Taking a new approach

Case study: Helping people wth diabetes

In an ideal world, how would diabetes be managed?

Having identified the characteristics for a new approach to diabetes care, the Design Council presented their ideas to leading healthcare experts in the UK and the US, asking them to develop a vision for the future of diabetes management.

Although the resulting ideas were too far removed from the current realities of the Bolton Group to put into practice immediately, they helped to give a direction to the project, as Colin Burns, a design consultant who worked with the Design Council on the project, explains. ‘Rather than concentrate on trying to create the ideal scenarios presented by the healthcare experts, we instead developed a series of stepping stones to take the ground-breaking work already happening in Bolton in the direction of that ideal future.’

The first step towards the ideal diabetes care scenario involved

  • understanding patients’ needs in terms of their daily lives as much as their condition,
  • changing the nature of the contact between patients and the health service
  • and bringing in patients’ informal circles of support.

With these goals in mind, the team began to develop ideas for the tools and services that could facilitate these positive changes.

The initial ideas

The team came up with a wide range of initial ideas to help people manage their diabetes better. These included

  • a service in which more ‘able’ diabetes patients are matched with those struggling with the condition to act as mentors
  • the introduction of ‘Just in Time’ techniques, inspired by manufacturing industry, to eliminate doctors’ waiting rooms
  • the opportunity for patients to choose a life coach to inspire and motivate at potentially difficult times
  • and the development of a ‘future magic mirror’ which would show patients how the lifestyle choices they make now will affect them in the future.


Red Diabetes research with health expertsAs the team’s ideas began to crystallise into tangible and achievable products and services, a design concept emerged that centred on breaking down the entrenched protocols of the doctor and patient consultations. Specifically, the team looked at how these consultations could potentially reveal the crucial – but currently hidden – enablers and barriers to effective self-care. The team decided to develop a tool to tackle this issue head on.

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The expert vision for the future of diabetes care

  • People living with diabetes would take full responsibility for what care they receive and, decide how and where they do so.
  • Care would take place in people’s homes and fit into their everyday contexts.
  • Care would be dynamically tuned to the needs of the person, at whatever stage in their life they happen to be.
  • People would learn how to manage their diabetes from other people that they trust.
  • Mutual support groups of people with a condition would work together to help each other.
  • Care would be as much about managing personal life change as maintaining medical compliance.
  • Technology would be better employed. Consultations would take place by video-conferencing, people testing their blood sugar levels with a portable wireless device would beam their results on an ongoing basis to their own digital records.