Eocene Systems Integrating Technology to Promote a Healthier Lifestyle

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Eocene SystemsIntegrating Technology to Promote
a Healthier Lifestyle

• Marcel B. Twahirwa, MD
• Diplomate of the American Board of Diabetes,
• Endocrinology Metabolism
• Medical Advisor
• Edinburg, TX

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Diabetes Today An Epidemic

• 24 million Americans now have diabetes
• 1.5 million new cases in 2005
• more than 3500 each day
• Complications of diabetes are a major cause of
  mortality and morbidity (2002 statistics)
• gt224,000 deaths
• 82,000 amputations
• gt44,000 began treatment for kidney failure
• 12,000-24,000 become blind
• Cost in 2007 174 billion total
• Over 42 billion increase since 2002
• 90 of patients with diabetes are treated by
  Primary Care Physicians

ADA National Diabetes Fact Sheet. Available at
http//www.cdc.gov/diabetes/pubs/pdf/ndfs_2005.pdf
. Accessed April 11, 2005 ADA Diabetes
Statistics. Available at http//www.diabetes.org/u
tils/printthispage.jsp?PageIDSTATISTICS_233181.
December 29, 2005.
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Current State Of Glucose MonitoringUp Against
All Odds

• Patient Compliance Commitment is Diminishing
• Integrity, Even Existence of Logbook
• Increasing Time between office visits
• evaluation of current regimen
• review modify medical therapy
• physician focused on patient
• High-Risk Diabetic Populations are Increasing
• Gestational
• Pediatric (Type 1 Type 2)
• Geriatric
• Hispanic
• Native American
• African American
• Glycemic Targets Treatment Goals More Aggressive

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ACE/AACE Position Statement Outpatient DM
Management 2005
SMBG is a critical resource for the management
of diabetes. When performed with sufficient
frequency, SMBG readings enable patients and
their healthcare professionals to make informed
decisions about lifestyle choices and adjustments
in pharmacologic therapy...high level of
communication between healthcare provider and
patient is highest priority to ensure success and
safety. SMBG can also provide ongoing feedback
to patients about their nutrition and physical
activity. Thus, it is a very important
educational tool.
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Evolution of Diabetes Care
2006 Improved Long Lasting Insulin
1552 BC Diabetes Discovered in Egypt
1956 Oral Agents Arrive (SU)
2002 Long Lasting Insulin Development
1921 Banting Best Discover Insulin
1969 First Portable Glucometer
TODAY Eocene System
1938 NPH Created
1970 Insulin Pump
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1850
2009
2000
1980
1960
1940
1920
1900
1869 Langerhans identifies pancreatic cells
1944 Standard Syringe
2001 New Insulin Development
1986 Insulin Pen
1920 R.D. Lawrence develops dietary exchange
system
1922 Clinical Success with Insulin
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Evolution in Glucose Management Introducing the
Eocene System

• Comprehensive Diabetes Management Compliance
  System enhances quality of care data sharing
• THREE Simple Elements to system
• Patients capture BG readings in Eclipse Monitor,
  just like any other traditional BG Meter
• Patient syncs Eclipse meter with home docking
  station where BG data is auto-synced to secure,
  central server
• Physician accesses web-based app on ANY Internet
  portal and patients BG data is presented
  real-time in full-color graphs
• Multiple options to display data identify
  trends
• User-friendly interface data presentation
• Option to set alarms glucose boundaries

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Eocene System Creating a New Era of Patient Care

• Enhancing Glucose Management to Meet Patient
  Needs
• Eliminates diaries/logbooks, less patient
  responsibility, tasks
• Readings stored electronically, reduces errors
  omissions
• Highly accurate BG Meter, small blood sample size
• Detailed Compliance Outcome Reports
• Demonstrates how well patient is managing their
  diabetes
• Increases Compliance (Big Brother Principle)
• Refill Alerts to Patient and DME Supplier

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Eocene System Providing the Missing Link to
Physicians

• Providing Physicians Valuable Insight into
  Patients Diabetes Care
• Time efficient resource, log-in whenever you need
  24/7
• Full-color, easy to interpret graphs and charts
• No forgotten logbooks or false information during
  office visits
• Improved glucose management and patient contact
• reduces cumbersome office check-ups related
  travel
• Efficient communication between physician
  patient that provides real-time info, ability to
  spot high or low BG
• Measure compliance by tallying physician-directed
  BG readings vs. actual BG readings completed
• Allows physician oversight improves compliance
• Easy to teach and learn, like all glucometers,
  just dock it
• HIPAA Compliant System, Secure network

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Eocene System Connecting All Stakeholders

• Managed Care / Insurance Company Data Sharing
• Evaluate patients diabetes management
  compliance, reward for good results
• Support physician billing reimbursements
• Excellent document to support medical care in
  proposed Pay for Performance Initiatives
• Share with referring physicians to evaluate
  progress disclose patients glucose management
  for records
• Serves as resource for family members to stay
  current with diabetes care, provide encouragement
  and support
• Communicate review patient care from Home
  Health, PT other healthcare team members
• Oversight Provides High-Quality Patient Care by
  ALL!!
• No Cost to the Physician, Patient or Payor!!

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Communication Pathways
Secure Data Server HIPAA Compliant
Patient Performs BG Test at Home
Managed Care Utilization Review Firms
Physician Referring Specialists
Family Healthcare Team
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Security Infrastructure

• Dependable, secure data network back-up system
• End-to-end encryption network 128-bit SSL
  encryption
• Application Servers are housed in Tier 4 data
  center
• Eleven network providers BGP4 technology
• 24/7 Back-up systems for all equipment
• 24/7 On-site security personnel IT support
• All data is backed up hourly stored off-site
• HIPAA Compliant, exceeds ALL requirements

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Infopia USA Passion for Innovation

• Designing and manufacturing quality diagnostic
  devices for over a decade
• Advanced technology in diabetes-related products
  as a means of increasing individuals standard and
  quality of life
• Introduced the first manufacturer sponsored home
  patient monitoring system Eocene System
  assisting in the management of chronic conditions

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Infopia Focus Next Generation Eocene System

• Pursue Opportunity to establish Strategic
  Alliance/Partnership with Leading Diabetes
  Company
• Active Participant Supporter of Diabetes,
  Medical and Trade Shows and Forums to introduce
  product and spread awareness
• Communication Marketing Focus to further brand
  recognition and industry support
• Major Focus on RD
• Innovation of current products (Wireless
  technology)
• Provide all-inclusive solution to share patient
  vitals

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• Before the Eocene System, I never knew how my
  patients were doing until they would call me or
  come in for their appointments every 2-3 months.
  I used to have a policy in my office that simply
  states No logbook, No appointment. I cannot
  treat a diabetic patient without accurate
  readings. Now my patients feel very comfortable
  because they know that I am there, receiving
  their glucose values instantaneously and I can
  intervene effectively, they know that I am very
  much involved in their battle with diabetes.
• -- Marcel B. Twahirwa, M.D.

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Questions Discussion