These meters, which analyze drops of blood drawn from fingertips, typically resemble crude PDAs from 10 or 15 years ago. They offer little feedback and can’t connect to the Internet to show results to caregivers. Most diabetics who use them log their readings on paper, which they hand doctors weeks or months later.

But that is beginning to change. Next week, a small start-up will introduce a new diabetes meter it says is the first with wireless technology that instantly transmits a patient’s readings to a private online database, which can be accessed by the patient or—with permission—by a doctor, caregiver or family member. This system charts the results to highlight trends and spot problems, and can be accessed via a Web browser or an iPhone app. It automatically transmits relevant feedback—such as whether your readings seem high or low—and allows doctors to respond.

Telcare can indicate if a reading was taken before a meal.

I’ve been testing this new meter and service, which is called Telcare and comes from a Bethesda, Md., company of the same name. As a Type 2 diabetic myself, I found the Telcare meter a refreshing change, and a significant step toward bringing consumer medical devices closer to the world of modern technology.

Despite some drawbacks, including a high price, I recommend the Telcare be considered by diabetics who want a better substitute for paper logs, or would benefit from real-time sharing of their readings.

However, as with any medical decision, I urge people to consult their doctors before switching meters. Also, I evaluated this product as a consumer technology. I am not a physician or diabetes expert. While I found the Telcare meter convenient and accurate for me, your situation might differ.

An iPhone app can turn results into detailed charts.

The Telcare device works much like a traditional meter. You insert a test strip into a slot on the meter, then prick your finger with a lancing device to get a drop of blood, touch the strip to the drop, and wait for the reading to appear.

The difference is the meter immediately sends results to its online database, where you or your doctor can find it via the password-protected Web site or iPhone app. This transmission is achieved via a built-in cellular modem, which doesn’t involve any cellphone, carrier contract or fee.

That cellular connection is used to send you messages about your readings, if necessary. In this first version, the patient can’t reply to doctors’ messages from the meter, but that’s planned for the future.

Telcare typically uses T-Mobile’s network, but, if that’s not available, the meter will automatically shift to whatever compatible connection it finds. If no connection is available, it will save the results and you can transmit them manually when you’re back in range.

Because it automatically logs results and allows real-time sharing, I believe diabetics who use this new system will be less likely to skip readings, or to fudge the numbers, especially if they allow doctors and other caregivers to see the results instantly. And that could mean an improvement in their health.

While it’s a leap ahead of typical diabetes meters, the Telcare meter isn’t exactly cutting edge. It looks like a thick, old cellphone, though it’s light. Unlike most other glucose meters, it has a large color screen that allows it to display informative graphics and messages.

One drawback is the price. While many diabetes meters cost well under $50, or are free (the money is in the test strips), the Telcare meter costs $150 for a starter kit that includes the meter, a wall charger, a case and accessories. The cost drops to $100 if you subscribe to a one-year supply of test strips. The strips cost $56 for a container of 50, or $36 with the subscription. Insurance may reduce these costs.

Another drawback is battery life. Traditional meters use removable batteries that can last months. The Telcare has a sealed battery and must be recharged frequently, like a cellphone. The company says if you turn it off between readings, a battery charge should last for 200 to 300 tests. If you leave it on, it will go to sleep between tests and need to be recharged every two or three days. In my tests, doing three readings a day for four days, I didn’t need to recharge it, but I turned it off when not in use.

Also, many diabetics carry around their meters, and the Telcare is larger than any traditional meter I’ve seen, though it fits in a pocket or small purse.

Finally, the meter and strips will, at first, be available only from the company, though it’s hoping to sell them in drugstores soon.

In my tests, the meter was easy to use and gave me helpful messages, such as whether I was in my prescribed range, or what my daily averages were. A Telcare official posing as my doctor sent me test messages reacting to my readings.

I can’t judge the accuracy of the Telcare, but it has been cleared by the Food and Drug Administration, and the company says it meets or exceeds FDA standards for accuracy. Its readings seemed right to me.

I found the Web site and iPhone app worked well, giving me constantly updated and detailed lists, graphs and pie charts that showed me where I stood over short and long periods. These can be printed out or turned into documents for email. You can also enter notes for any reading and the meter asks you to indicate whether a reading was, say, after or before a meal or physical activity. Using the Web site, you can adjust your preferred range of glucose readings to fit your doctor’s advice. And the iPhone app allows manual entries, if you use another meter.

I did find some bugs, all of which the company pledges will be fixed before next week’s launch. In one case, when a reading produced a clearly erroneous number (something that can happen with every meter I’ve used) the Telcare failed to offer advice on what to do. Two subsequent readings were correct, however, and the company says such errors are rare.

In another case, I found I could alter a reading on the iPhone after transmission.

Telcare isn’t the only company trying to drag the glucose meter into the modern era. Entra Health Systems has a meter called MyGlucoHealth that transmits readings via Bluetooth to a cellphone for transmission to an online portal. And Sanofi and AgaMatrix offer a diabetic-testing attachment for the iPhone called the iBGStar, which isn’t yet available in the U.S., but is sold in some other countries. It can email results.

But the Telcare device is a leap ahead of nearly all glucose meters. If you’re a diabetic, or care for one, it’s worth a look.

Email Walt at mossberg@wsj.com.

http://allthingsd.com/20091007/keas-adam-bosworth-speaks-about-new-health-care-start-up/ http://allthingsd.com/20091007/keas-adam-bosworth-speaks-about-new-health-care-start-up/#comments Wed, 07 Oct 2009 21:05:09 +0000 Kara Swisher http://kara.allthingsd.com/?p=19215

The former head of Google Health, Adam Bosworth, officially unveiled his much anticipated health-care start-up today at the Health 2.0 conference in San Francisco, showing off a site that will offer step-by-step and personalized “care plans,” as well as many kinds of online tools to better understand the data and tips on how to stay healthy.

Before he did so, BoomTown did a video interview with Bosworth this morning about Keas, which he founded with George Kassabgi.

As it turns out, Google Health is, in fact, one of Keas’s partners at launch, along with Microsoft HealthVault, Quest Diagnostics, Healthwise, DiabetesMine and Dr. Greene Pediatrics.

Bosworth said he hopes to attract many others to make innovative plans, much as developers make apps for smart phones.

It’s perfect timing, given the health-care debate now raging in Washington, which is about how people make health-care decisions–or, more precisely, how they usually do not.

Bosworth left the search giant in the fall of 2007 because he wanted to create a nimble and easy-to-use site to enable better engagement by consumers in their health care, especially around diet, exercise and how people manage long-term conditions, such as diabetes.

But, while a lot of people use the Web to get health information, they–as well as doctors–have been warier about using Internet tools to help them manage and understand their health.

Microsoft (MSFT), where Bosworth also worked for many years, released a health information management tool last week too, called My Health Info, although Keas is clearly much more robust and authoritative.

But Bosworth said the more, the healthier.

He also pointed out that he is working with Microsoft too, as well as Google (GOOG), given that the pair have the power to get big amounts of information about health care online.

Now, he added, sites like Keas will be key to allowing consumers to manage and interpret that mass of often confusing data.

Keas, which is backed by Atlas Ventures and Ignition Partners and has 25 staffers, is allowing free use of its care plans now, but will eventually charge for use of certain features.

Here’s the interview I did with Bosworth about all this and more, including the origin of the site’s unusual name:

]]> http://allthingsd.com/20091007/keas-adam-bosworth-speaks-about-new-health-care-start-up/feed/ 1 http://allthingsd.com/20091001/msn-debuts-health/ http://allthingsd.com/20091001/msn-debuts-health/#comments Thu, 01 Oct 2009 07:20:35 +0000 Kara Swisher http://kara.allthingsd.com/?p=19024 MSN, Microsoft’s online portal, released a beta version of a service to let users manage their health information on the Web.

Called My Health Info, the Microsoft (MSFT) offering, which includes a range of widgets and other Web tools, wades into an area that many are attempting to crack, including Google (GOOG).

The service, which will be located on MSN’s health site, will use Microsoft’s HealthVault platform and Silverlight technology, taking the company’s effort to create a platform for storage of health information into the mainstream.

Due to issues of privacy and security, consumers have been slow to warm to loading up their personal health information on the Web.

Microsoft said users can also “research medical concerns, read the latest health news, gain guidance from medical experts, learn about nutrition, and monitor conditions such as high blood pressure or diabetes.”

Google has a similar beta product called Google Health, and there are others. In fact, the former head of Google Health, Adam Bosworth, has a similar start-up called Keas.

All efforts are trying to get consumers to embrace and feel comfortable in putting their health information online and offer easier tools to do that.

Here’s a screen shot of My Health Info:

Here’s the Microsoft press release on the service:

MSN Introduces Online Tools to Help People Make Smarter Health and Lifestyle Decisions

From swine flu info to symptom checkers, MSN My Health Info includes a broad range of widgets and tools to attract health-minded consumers.

REDMOND, Wash.–Oct. 1, 2009–Today, MSN released the beta of My Health Info, a new online service that helps people manage their health information on the Web. My Health Info is a unique service that offers people a variety of tools and widgets to upload, organize and monitor health information stored in their personal Microsoft HealthVault accounts. The new service allows people to research medical concerns, read the latest health news, gain guidance from medical experts, learn about nutrition, and monitor conditions such as high blood pressure or diabetes.
In addition, MSN is launching a specialized swine flu information center today on the MSN Health & Fitness home page (http://health.msn.com), spotlighting the virus that is currently top of mind for people. MSN works with trusted consumer health information providers such as Harvard Medical School and the MayoClinic.com to keep people informed and armed with data to help them prevent contracting the virus, assess for risk factors, find out where to get vaccinations in their local neighborhood when they become available, and more.

My Health Info delivers features designed for busy parents, adults who are managing the health concerns of aging parents, and people managing chronic conditions and multiple medications. Because the data is stored in Microsoft HealthVault, people can access their information via the Web whenever they need it and share it across multiple connected health applications. My Health Info will allow consumers to do the following:

Customize their page with tools such as allergy, medicine and blood pressure trackers, a lab results bank, body mass index calculators, vaccination information and more

Use information from personal health devices such as heart-rate monitors and pedometers

Access profiles of multiple family members at one time, allowing caregivers to more easily manage not only their information, but their family’s as well

Stay informed by receiving the latest in health news from sources they trust

“People care deeply about credible, timely and comprehensive information about health topics. MSN My Health Info will provide an exceptional selection of resources, tools and information available from a variety of sources in one convenient location,” said Scott Moore, U.S. executive producer, MSN. “We are committed to delighting our customers with information, services and tools that keep them informed and simplify their lives.”

Consumers are increasingly looking for online solutions that help them take better control of their health decisions and their families’ information, and that connect them to the broader health ecosystem in which they interact. The My Health Info service enables MSN to offer a timely service to its users, which will be continually updated to help ensure that consumers are offered relevant tools. The service is connected with Microsoft HealthVault, which stores consumer health information in a controlled and privacy-enhanced environment, while enabling consumers to easily collect and transfer their data across the health system for a more holistic and better quality healthcare experience. The My Health Info site is powered by Microsoft Silverlight technology to deliver a rich, interactive Web experience.

“As consumers are increasingly being asked to manage more of their health and wellness, they are looking for solutions that help them navigate an overwhelming amount of information, enabling them to take control of their personal health data,” said David Cerino, general manager of consumer health in Microsoft Health Solutions Group. “Building on the power of HealthVault, My Health Info demonstrates how we are continuing to provide consumers with the trusted and relevant tools they need to make more informed decisions in support of their health and the health of their families.”

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