Ecoffee, Costa Coffee


'not trying hard enough', so perhaps we

should look more closely at the way that

healthcare is delivered and try different

ways to support people. What many

people with diabetes perceive is that they

are failing. This causes damage along the

way, especially emotional damage. Living

with diabetes is not just about achieving

HbA1c levels but also about coping with

a multitude of other aspects of diabetes.

Quality-of-life matters as well."

Technology adoption

Barnard's aim is to change how people

cope with the condition. To that end, she

and her team have developed KALMOD

to improve the healthcare experience,

especially to improve what can be

achieved in consultations, for both the

person with diabetes and their HCPs.

"Currently, the HCP chooses for their

patient which therapy, often diabetes

technology, will give them the greatest

benefit from a medical point of view," says

Barnard, "But they do this often without

the context of the wider lifestyle factors

that impact on an individual's ability to use

that treatment or technology to best effect.

It's a matter of getting the right device at

the right time and to reduce the burden

associated with living with diabetes. The

goal of any therapy is to provide optimal

medical benefits and improved quality of

life. While cost is often used as a barrier to

access to new technologies, in reality the

biggest cost is the device that is not used

or not used well. My team and I are hoping

to move these technology and treatment

decisions away from being solely medical

so that the assessment is more holistic."

The purpose of the KALMOD tool is

to map the right therapy or technology to

the right person, based on that person's

specific current situation. Barnard

explains, "We believe if you can better

understand the patient's needs then you

can help them access the therapy that

best meets their needs in the context of

their own life. Some technologies simply

don't work for some people for all sorts of

reasons, often lifestyle related as well as

medical. And sometimes other things are

more important at this time."

KALMOD is currently in the research

phase and early results are very positive.

Aimed at Type 1 diabetics, a version for

Type 2 diabetes is also underway. "The

idea is that people will be doing this

quickly on a tablet in the waiting room

prior to their consultation," says Barnard,

"then the HCPs can talk through the

results and recommendations with the

people when they go in to see them.

They are the priorities that will result

through the use of a decision-tree within

the questionnaire. Once the clinical trials

are complete, KALMOD will be accessible

outside of clinics."

*The Kaleidoscope model of care presents a

novel, holistic, tailored and individualized approach

to healthcare delivery for people with diabetes

through an assessment of an individual's current

regimen, barriers and motivation and available

support resources. The model promotes the

specific needs of individuals with diabetes. These

needs are dynamic, taking a different shape at

different points in time, recognizing and adapting

to the range of care needed. It is a flexible model

that can be applied in different healthcare settings.


Would you like to test the system?

Professor Barnard is looking for volunteers to try the KALMOD tool via a secure

website (currently not live, but available for research purposes only). "We ask you

to complete a brief survey telling us about your experience of using the tool and

your thoughts about it. We'd very much like your help!"

To use the KALMOD tool in its pilot stage CLICK HERE.


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  3. Desang diabetes magazine diabetes information, Sue Marshall
  4. diabetes news, novo nordisk insulin fiasp
  5. diabetes news, Medtronic, Medtronic Guardian Connect, BiAP
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  8. diabetes care, pocket medic, Kimberley Littlemore, Type 2 diabetes
  9. diabetes care, pocket medic, Kimberley Littlemore, Type 2 diabetes
  10. Ten Acre crisps, Jacob's Crackers
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  12. Jean Cazels photography, British sandwiches, Heinz Seriously good mayo
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  18. Sue Marshall diabetes Professor Nick Oliver Imperial College London
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