the expanding influence of digital tools on healthy behaviours
TRANSCRIPT
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
Steven Tucker, MD, FACP, FAMS Founder & Medical Director Tucker Medical, Singapore
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Background0
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42% Direct Medical
58% Indirect Costs Productivity
$7,678 Average Cost per Worker
DIABETES BURDEN 2010
Png et al. BMC Public Health (2016) 16:153
1Billion SGD
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HEMOGLOBIN A1C > 5.8%
44%
Bancks et al. PLoS ONE (2105) 10(3)
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Perc
ent A
ge 6
5+
8
16
24
32
40
Age 65+2010 2035
20.5
11.2
DIABETES & AGEING
Wong et al. J Diabetes. (2017) 9(1):65-75.
Num
ber o
f Cas
es250000
500000
750000
1000000
Prediabetes Diabetes2010 2035 2010 2035
823,802903,596
373,104434,685
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WE ARE AT WAR
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THE WAR ON DIABETES
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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THE EXPANDING INFLUENCE OF DIGITAL TOOLS ON HEALTHY BEHAVIORS
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Remote Sensing1
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Smart Phones2
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SENSORS EVERYWHERE
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SOCIAL MEDIA
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E-COMMERCE
TRAVEL
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EDUCATIONAL
BEHAVIOURAL
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SENSORS + IOT
SOCIAL
BEHAVIOURAL
TRAVEL
EDUCATION
PERSONAL DIGITAL BEHAVIOUR
FINANCIAL
DIGITAL BEHAVIOR
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Personalized Health3
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DNA IS NOT A TEST
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DNA IS A RESOURCE
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GENOTYPING
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55,685 PARTICIPANTS ACROSS 4 STUDIES
N Engl J Med 2016; 375:2349-2358.
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55,685 PARTICIPANTS ACROSS 4 STUDIES
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55,685 PARTICIPANTS ACROSS 4 STUDIES
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55,685 PARTICIPANTS ACROSS 4 STUDIES
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55,685 PARTICIPANTS ACROSS 4 STUDIES
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GENETIC RISK SCORE
N Engl J Med 2016; 375:2349-2358.
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N Engl J Med 2016; 375:2349-2358.
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N Engl J Med 2016; 375:2349-2358.
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RISK OF CORONARY EVENT ACCORDING TO NATURE & NURTURE
N Engl J Med 2016; 375:2349-2358.
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RISK OF CORONARY EVENT ACCORDING TO NATURE & NURTURE
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RISK OF CORONARY EVENT ACCORDING TO NATURE & NURTURE
N Engl J Med 2016; 375:2349-2358.
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RISK OF CORONARY EVENT ACCORDING TO NATURE & NURTURE
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A Research Tool and
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A Research Tool and
+genome_STEVEN_TUCKER_Full.txt
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A Research Tool and
+ =genome_STEVEN_TUCKER_Full.txt
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TYPE 2 DIABETES
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BREAST CANCER
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ALZHEIMER DISEASE
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Personalized Medicine4
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PHARMACO-GENOMICS
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Odd
s R
atio
0
50
100
150
200
250
Malaysian Han Chinese Thai Overall
Genotyping for the HLA-B*1502 allele prior to the initiation of carbamazepine therapy in patients of Asian ancestry is the standard of care.
JAMA Dermatol. 2013;149(9):1025-1032
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Cas
es
0
6
12
18
24
30
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Neurology 79(12) 1259-1267.
Genotyping is standard of care
No new cases of SJS/TEN since 2014.
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CODEINE - CYP2D6
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CLOPIDROGEL - CYP2C19
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CLOPIDROGEL - CYP2C19
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PROTON PUMP INHIBITORS - CYP2C19
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Platforms5
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DIGITAL BEHAVIOURSENSORS + IOT
COMMUNICATION
TRAVEL
EDUCATION
PERSONAL DIGITAL BEHAVIOUR
FINANCIAL
FAMILY
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DIGITAL BIOLOGYGENOME / GRS
PHARMACOGENOME
EXPOSOME
PHENOME
CLINICAL DATA
PERSONAL DIGITAL BIOLOGY
MICROBIOME
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DIGITAL HEALTHGENOME / GRS
PHARMACOGENOME
EXPOSOME
PHENOME
CLINICAL DATA
PERSONAL DIGITAL BIOLOGY
MICROBIOME
SENSORS + IOT
COMMUNICATION
TRAVEL
EDUCATION
PERSONAL DIGITAL BEHAVIOUR
FINANCIAL
FAMILY
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NO SHORTAGE OF TOOLS
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NO SHORTAGE OF TOOLS
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NO SHORTAGE OF TOOLS
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NO SHORTAGE OF TOOLS
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NO SHORTAGE OF TOOLS
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DIABETES PLATFORMS
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DIABETES PLATFORMS
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DIABETES PLATFORMS
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DIABETES PLATFORMS
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DIABETES PLATFORMS
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Takeaway6
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Takeaway6 How will we manage chronic disease as we age?
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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CONTEXTUALIZE DATA
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PREVENTION > TREATMENT
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PREVENTION > TREATMENT
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PAY FOR NEW OUTCOMESMedical Health
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PAY FOR NEW OUTCOMESMedical Health
Medical Treatment Health Maintenance
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PAY FOR NEW OUTCOMESMedical Health
Medical Treatment Health Maintenance
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NEW PROVIDERS
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NEW PROVIDERS
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NEW PROVIDERS
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NEW PROVIDERS
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EPISODIC TO CONTINUOUSPersonal Risk
Personal Intervention
Risk Reduction
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BRANDED SUCCESSPersonal Risk
Personal Intervention
Risk Reduction
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BRANDED SUCCESSPersonal Risk
Personal Intervention
Risk Reduction
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BRANDED SUCCESSPersonal Risk
Personal Intervention
Risk Reduction
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BRANDED SUCCESSPersonal Risk
Personal Intervention
Risk Reduction
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BRANDED SUCCESSPersonal Risk
Personal Intervention
Risk Reduction
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The Kodak Moment7
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WHAT BUSINESS AM I IN?
N Engl J Med 2012; 367:888-889
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THANK YOUFor your /me & a4en/on