Non-Invasive Glucose Monitoring. Kevin Walls April 12, :30 PM-7:30 PM.

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1 Non-Invasive Glucose Monitoring Kevin Walls April 12, :30 PM-7:30 PM.

2 Technology is evolving Technology is evolving at such a rapid rate it s hard to keep up. Imagine living a healthier life without finger pricks with Non- Invasive Blood Glucose Monitoring. Lets review of how Noninvasive glucose monitoring can accomplish painless, risk-free, low-cost and frequent testing of glucose, which is an ideal method for self-monitoring of glucose levels. Showing or displaying and Product is not necessarily a recommendation or endorsement of any product or services as everyone's systems, issues and needs are different.

3 Technology Advances ? Manual Prick Sticks Invasive Sensor Transmitters Non Invasive Sensors Self contained Sensors

4 Current Invasive Sensors Medtronic's Links to Insulin Pump or Reader Requires Calibration every 12 hrs. Proprietary transmission Enlite sensors last an average of 8-10 days Medtronic Enlite: 18.66% MARD (Mean Absolute Relative Difference) Dexcom 6 New Links to Phone or Reader Requires NO Calibration Bluetooth No Linkage to Pump G6 lasts 10 days Fixed expiry Abbot Labs Links to Reader Proprietary transmission Libra lasts an average of 10 days

5 Medtronic's 5 th Generation MiniMed Glucose Sensor system 3 Part system Transmitter, Sensor, Receiver optional Retail Price: $ $1000 Transmitter Life 3-5 years Know at all times where your glucose levels are trending Small & lightweight: 3.5 x 2.8 x 0.7cm (1.4" x 1.1" x 0.3") and less than 7g (1/4 ounce) Sensors average $40 ea.. 7 Day Life 670G is only Closed Loop Auto Adjusts Basal and Bolus

6 Dexcom Dexcom G5 Mobile Continuous Glucose Monitoring System Transmitter 3 Part system Transmitter, Sensor, Receiver optional Transmitter : $ $500 Sensors : $50 /ea. Dynamic, Real-Time glucose readings Dexcom G6 Links to Phone or Reader First to requires NO Calibration Bluetooth No Linkage to Pump G6 lasts 10 days Fixed expiry No Cost Available at this time

7 Abbott Freestyle Libre sensor Abbott Freestyle Libre 2 Part System Receiver and Sensors Kit w/ 5 sensors $ Additional Sensors $57/ea.. Life is 10 Days

8 NON Invasive Technology In Market Elpis Genesis FDA Trade Trials H4G Early Development Infra V4 Gluco Watch Band Google Lens vs

9 Non Invasive Technologies

10 Elpis Genesis Elpis Genesis + Tablet Mate The world's "FIRST" ONLY & TRULY" pain-free, blood-less, noninvasive Blood Glucose Monitor (BGM) for diabetics. No more painful, repetitive finger pricks for people inflicted with a Diabetic condition! Simple, convenient, painless, accurate personal Blood Glucose testing is now a reality. No more expensive test strips to purchase A portable, selfcontained, light-weight unit that enables a diabetic to fully manage their daily lifestyle by being able to store historical data without having to worry about losing valuable information. Links to Phone via Bluetooth The full price is $ (actual $1200-$1600)

11 H4G Currently in Final Clinical Trial Android and ios app store of H4G, the app designed for the HEKA Advanced PPG (Photo plethysmography) Device. This device measures a high-density PPG through AI and Learning Machine Algorithm Cost : Not Yet specified. There O2 reader is $1200 No Supplies

12 NIBGM Non-invasive device monitors blood glucose using microwaves Cardiff University s School of Engineering Early Development

13 Infra V Infra V Technology Inc was founded in 2015 to develop and release the infrav smart watch Commercial Development Not even in trials yet

14 K Watch Glucose tracker K Warch was founded in 2015 to develop and release the BG smart watch Commercial Development Not even in trials yet

15 Gluco Watch Band

16 Google Lens Google Unveils a Partnership with Novartis/Alcon Google's vision for wearable technology took another ambitious leap forward Thursday when the world's largest Internet search company announced it is developing a smart contact lens. The lens measures glucose in tears using a wireless chip and miniaturized glucose sensor. While at a very early stage, Google hopes the technology could help people manage diabetes better.

17 BG and A1c Levels An A1C level below 5.7 percent is considered normal. An A1C between 5.7 and 6.4 percent signals prediabetes. Type 2 diabetes is diagnosed when the A1C is over 6.5 percent.

18 Why Test 65% people don t know their BG Level DM affects an estimated 30 million people in the United States 7th leading cause of death. Diagnosed Diabetes mellitus is a disease that prevents your body from properly using the energy from the food you eat. Increases the all-cause mortality rate 180% compared to persons without diagnosed diabetes Increases the risk of heart attack by 150% Is the leading cause of kidney failure, lower limb amputations, and adult-onset blindness

19 Market Impact No Test strips the Pharma companies money maker One Touch Ultra Blue 50 count: $68.79 / $1.37 per strip Freestyle Lite 50 count: $81.64 / $1.63 per strip Bayer Contour Next 50 count: $38.88 / $.77 per strip ReliOn Prime 50 count: $9.00 / $.18 per strip AccuChek Aviva Plus 50 count: $82.27 / $1.64 per strip Do the math 1 Vial = Days and at $40/Vial US Diabetics WW Diabetics 30,300, ,000,000 Strips/day per year Vials $/P/Yr. Pharma Revenue 3 1, $ 876 $ 26,542,800,000 $385,440,000, , $ 1,460 $ 44,238,000,000 $642,400,000,000

20 Medicare and CGM s FDA approved devices do not necessarily accepted by Medicare Medicare pays for Infusion and pump supplies in Part B (80/20%) Medicare is in the Dark ages Medicare will pay for a CGM if life threatening for unrecognized hypoglycemic episodes 80% of documented needs (hypoglycemic ) still require 1-3 appeals before approval Medicare will not pay for a CGM if the phone app is used for remote monitoring even if it is a second reading device.

21 What s on your mind?

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