Professional Documents
Culture Documents
Systems
MaraHemminger
UniversityofMaryland
DepartmentofInformationStudies
HCILConference,2004
Overview
Whatisdiabetes?
Whatmetersarecurrentlyavailable?
Whatrecordkeepingsystemsarecurrently
available?
Whatresearchinitiativesexist?
Whataresomeuserinterfaceissues?
WhatIsDiabetes?
Bodycannotprocesssugarproperly.
Insulincontrolstheamountofsugarinblood.
Diabeticspancreascannotproduce/properlyprocess
insulin.
Types
Type1
Bodyproduceslittle/noinsulin(insulininjectionsneeded)
Typicallyhitspeopleunderageof30
Type2
Bodyproducesinsufficientamountsof/improperlyprocesses
insulin(noinsulininjectionsneeded)
Typicallyhitsadultsoverageof40
Gestational(duringpregnancy)
WhatIsDiabetes?
Cancause:
Blindness
Heartattack
Poorcirculation
Gangrene
Kidneydisfunction
Death.
Nocure,butmonitoringcanpreventlongterm
problems
WhatMetersAreCurrentlyAvailable?
Types:
Bloodglucose
monitors*
Bloodpricking
Minimallyinvasive
Noninvasive
Urineglucosemonitors
A1cmonitors
Features:
Testinglocation
Testingspeed
Bloodamountrequired
Storageofreadings
High/lowvalues
Size
Costofmeter
Costofstrips
BloodPrickMeters:HandLogs
(Accutech)
Dropbloodontometer
Wait2minutes
Readresultson
thermometerlikedisplay
Comparereadingwith
chartofaveragereadings
BloodPrickMeters:PCBased
(LifeScan)
Meter
Armorfingerprick
Digitaldisplayofreading
Recordkeepingsystem
Glucose
Measurementsbefore
andaftermeals
Colorsindicatelevels
above/belowtarget
Medications
Meals(carbohydrates)
Bar/piecharts,graphs
Bydate
Bytimeofday
Bytargetlevels
BloodPrickMeters:PDABased
(TherasenseFreeStyle)
Meter
Multipletestingsites
Digitaldisplayof
reading
Recordingkeeping
system
Glucoselevels
Medications
Meals
Exercise
MinimallyInvasiveMeters
(MiniMedCGMS)
Insertsensorunder
abdominalskinfor72
hours
Sensorreadsinterstitial
fluidglucoselevel
Patientcanentermeals,
exercise,medsinmonitor
Physicianreadssensor
results
Usermustcalibratesensor
viaafingerprick4x/day
NonInvasiveMeters
(CygnusGlucoWatch)
AutoSensorfitsonback
ofwatch
Monitorsglucose(u/i
method);nobloodpricks
Usercanentermeals,
exerciseinfo
Usercansethigh/lowalert
Biographerstores8,500
readings
Datacanbedownloaded
toPCasgraphs,charts,
stats
WhatRecordKeepingSystemsAre
CurrentlyAvailable?
Types
Handlogs
Spreadsheets
Internetlogs(hand)
PCbased(here)*
PDAbased
Here:(WinGlucoFacts)
Daily/weekly/mostats
Barchart,dotgraphs
WhatResearchInitiativesExist?
(MIT/Frost&Smith)
Webbasedtool
Patientsphotograph
dailyhabits
Glucosereadings
storedandcolorcoded
(red=high,blue=low)
Glucosereadings
mappedtophotos
Goal:highlightbad
habits
WhatResearchInitiativesExist?
(UniversityofPittsburgh/Schultz&Ballerstadt)
Sensorimplantedbelow
skin
Sensorfluorescence
reflectsbloodsugarlevel
Photometersitsatopskin
Photometermeasures
intensityoffluorescence
ReminiscentofCGMS,but
measurementmethodis
knownhere
WhatAreSomeUserInterfaceIssues?
Meters
Eliminatebloodprickstrips
Showtestcountdown
Showmorethanonereadingatatime
RecordKeepingSystems
Showpersonalhigh,lowandaverage
Trackseveralfactors(glucose,ketones,A1c,insulin)
Provideanalysis(onlyafewdo)
Multitask:Measure,log,analyze,andinjectinsulin
allinonefellswoop!