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Tony Galliani Part 1, InPen Smart Insulin Delivery




In part 1 of this Exclusive Interview, Tony Galliani shares an overview of a new smart insulin delivery device in a conversation with Diabetes in Control Publisher Steve Freed.

Tony Galliani is the National Sales Director at Companion Medical located in San Diego.

Transcript of this video segment:

Freed: This is Steve Freed with Diabetes in Control and we’re here at AACE 2018 in Boston, and we have a special guest with us from Companion Medical, Tony Galliani, and he’s going to tell us about his product. It is fairly new, an exciting product especially for type 1s but more importantly even for type 2s, for people that are on insulin. And maybe you can kind of go through it as if you walked into a doctor’s office and you were going to explain to them for the first time what your product is all about.

Galliani: So, I’m with Companion Medical. We have InPen which is a Bluetooth connected smart pen. And it takes Novolog or Humalog insulin in pre-filled cartilages, delivers it in half-unit dosing increments, and it’s connected to an app on the user’s phone. And basically what it’s doing is it’s giving the user and the health care provider pump visibility, pump data for their multiple daily injection users. So, let’s say, a patient comes into their physician’s office and they’re on their insulin pump, the physician downloads their pump and they can see how much insulin the patient has taken, when they’re taking the insulin, how much they’re taking, if they’re missing meal-time doses, if they’re using a dose calculator. So, they get a full picture to what the patient is doing, so then they can better help the patient manage their diabetes knowing what they’re doing. But today, if a patient comes in on multiple daily injections, they have no data. They don’t know when the patient has taken insulin, if they’re even taking it, if they’re missing or skipping meal-time doses. So, it’s just makes it a little challenging knowing what the patient is doing without having the data. So, typically what ends up is a conversation with the patient, “Are you taking your insulin? Are you missing doses? Are you taking it as prescribed?” So, what Companion Medical does with InPen is we now fill that void. So, now with their multiple daily injection patients, they can now get complete visibility to what the patient is doing. They can see when they’re given insulin, how much was given, if they’re missing meal-time doses or skipping meal-time doses, so that patient visit with the provider now can be a little more effective because now the doctor actually knows what the patient is doing as far as insulin delivery goes.

The benefit that the patient gets is we’re taking the math away from the patient. So, now without using the connected smart pen, patient is counting their carbs and they have to remember their insulin-to-carb ratio, their insulin sensitivity factor, their blood sugar target, they have to do all the math in their head to figure out, “Based on my current blood sugar and what I’m eating now, how much insulin do I need to take?” And forget the fact that they also should be considering the insulin they took a couple of hours ago, and how much of that insulin is still active in their body, and it’s difficult. It’s difficult math to do. So, we take all that away.

[Galliani demonstrates app interface on mobile device] We have a dose calculator. So, this is the home screen and on the home screen what the patient sees is their last blood glucose, and the last time they gave a dose of insulin, and how much that dose was. This is a timeline. It shows the last 12 hours of activity. The purple circle is blood glucose and the outside circles here are insulin delivery. The reason why they changed colors is blue is a new dose. And since we’re tracking insulin on board here, right now I have five units of active insulin and that’s five units of this last dose. As these doses fall down the timeline here and that active insulin is being used, these doses shade from blue to gray. Here’s the dose calculator. So, to activate that, I would just tap on that, I would enter in a blood glucose. Let’s say my blood glucose is 280 and I’m eating 50 grams of carbohydrates. It’s going to recommend four and a half units, so we’ll just save that. And then dial up to four and a half units and deliver it from the pen, and then you’ll see that four and a half units automatically populate here on the timeline. And then, if I go the log book here, I can see that four and a half unit recommendation, the four and a half unit dose. And here, I’m getting my average daily glucose, total daily insulin, and total daily carbs. And on the graph here, blue is my insulin, green is my carbs, and the individual purple dots are blood glucose, and the line here is my CGM reading. I’m wearing a Dexcom G5 right now to show that. And I can scroll back and I can see my CGM readings from yesterday and I can continue to go back day-by-day to see what my individual readings are. And then to generate a report for the physician, I would just tap here on the reports tab and then I can generate a PDF right here from the app and share that via email or fax right to the provider. And the phone doesn’t have to be on. The phone can be asleep in their pocket or in their purse, but the important thing is every time they dose insulin, we capture it. And it’s connected via Bluetooth radio from the pen to the phone.

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