Michael Morgan-Curran
Diabetes Programme Director
© GSM Association 2012
Connected Life…..
• 25 billion connected devices by 2020
• Mobile Health solutions could save $400 billion from
healthcare bills in developed countries in 2017
• Mobile Health solutions could save 1 million lives in
sub-Saharan Africa over the next 5 years
……….world where everything intelligently connects
© GSM Association 2013
Source: GSMA/PwC
mHealth benefits
patients, vendors,
providers
payers, nations
and the world
Supports cost-effective delivery of better healthcare
for everyone

© GSM Association 2013
Source: GSMA
Why is Diabetes a global burden


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Number of people with type 2 diabetes is increasing in
every country
The greatest number of people with diabetes are
between 40 to 59 years of age
187 million people (50%) with diabetes are
undiagnosed
80% of people with diabetes live in low- and middleincome countries
www.idf.org
© GSM Association 2013
Why is Diabetes a global burden
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1 person is diagnosed with diabetes every 3 seconds
1 person dies of the complications of diabetes every 7
seconds
1 person loses a limb because of the complications of
diabetes every 24 seconds
4.8 million deaths in 2012 - half under 60
www.idf.org
© GSM Association 2013
552 million individuals will suffer from diabetes by
2030 up by 150%
www.idf.org
© GSM Association 2013
Managing diabetes is expensive
(on top of healthcare costs)

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12% of total healthcare expenditures attributable to diabetes
Expenditure will rise by 34%
The cost of prescribing medication for complications of diabetes is around 3
to 4 times the cost of prescribing diabetes medication
800
Global Diabetes healthcare-related spending

600

US$ 595 billion
US$ 465 billion
Low-income countries:
US$ 1 billion
Low- and middle-income:
US$ 10 billion

400
Upper mid-income countries:
US$ 64 billion

200
High income countries:
US$ 387 billion

0
2011
www.idf.org & Zhang survey 2011
© GSM Association 2013
2030
Financial opportunity across the patient pathway in mDiabetes
MNOs are expected to account for 50% of the US$23 billion mHealth market, with
monitoring the most attractive
mHealth source
of revenue for
MNOs, 2017
$ 0.8 bn
Wellness
$ 1.0 bn
Prevention
$ 0.9 bn
Diagnosis
Treatment
$ 8.8 bn
Monitoring
Chronic Disease Management/Remote Monitoring
Global
Business
Integration
Payments Integration
Cloud Based Health Records/Imaging/Applications
Tele-health
Tele-care
Managed Services
Enterprise
ICT
Enterprise Collaboration
Enterprise Hosting and Storage
Consumer
Voice and
Data
Consumer Health Hotline
Personalised Health Tips
Health Messaging
Source: GSMA and PwC
© GSM Association 2013
Remote Patient Monitoring
Quality of care and social connection
One-way communication
Real-time two-way communication
Data-rich Health
management
systems
Connection to
healthcare advice
Physician
Monitor and
manage standard
vital signs
Monitor standard
Source: Intel
Caregiver
Independence
Safety and friendly
environment
Friendly check-in
mechanisms
vital signs
Electronic Records
Information sharing
© GSM Association 2013
Connection to friends
and caregivers
Impact of mHealth
958
350
300
250
200
150
100
50
0
North America
2011
Latin America
May
June
Europe
July
August
Africa
Middle East
September
October
W Asia
November
January

© GSM Association 2013
SE Asia
Source: GSMA
mDiabetes is represented
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
North America
Latin America
Europe
Africa
Middle East
W Asia
SE Asia
Asthma and COAD/COPD
Cardiovascular diseases (hypertension, ischaemic heart disease)
Diabetes
Psychiatric conditions

© GSM Association 2013
Source: GSMA
AT&T & WellDoc’s ‘DiabetesManager’
Integrated patient coaching and nurse case management system to improve diabetes care
Solution Benefits
Solution Features
• Real-time, clinically-based
• US FDA approved
feedback and coaching
• Fully scalable solution backed by
• Instruction or intervention
• Secure network infrastructure
• Promotes self-care
• Compliant with HIPAA Privacy and
• On-going engagement and drives
Security Rules
down costs
Source: WellDoc & AT&T
© GSM Association 2013
With demonstrated success
Cluster-randomised controlled trial 163 patients in 26 primary care practices
Benefits
Results
• 37% decrease in loosing - limbs/blindness
• A1c levels reduced by 1.9%
• 14% decrease all-cause mortality
Results
• 58% reduction in hospital stays
• 100% increase in self management
Source: Progress in Cardiovascular Diseases 53 (2010)
⃰ Stratton IM, Adler AI, Neil HA, et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS
35): prospective observational study.
© GSM Association 2013
Key success factors
An
effective
Solution
Operators &
Healthcare
Alliance
Alignment
& eng’ment
Technical &
Organisational
support
Industry
Leading
Solutions
HCPs & Patient
engagement
Source: GSMA
© GSM Association 2013
What challenge lies ahead
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© GSM Association 2013
Source: GSMA