Gather’s Director of Science Presents New Outcomes Data at Wireless Health

     

Bethesda, Oct 15, 2015 – Wireless Health Conference

Today, Nora Kleinman presented Gather’s latest outcomes data at the NIH-hosted Wireless Health conference.

The analysis focused on all Gather’s commercial users with multiple HbA1c readings in the system. Among these 41 people, we found baseline HbA1c ranged from 6% to 13.5%, with an average of 9.4%.

After 3 months on the platform, HbA1c had dropped an average of 1.35 points. This change is both statistically and clinically significant and was maintained out to 9 months.

Changes in HbA1c among patients using Gather from baseline to 3, 6 and 9 months
Changes in HbA1c among patients using Gather from baseline to 3, 6 and 9 months

Although this is a small subset of our users, they match our previous analyses demonstrating decreases in mean blood sugar. In addition, they’re in line with the robust medical literature on the impact of telemedicine systems on blood sugar control.

Gather is glad to be a part of the effort to build the evidence base for mHealth in diabetes. Keep your eyes out for the completion of our clinical trial this winter and the wealth of data it will bring!

Read the full whitepaper here to find out more!

Gather’s Director of Science Presents New Outcomes Data at Wireless Health

What’s New from July for Diabetes & Health Tech?

Gather Health empowers patients to take charge of their health by activating a holistic care team around them – including their physician, nutritionist, family, and other patients like them.

Turns out the best way to get people to exercise isn’t talking about long-term health benefits, but focusing on immediate rewards like stress relief, better mood, more energy, and opportunity to connect with family and friends. In fact, people who have goals aimed at losing weight or improving health tend to spend the least amount of time exercising.

More evidence that financial incentives can help people quit smoking, this time among pregnant women.

At-home self-testing of blood pressure was found to effective in helping people manage their hypertension and benefits continued six months after the program had ended.

In the US, changing regulations for telemedicine, with many states allowing establishment of doctor-patient relationship and prescription of medication by video. Washington recently became the 24th state to require insurance reimbursement for some telemedicine services.

And lastly, in India a quick overview of the medical device ‘ecosystem’ and yet more data that knowledge of diabetes and it’s management remains low.

What’s New from July for Diabetes & Health Tech?

Gather Health Users Achieve Improved BG Control in 8 Weeks

How much of a difference can you make in 8 weeks? With Gather Health, a huge one.

Since 2014, Gather has been helping people with diabetes take better control of their health. Today we’re excited to announce some good results! Our newest whitepaper demonstrates high retention, decreased mean BG, and improved Bg control among patients using Gather Health.

Data from 1 clinic in Ahmedabad, India from 164 patients was analyzed. After 8 weeks, 75% of patients enrolled in Gather Health were still actively using the app.

Among these diabetics, there was an average 27 mg/dL decrease in mean BG and an 18% increase in ADA-defined in-range readings.

Decrease in Mean BG

Better BG Control

Most out-of-range readings were high (83%) and related to either food (64%) or feelings (16%). On average, the practice sent each patient about 1 message per week.

Download the full whitepaper here to get more details!

Gather Health Users Achieve Improved BG Control in 8 Weeks

Secrets of Eating Right for Diabetes Patients

create-your-plate-example

Eating a healthy diet is important, especially for those who are living with diabetes. Often when a person is diagnosed with diabetes, it is hard for them to know how to change their eating habits and how to make healthier choices at mealtimes. The American Diabetes Association has an easy method that one can use at anytime, anywhere, to help you make healthy choices at each meal.

The method is called the “create your plate” method. All you need is a little imagination and a regular-sized dinner plate (9-10 inches in diameter); no other tools are necessary! So let’s take a look:

Step 1: Take a regular-sized plate and imagine drawing a line down the middle of the plate dividing the plate in half. Then imagine that on one of these halves, you have another imaginary line that cuts it in half again so you will have three sections on your plate (one half section and two quarter sections):

day1_3_plates_ew2-2

Step 2: First fill one small section (a quarter of your plate) with protein. Proteins can include:

  • Skinless chicken
  • Skinless turkey
  • Fish
  • Lean beef
  • Lean pork
  • Tofu
  • Eggs
  • Low-fat cheese or yogurt

day2_plate_protein_ew1

Step 3: Now fill the other small section (a quarter of your plate) with grains or starches such as:

  • whole grain breads
  • whole grain, high-fiber cereal
  • cooked cereal such as oatmeal
  • rice, pasta, dal, tortillas
  • cooked beans and peas
  • potatoes, green peas, corn, lima beans, sweet potatoes, winter squash
  • low-fat crackers, snack chips, pretzels and light popcorn

day3_plate_starches_ew1

Step 4: Lastly, fill the largest section (half of your plate) with non-starchy vegetables such as:

  • spinach
  • carrots
  • lettuce
  • greens
  • cabbage
  • bok choy
  • green beans
  • broccoli,
  • cauliflower
  • tomatoes
  • onion
  • cucumber
  • mushrooms
  • peppers
  • turnips
  • okra
  • beets

 day4_plate_vegetables_ew1

Step 5: Add a serving of fruit, a serving of low-fat dairy or both as your meal plan allows (discuss this with your nutritionist or doctor).

Step 6: Try to opt for foods prepared with small amounts of healthy oils such as olive oil. Garnish your vegetables and salads with low-fat dressings, preferably vinaigrettes, or with a small portion of nuts or avocado. Use lemon juice, pepper, or herbs to add flavor to your food without adding fat.

Step 7: Quench your thirst with a low-calorie drink. Good choices include water, unsweetened tea or coffee. Avoid high sugar juices and sodas.

For full details, you can also go to the American Diabetes Association Website

Secrets of Eating Right for Diabetes Patients

What’s New from June for Diabetes & Health Tech?

Gather Health empowers patients to take charge of their health by activating a holistic care team around them – including their physician, nutritionist, family, and other patients like them.

We know incentives are important, but how important?

Financial incentives are more effective than typical care, finds a creative study on financial incentives and smoking cessation. All 4 incentive programs (individual or group, reward or deposit) were more effective than the typical approach of providing information and free aids (patches, gum). People were much more likely to agree to join a reward program than one requiring them to deposit money up-front and have it returned if they successfully quit smoking. However, those who agreed to the deposit program were twice as likely to successfully quit. There were few differences between the individual and group interventions. NEJM wrote a very readable editorial as well as publishing the full study.

Also some knowledge about diabetes to blow your mind.

The relative importance of diet and exercise in losing weight (spoiler: eating less is a lot more important than exercising more).

An exploration of how diabetes may differ in Asian-Indians compared to Caucasians finds Indians are more likely to have high central obesity, increased inflammatory markers, greater insulin resistance, and higher risk of coronary artery disease.

Over in the US, over half of millennials with diabetes say that they would trust a health app over a health professional for advice.

Last but definitely not least, a look beyond ourselves

A piece on the ethics of A/B testing, reminds us that many “policies and practices that we live by aren’t evidence-based, and good intentions don’t guarantee desired outcomes.”

What’s New from June for Diabetes & Health Tech?

What’s New in May for Diabetes & Health-Tech?

Gather Health empowers patients to take charge of their health by activating a holistic care team around them – including their physician, nutritionist, family, and other patients like them.

A national survey in India finds among the urban middle class, >25% of people with diabetes are undiagnosed. Among those with diagnosed diabetes, blood sugar control is poor as is awareness, treatment, and control of high blood sugar and cholesterol.

Google’s ambitious initiative to estimate food calories from pictures.

Speaking of food, a dietary survey in India revealed that carbs comprise nearly 2/3rds of a typical Indian diabetic’s diet (vs. 40-50% in the West). While 2/3rds were adherent to a diet plan their physician recommended, nearly half had not received diet counseling!

Active discussion in the US about what type of care nurses should be allowed to provide, particularly in rural areas and under what type of supervision, if any.

Accenture projects that by 2018 there will be >100 FDA approved digital health devices, saving the healthcare system nearly $100billion USD.

And last but far from least, the annual report on internet trends by Mary Meeker of Kleiner Perkins. TechCrunch’s pithy summary, and the full deck. Particularly notable are the slides on internet penetration in India:

and the use of mobile internet:

What’s New in May for Diabetes & Health-Tech?

Keys to diabetes foot care

An ounce of prevention is better than a pound of cure

People with diabetes can develop several foot problems, some of which can lead to serious complications. Diabetes can cause nerve damage, which makes your feet less sensitive to pain, heat and cold. Another result of nerve damage is your feet become very dry. Because of this you might not notice a sharp object in your shoe, or even a small cut on your foot. Diabetes may also reduce the flow of blood to your feet, which will make it harder for your body to heal a small cut or blister, or fight off an infection. Therefore a small cut or wound could develop into a serious infection and even to amputation. This handy test can help you monitor the sensation in your feet and your risk for ulcers. Ask your doctor for a ‘monofilament’ so you can test your feet at home! Diabetes foot test   Push to make the filament bend Push to make the filament bend Foot screen test sites

Foot care tips

  • Keep your blood glucose in your target range as much as possible.
  • Examine your feet every day for blisters, cuts, swelling, and red sports.
  • Be active, but pay attention when you exercise. Do not exercise with open sores on your feet.
  • Wash your feet every day. Dry them carefully, especially between the toes.
  • To keep your feet from getting dry, use skin lotion for the tops and bottoms of your feet. Do not use lotion between your toes.
  • Cut your toenails after bathing when they are soft. Cut them straight across and avoid cutting into the corners. File the edges with an emery board or nail file.
  • Always wear comfortable shoes and socks that fit well. Never walk barefoot. Check inside your shoes for foreign objects before putting them on.
  • Be careful with hot and cold temperatures. Do not walk barefoot on the beach or on hot pavement. Use your elbow to measure water temperature instead of your feet.
  • To keep the blood flowing to your feet, put your feet up when sitting. Avoid crossing your legs. Wiggle your toes and move your ankles up and down a couple of times a day.
Keys to diabetes foot care

Dr. Sanjiv Shah Presents Exciting New Data on Gather at AACE

20150516_100949     IMG_1751

Nashville, May 16, 2015 – AACE (American Association of Clinical Endocrinologists)

Today, Dr. Sanjiv Shah presented exciting new data on Gather at the American Association of Clinical Endocrinologists (AACE) conference.

Analysis from 48 Type 2 diabetics at Dr. Shah’s clinic revealed that in their first 8 weeks on the system, there were 57 changes to their insulin. Over 2/3rds of these were increases in dosing, with the remainder being about equal numbers of decreases or timing changes.

This resulted in an average of 31mg/dL drop in mean fasting BG and a 16mg/dL drop in overall mean BG. On average each patient recorded just under 2 episodes of BG <70 and 0.3 episodes of BG <50.

This observational data indicates Gather Health facilitates more frequent titration of insulin, enabling tighter glucose control, with few recorded hypoglycemic episodes.

Read or download the full poster here!

Dr. Sanjiv Shah Presents Exciting New Data on Gather at AACE

Gather Presents Early Data on its Mobile Diabetes Management Platform at DiabetesIndia 2015

Chennai, April 12, 2015 – International healthcare technology provider Gather Health showcased its mobile diabetes management platform at DiabetesIndia 2015 in Chennai, India, and shared the effectiveness of the platform in helping patients control their blood glucose.

“There are over 60 million diabetics in India and all of them want it to be easier to be healthy. Gather believes technology can help improve the situation by creating access continuous support and education. Gather’s mobile and web technology bring together a holistic care team around the patient, including the physician, nutritionist, and family, so the patient is never alone.” said Burke Wise, CEO and co-founder of Gather Health.

According to Gather’s early research with over 250 patients across 7 clinics in Ahmedabad, Hyderabad, and Mumbai, there was a 20 point drop in mean BG among those with continued app use at 16 weeks. One patient even managed to reduce his weekly average pre-prandial by 146 mg/dl and post-prandial by 92 mg/dl after 91 days of usage.

“We are very excited to show the good early results at DiabetesIndia 2015, as it means we are one step closer to our vision, which is to help patients get healthier, and help professional care providers work more efficiently,” said Wise. DiabetesIndia is a registered trust which works for Diabetes Awareness Management activities in India. It has a large number of doctors as member of it, and holds an annual conference at every 2 years.

Gather Presents Early Data on its Mobile Diabetes Management Platform at DiabetesIndia 2015

Technology for Ideal Care: Gather Presented at RSSDI 2014

Bangalore, November 23, 2014 – RSSDI (Research Society for the Study of Diabetes in India) 2014 was held in Bangalore in November 21 to 23. Nora Kleinman, Head of Science at Gather Health, gave a presentation and shared with the attendees the company’s vision of ideal healthcare for diabetes patients and how technology can help improve it. 

“Key diabetes risk factors are creating a huge burden of disease in India, and most diabetes patients are not receiving enough care,” said Nora Kleinman, Head of Science at Gather Health. “There is a limited amount of doctors, nurses and other healthcare providers to meet rapidly growing demand for better care. Gather is trying to tackle the problem by empowering both patients and professional care providers with technology to generate better outcomes and improve efficiency.”

Ms. Kleinman cited research done by DEDICOM (1) that almost 50% diabetes patients in India are not receiving regular counseling and advice, and less than 20% have their HbA1c values in target range (2). This could be related to low awareness of diabetes, distress and frustration from family members, and lack of exercise habits.

“Gather provides mobile and cloud-based healthcare applications that leverage the latest medical and behavior change research to truly motivate and educate patients. It connects and activates physicians, patients, their families, and patient communities in order to provide continuous, holistic care for patients and achieve improved health outcomes,” said Kleinman.

Gather Health Diabetes platform, the first product of the company, has been adopted by partner physicians, patients, and families in Hong Kong and Indian cities such as Mumbai, Ahmedabad, Hyderabad, Chennai and Bangalore.

Citations

  1. Nagpal J, Bhartia A. Quality of diabetes care in the middle- and high-income group populace: the Delhi Diabetes Community (DEDICOM) survey
  2. Mohan V. et al. Current status of management, control, complications and psychosocial aspects of patients with diabetes in India. Results from DiabCare India 2011 Study. Indian J Endocrinol Metab. 2014; 18(3):370-378.

About Gather

Gather Health is an international healthcare technology company focused on empowering chronic disease patients to improve their health. We offer mobile and cloud-based healthcare applications that leverage the latest medical and behavior change research. Gather’s headquarters are in Hong Kong, with offices in Beijing, New York and India.

Contact Information

Burke Wise CEO, Gather Health burke@gatherhealth.com https://www.gatherhealth.com

Technology for Ideal Care: Gather Presented at RSSDI 2014