the Pew Research Center entitled Tracking for Health. This report collects survey data showing that while 60% of U.S adults track diet or exercise, and 33% track their own health — 49% track only in their heads, 34% use paper and only 21% use technology (web, app, device) for personal tracking.

People with diabetes are certainly well-represented among the 33% of the population who are self-identified health care self-trackers — but remember, most self-trackers are decidedly low-tech. [Read more…]

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Carbohydrates Kill: A Conversation with Tim Noakes

Tim NoakesTimothy Noakes is Chair of Exercise and Sports Science at the University of Cape Town, South Africa — and he will be speaking at Diabetes Innovation 2013. He has Type 2 diabetes and has made a very public about-face in nutrition recommendations. His book on running — a perrennial best-seller — had recommended a high-carbohydrate diet, but Noakes, an ultramarathoner, realized the diet was harming him, and also realized that he had developed T2D. He credits Jeff Volek — another Diabetes Innovation speaker — and others with bringing him to realize that for himself and for other people with diabetes a high-carbohydrate diet is a dangerous thing.

As far as I am concerned it is clear cut, the evidence in my view is that the more insulin resistant you are, in other words the more you are likely to have diabetes, or if you have diabetes there is no question, you do not need carbohydrates in the diet and the less carbohydrates you eat the healthier you will be. To me there is no debate; the problem is that in my view the drivers of the high carbohydrates diets are political and economic. They are not medical and scientific and unfortunately the solution of this problem is a political one — it’s not a medical solution.

Please have a listen to our wide-ranging conversation, touching on diabetes, diet, and the politics and economics of the food supply.

Listen in to our conversation (press play); read the transcript below.

Tim Noakes, Chair of Exercise and Sports Science, University of Cape Town, Diabetes Innovation Interview 08 2013 [Read more...]

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Lourdes Olivas is coming to Diabetes Innovation 2013 from New Mexico State University

Who are you? Where are you from? Why are you here?

Lourdes Olivas from New Mexico State University (Las Cruces, NM).  Here to receive invaluable information and strengthen our networking.

Please tell us a little more about why you are interested in diabetes, professionally and/or personally.

Personal interest in diabetes is due to my family history.  I have several aunts and uncles with diabetes and my grandmother had diabetes. Recently one aunt passed away from complications of diabetes and currently an uncle is dealing with complications, (had a leg amputated).  Professional interest is due to my job responsibilities, I coordinate research and educational programs focused on type 2 diabetes. [Read more…]

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Population Health in a Post-Fee-For-Service World, with Grace Terrell at Cornerstone Health Care

Grace TerrellAre you ready to escape the “tyranny” of the 15-minute office visit?

Grace Terrell is the CEO of Cornerstone Health Care, a 250-physician, multi-site, multispecialty group practice in the Piedmont Triad region of North Carolina; it’s an Accountable Care Organization, and it is in value-based contracts with 100% of its commercial payors. Spread out over 85 different practice sites in a largely rural area, it sees 250,000 patients annually. All of these factors come together in a way that allows Cornerstone to practice population health, and to address chronic disease in a holistic manner that is not usually done in a traditional fee-for-service practice.

In discussing cost and quality, Dr. Terrell focused on diabetes:

One of the things, obviously, that is one of the biggest challenges in population health has to do with diabetes and its enormous impact that it has on quality for life for patients and its increasing prevalence, particularly as the population is aging.There’s not a contract out there that we have that doesn’t focus on diabetes as the first and foremost population health issue to tackle within the context of both the cost as well as looking at quality parameters.So a lot of the focus that we have seen has been evaluating what sort of ways we can put things in place to really address that part of our patient population.

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Surrounding the Patient … In a Good Way: Osagie Ebekozien and the Whittier Street Health Center

Osagie EbekozienWhittier Street Health Center, a community health center in the Roxbury neighborhood of Boston, MA, runs a grant-funded, community-based model of diabetes care that brings best practices to the community by letting community members tell their own stories. Osagie Ebekonien, manager of quality assurance and performance improvement at Whittier Street recently spent some time with us, opening a window into the program that he manages. The program has the twin goals of improving access and improving clinical outcomes.

Whittier Street pays stipends to “health ambassadors” who live in a public housing development near the health center.  The health ambassadors spread the message among their neighbors. This initial communication leads to increased attendance at health screenings sponsored by the health center. Once someone is identified as a person with diabetes, other aspects of the outreach program kick in.

The health ambassadors maintain contact, modeling healthy behaviors, and telling other patients about choices they’ve made that improve their health. It’s a health communication model built on storytelling.

(Read/listen to the full conversation after the jump)

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Give the people what they want: Alan Glaseroff’s radical approach to patient empowerment

Alan Glaseroff MDIf you were to show up in Alan Glaseroff’s office as a person with diabetes and, let’s say, numerous complications, putting you into that group of 5% of Americans whose care consumes 50% of the national health care spend, he would ask you: What bothers you the most? in order to start developing a patient-centered plan of care. The visit would likely end with a discussion of the question: If things go well, what do things look like a year from now? What are your goals?

By focusing on the patient’s goals, and developing a multi-pronged approach to helping patients achieve those goals, Glaseroff and his team are able to introduce behavior change that will improve a patient’s health, and help patients achieve better-than-avergage adherence to new, healthy behaviors, and a significant reduction in the burdens of disease. Glaseroff says:

[To quote] Don Berwick . . .  “People need to become citizens in the improvement of their own work.” . . . I think self-management is the similar idea that patients need to become citizens in the improvement of their own health — [as] subjects rather than objects  . . . . [This can allow] you [to] design very specific workflows for patients that much better meet their needs than telling people what to do — which is usually the model of medicine practiced in the context of chronic illness.

Join Alan Glaseroff at Diabetes Innovation 2013, and hear more about his patient-centered approach to primary care and chronic disease management.

Have a listen to our interview (press play); read the transcript after the jump.

Alan Glaseroff MD (Stanford Coordinated Care) Diabetes Innovation Interview 08 2013

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Wellaho CEO Naser Partovi Presents a Prescribable App

PartoviThere are thousands of wellness apps in the app store. When we asked Naser Partovi what sets Wellaho apart from the crowd, allowing it to help individuals manage chronic conditions, he had a three-part answer:

1.  It’s a prescribable app, connecting patient and clinician, sending individually-configured alerts to the clinician as appropriate.

2.  It’s been validated through numerous clinical trials.

3.  It’s personalized medicine — the app is configured to reflect an individual’s history and experience (e.g., diagnosed with diabetes 10 years ago, not taking insulin).

For conditions subject to the preventable readmission rule, Wellaho customers are the hospitals that would be on the hook financially for a readmission: the hospital is the party most interested in preventing the readmission because it will not be able to bill for the readmission if it is for a condition on the Medicare list (currently COPD, pneumonia and acute myocardial infarction). For other conditions, the customer is the insurance company covering an individual with a chronic condition.

Join Naser Partovi at Diabetes Innovation 2013, and hear more about Wellaho — and a new soon-to-be unveiled product as well.

Have a listen to our interview (press play); read the transcript after the jump.

Naser Partovi (Wellaho) Diabetes Innovation Interview 08 2013

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Dexter Shurney MD promotes a 360-degree approach to lifestyle change to manage chronic disease

Dexter ShurneyWorksite clinics providing intensive lifestyle interventions are good business for some forward-thinking employers. They lead to measurable improvement in the health status of employees with chronic conditions, and — in the case of Cummins, Inc., according to CMO for Global Health & Wellness, Dr. Dexter Shurney — some of the key interventions tend to pay for themselves within six months.

The health status improvement also tends to not be limited to the chronic disease that is the subject of the intervention. Diabetes interventions lead to improvements in diabetes (some people with diabetes going off insulin entirely), but also to improvements in controlling hypertension, cholesterol and other conditions.

Come hear Dr. Shurney discuss his experiences in implementing these interventions at Diabetes Innovation 2013.

Dr. Shurney used the metaphor of a vegetable garden in our conversation: If you have a healthy plant, it’s because: “The roots are healthy. The stem is healthy. The leaves are healthy and it bears good fruit.” Changing the overall environment, through the heavy lifting done in the primary care medical homes at the Cummins worksite clinics, yields improvement across multiple conditions.

(Listen to our conversation, and read a transcript, after the jump.) [Read more…]

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A teenager takes control: Hadley George

hadley georgePlenty of people with diabetes struggle with the daily rituals involved in keeping themselves healthy.

Not everyone — and certainly not all fourteen-year-old girls with Type 1 diabetes — have the wherewithal to recognize the burnout, decide to take action, and begin to build a local community group of peers with diabetes.

That’s exactly what Hadley George did.

When I asked her what she’s looking forward to about Diabetes Innovation 2013, she answered:

This is not an experience that kids of my age normally get. I’m only fifteen years old and I get to do this, so I am very blessed. I hope that people hear my story and maybe will start something like this in their town. And I also hope that it will give hopes for people who have children with Type 1 that it’s not the end of the world and that great things can come out of it. Because I would say that, I am very — I know this sounds weird, but I am very glad that I have Type 1, because it’s really given me a different outlook on life. And although in November and December, I wasn’t really thinking this, now I have gotten so many new friends and it’s just really changed my life for the better.

Listen in on our conversation now, and come hear Hadley discuss community building at Diabetes Innovation 2013.

Read the full transcript after the jump.

Hadley George Diabetes Innovation Interview 08 2013

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