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Post by lennymnkd on Jul 21, 2018 14:18:31 GMT -5
A lot at stake here ! I’m sure compliance can be maintained with the right insentives , a lot of clout behind the whole picture , non compliance is not an option to hold us back..
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Post by morgieporgie on Jul 21, 2018 14:40:41 GMT -5
Given CGM technology and cloud monitoring if the STAT was scaled to 5000 PWDs, IMO you would see the same results. Two things we know for sure is the pancreas works and afrezza is using the exact same insulin with almost the exact same PK / bingo , my sentiments exactly A quick reality check here. Only 15% of Type 1 diabetics have a CGM and they probably aren't all using them. I have no idea what cloud monitoring means, storing data in the cloud? That has been done for years with Diasend but it doesn't buy much since it gets looked at retroactively by your endo when you visit. I think if you scaled STAT you would get the same result. The interesting thing would be to see what the numbers looked like after 52 weeks because I am willing to bet compliance will drop off sharply given the compliance numbers for the 4 week trial. If compliance can be maintained though then that would be huge. Sooner or later healthcare costs will be based upon compliance, which is where cloud comes in as far as real time monitoring is concerned. Think like credit reporting, you don't want to comply (pay bills on time) then you'll pay more out of yer pocket.
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Post by peppy on Jul 21, 2018 14:48:53 GMT -5
A quick reality check here. Only 15% of Type 1 diabetics have a CGM and they probably aren't all using them. I have no idea what cloud monitoring means, storing data in the cloud? That has been done for years with Diasend but it doesn't buy much since it gets looked at retroactively by your endo when you visit. I think if you scaled STAT you would get the same result. The interesting thing would be to see what the numbers looked like after 52 weeks because I am willing to bet compliance will drop off sharply given the compliance numbers for the 4 week trial. If compliance can be maintained though then that would be huge. Sooner or later healthcare costs will be based upon compliance, which is where cloud comes in as far as real time monitoring is concerned. Think like credit reporting, you don't want to comply (pay bills on time) then you'll pay more out of yer pocket. I do not want that. I decide. I get to decide. Are we going be come the Borg?
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Post by morgieporgie on Jul 21, 2018 14:55:49 GMT -5
A quick reality check here. Only 15% of Type 1 diabetics have a CGM and they probably aren't all using them. I have no idea what cloud monitoring means, storing data in the cloud? That has been done for years with Diasend but it doesn't buy much since it gets looked at retroactively by your endo when you visit. I think if you scaled STAT you would get the same result. The interesting thing would be to see what the numbers looked like after 52 weeks because I am willing to bet compliance will drop off sharply given the compliance numbers for the 4 week trial. If compliance can be maintained though then that would be huge. Sooner or later healthcare costs will be based upon compliance, which is where cloud comes in as far as real time monitoring is concerned. Think like credit reporting, you don't want to comply (pay bills on time) then you'll pay more out of yer pocket. By the way, about the Bluhale device. I believe it will end up being more than a device that let's you know whether you are inhaling right. It will be a device which will let them know if you are INHALING AT ALL and WHEN. (Compliance)
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Post by boca1girl on Jul 21, 2018 15:12:58 GMT -5
Sooner or later healthcare costs will be based upon compliance, which is where cloud comes in as far as real time monitoring is concerned. Think like credit reporting, you don't want to comply (pay bills on time) then you'll pay more out of yer pocket. By the way, about the Bluhale device. I believe it will end up being more than a device that let's you know whether you are inhaling right. It will be a device which will let them know if you are INHALING AT ALL and WHEN. (Compliance) Almost sounds like ankle bracelets for people under house arrest. I bet you’re right.
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Post by morgieporgie on Jul 21, 2018 15:35:10 GMT -5
By the way, about the Bluhale device. I believe it will end up being more than a device that let's you know whether you are inhaling right. It will be a device which will let them know if you are INHALING AT ALL and WHEN. (Compliance) Almost sounds like ankle bracelets for people under house arrest. I bet you’re right. Well, that's what we're working on now...Oops I mean they are working on now.
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Post by mnholdem on Jul 21, 2018 15:38:29 GMT -5
Sooner or later healthcare costs will be based upon compliance, which is where cloud comes in as far as real time monitoring is concerned. Think like credit reporting, you don't want to comply (pay bills on time) then you'll pay more out of yer pocket. I do not want that. I decide. I get to decide. Are we going be come the Borg? Resistance is futile.
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Post by goyocafe on Jul 21, 2018 16:52:59 GMT -5
Sooner or later healthcare costs will be based upon compliance, which is where cloud comes in as far as real time monitoring is concerned. Think like credit reporting, you don't want to comply (pay bills on time) then you'll pay more out of yer pocket. I do not want that. I decide. I get to decide. Are we going be come the Borg? I hear your concern, but consider the parallel to auto insurance. If you’re a bad driver, you pay higher insurance rates. If outcomes can be improved with compliance, then it should be reasonable to expect a best effort by the patient or you get categorized in a higher risk bracket. Not all issues are testable this way, but chronic, controllable issues could go this way and for good reason.
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Post by peppy on Jul 21, 2018 17:05:54 GMT -5
I do not want that. I decide. I get to decide. Are we going be come the Borg? I hear your concern, but consider the parallel to auto insurance. If you’re a bad driver, you pay higher insurance rates. If outcomes can be improved with compliance, then it should be reasonable to expect a best effort by the patient or you get categorized in a higher risk bracket. Not all issues are testable this way, but chronic, controllable issues could go this way and for good reason. Consider what the compliance may be? What if the compliance was eating NO Meat, NO diary, No oil? Eating: Whole grains, Rice, Wheat, Oats, Corn, Squash? Dates, Vegetable and fruits? how do you feel about compliance then? what would the penalty be for a pizza, ice cream and cookies? A Steak? A pork chop? Barbecue? Or we could be killed slowly getting some laboratory number. Just sayin. Love ya.
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Post by goyocafe on Jul 21, 2018 17:21:41 GMT -5
I hear your concern, but consider the parallel to auto insurance. If you’re a bad driver, you pay higher insurance rates. If outcomes can be improved with compliance, then it should be reasonable to expect a best effort by the patient or you get categorized in a higher risk bracket. Not all issues are testable this way, but chronic, controllable issues could go this way and for good reason. Consider what the compliance may be? What if the compliance was eating NO Meat, NO diary, No oil? Eating: Whole grains, Rice, Wheat, Oats, Corn, Squash? Dates, Vegetable and fruits? how do you feel about compliance then? what would the penalty be for a pizza, ice cream and cookies? A Steak? A pork chop? Barbecue? Or we could be killed slowly getting some laboratory number. Just sayin. Love ya. If it were an was an easy solution, I suppose it would already be solved. Thanks for pointing out the challenges to my overly simple analogy. 🙂
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Post by sophie on Jul 21, 2018 17:24:46 GMT -5
I hear your concern, but consider the parallel to auto insurance. If you’re a bad driver, you pay higher insurance rates. If outcomes can be improved with compliance, then it should be reasonable to expect a best effort by the patient or you get categorized in a higher risk bracket. Not all issues are testable this way, but chronic, controllable issues could go this way and for good reason. Consider what the compliance may be? What if the compliance was eating NO Meat, NO diary, No oil? Eating: Whole grains, Rice, Wheat, Oats, Corn, Squash? Dates, Vegetable and fruits? how do you feel about compliance then? what would the penalty be for a pizza, ice cream and cookies? A Steak? A pork chop? Barbecue? Or we could be killed slowly getting some laboratory number. Just sayin. Love ya. People would get to choose what compliance or noncompliance means to them with that laboratory number- that's based on meta analyses- as the basis for who pays more and who pays less. If they want ice cream, go for it. If they want that steak, go for it. However, if they don't stay within the set metric, whether that be time in range, A1c, whatever, that's up to them. It's not hard to track. One's health should be the responsibility of each individual, not the government/pharmaceutical/insurance company. However, when one's personal decisions impact society at large, their responsibility should increase to mitigate as much of that gap as possible. Otherwise, you're asking someone else to foot the bill for your decisions. If we're sticking to what's fair, they still come out ahead by having insurance. Their footprint is still unfair because they're drawing more than they're putting in. Posters on here get upset about insurance/pharma, etc not caring about people's health... I personally don't mind who's looking out for my health. I'm the only one who really should. To everyone else, my health is only as important to them as how much of a financial burden I will be on the system at large. And really, that's all that should matter. It'd be nice to live in an altruistic utopia, but that's not the world we live in. You have to play by the rules of the system that you're in. A lot of bad decisions have turned healthcare into what it is today. There is no easy fix, as we've now witnessed both the right and the left being unable to have a sustainable plan that works. No matter what direction the future goes, it's going to be painful.
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Post by agedhippie on Jul 21, 2018 17:30:49 GMT -5
Happily I think we can rely on IT screwing up the whole thing, security blocking deployment, and legal having kittens about liability to safely prevent cloud monitoring from ever seeing the light of day. Then there is the whole problem of getting people to oblige - Aetna sent me an offer for a free meter complete with SIM that will phone each test back to the cloud for me and will automatically send me new strips when it thinks I am running out. I politely declined. I would never use One Drop for the same reason, it phones home.
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Post by goyocafe on Jul 21, 2018 17:35:08 GMT -5
Happily I think we can rely on IT screwing up the whole thing, security blocking deployment, and legal having kittens about liability to safely prevent cloud monitoring from ever seeing the light of day. Then there is the whole problem of getting people to oblige - Aetna sent me an offer for a free meter complete with SIM that will phone each test back to the cloud for me and will automatically send me new strips when it thinks I am running out. I politely declined. I would never use One Drop for the same reason, it phones home. With that outlook, we can look forward to the same outcomes in the next 20 years as the last.
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Post by agedhippie on Jul 21, 2018 18:07:31 GMT -5
With that outlook, we can look forward to the same outcomes in the next 20 years as the last. I have zero interesting in someone monitoring my numbers and judging me on them or telling me what to do. I think you will find that is easily the majority opinion in the Type 1 community. It's a topic people are *very* sensitive about. Everyone reaches their own settlement with diabetes over what they are prepared to do. It varies from obsessive control to deliberate neglect, but as long as it is an informed decision I will happily support it. Now if some uninvited 3rd party is going to start sticking their nose into how I manage my diabetes good luck with that, I just add their phone number to my spam callers list.
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Post by mannmade on Jul 21, 2018 18:21:25 GMT -5
The real way to address this issue is not to punish patients but to reward doctors for group success. Then when a drug like AFREZZA comes along they might be willing to take a more serious look, imho.
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