Diabetes &
Technology
Dr. Emad Hamed
Smart Diabetes Care
Board Member of
The Egyptian Diabetes Association
Insulin Pump Telehealth
CGM Telemedicine
Diabetes &
Technology
Glucometers &
POC - HbA1c mHealth
Molecular B. &
Drug Innov. eHealth
Telehealth
Telemedicine
Diabetes &
Technology
mHealth
eHealth
1) Telehealth: Refers to the delivery of
health care over the internet using a
range of telecommunications methods.
Telehealth technologies include live video
conferencing, mobile health apps, save
and forward electronic transmission, and
Terminology remote patient monitoring (RPM). It
refers to both clinical and remote non-
clinical services, including providing
training and continued medical education
for practitioners.
2) Telemedicine: Is solely referring to
remote clinical service.
3) mHealth: Mobile applications
helpful in improving the efficiency of
the delivery of healthcare
information. mHealth applications
can be helpful in research, and
practitioner and patient use.
Terminology 4) eHealth: Is a much broader
understanding of healthcare
practices supported by electronic
processes. eHealth is referring to
health services and information
delivered or enhanced through the
Internet and related technologies.
The Recognition of Technology
as an Important Pillar of
Diabetes Care
“I am dedicated to serve IDF and people with diabetes
and to push for equitable diabetes care. I will use my
medical, scientific and social business know-how to
support the needs of people with diabetes, to fight
inequality in care,” said Prof. Schwarz
Real Discussion about
Diabetes & Technology...
What dose it require ?
Diabetes &
Technology
Resolving 4 Myths
1st Myth
Technology is useful but has a
limited role in Diabetes Care
Awaereness & Telehealth
Education (Social Media)
Prevention & Risk mHealth
Stratification (Mobile Applications)
Telemedicine
Diagnosis & Treatement
(Virual Clinics)
Continous Glucose
Follow Up
Monitorig
(i.e. Time in Range)
(CGM)
Mnagement : Diet
Diet MobileApplications
Management : Excersise
Excercise Mobile Applications
Complications : Digital Retinal
Retinopathy Photography
• Is typically performed by using
Remote non-mydriatic fundus photography
(nFP) at the point-of-care, with the
retinal images sent to a trained reader,
screening either an ophthalmologist or
optometrist, or an automated
retinal image analysis system, to
look for signs of diabetic eye
disease or other ocular pathology.
Utilization of Remote Diabetic Retinal
Screening in a Suburban Healthcare System
• Because of its high accuracy in monitoring and screening for eye
disease, tele-ophthalmology is now considered by the World
Health Organization and American Academy of Ophthalmology to
be an appropriate tool for population-wide DR screening.
• As the demand for eye care continues to outstrip availability,
tele-ophthalmology offers a promising alternative for
delivering high-quality, accessible care in a cost-conscious way.
2nd Myth
Technology is ONLY for
Developed Countries
Diabetes & Technology
in Developing Countries
1. The unfamiliarity of healthcare professionals
with new technologies is a barrier to its use.
2. The conclusion is that developing countries
have to overcome many barriers to increase the
use of health technology in general, diabetes-
related technology specifically.
Diabetes & Technology in Developing Countries
3. Diabetologists and pediatric diabetologists are fundamental in
this process, to get and spread knowledge and information
about new treatments, products and services, and their impact
on diabetes management.
4. In accordance with these ideas, it is key that they get deeper
into diabetes technology, looking after information,
participating in clinical protocols, advisory boards, and
international congresses, paving the way to bring technology
closer to the regular clinician that attends the patients.
3 Myth
rd
Technology is NOT affordable by
developing countries and is
NOT Cost-Effective
Cost and cost-effectiveness of mHealth interventions for
the prevention and control of type 2 diabetes mellitus:
A systematic review
• Cost of mHealth interventions varied substantially
based on type and combination of technology used,
however, where cost-effectiveness results were
reported, the intervention was cost-effective.
4 Myth
th
We Don’t have the needed
infrastructure for such technology
A Real Experience
Implementation of technology to enhance
Diabetes care in a remote underprivileged
area of Upper Egypt and
establishing “Online” care and follow up for
patients from the same area and a wider
geographic areas
To summarise ……
1. Technology has a fundamental role in Diabetes Care.
2. Technology is important for developing Countries as well as
Developed Countries.
3. Technology is affordable by developing countries and is Cost-
Effective.
4. We “Developing countries” have the needed infrastructure for
such technology………… So
Recommendations
Recommendation to Enhance the incorporation
of technology into Diabetes Care
We should by all means encourage
HCP to explore available suitable
technological tools that help them to
improve their practice and the care they
are giving to their Diabetics.
Recommendation to Enhance the
incorporation of technology in Diabetes Care
The IDF, its regional offices And the national associations
should:-
1. Invest in facilitating the spread of awareness, Knowledge and know
how of all possible technological tools through their website and ensure
that all these resources are free for all.
2. Take the responsibility of “Endorsing” the Mobile applications and
other resources that fulfil the recommended standers; as HCP &
Diabetics are overwhelmed with hundreds and hundreds of applications
and resources that may not be useful or even harmful.
شكراً جزيالً
Thank You
