https://padlet.com/pad2434/i2ym7kqc2ijpkcxs This is a common space for all teams as well as mentors to contribute knowledge and resources. You may park all questions under your Team column. Also please identify yourself as you post in this padlet. Feel free to comment anywhere and develop a discourse over this Padlet.  en-us 2020-11-21 04:30:04 UTC 2020-11-23 02:46:06 UTC hello@padlet.com https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948832782 My teammate, Wen Lee, asked a question yesterday: Indians (South Asians) have a higher prevalence of diabetes; is it due to their ethnicity or the structural oppression faced by them? We explored this question as a team, and similar patterns of oppression and negative health outcomes have been observed in marginalized groups. Here's a paper on Indigenous communities and intergenerational trauma (and associated health outcomes). Thought some of you might be interested in the intersections of marginalized identities!]]> 2020-11-22 01:16:28 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948832782 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948860947 According to Psycho-Cybernetics book by Maxwell Maltz it takes 21 days to form a habit. But there are many more research out there stating that it takes way more than 21 days to break/form a habit. I'm wondering if they are any research done to modify Malaysian behaviors with regards to lifestyle modification to a better healthy lifestyle by MOH. And if theres any, where might i get the abstract / literature? thx]]> 2020-11-22 02:02:58 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948860947 sharifahkhadijah011 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948863088 I think there were a lot of reiteration of food choices and habitual changes that needs to be made by individuals however i think there should also be more conversations on how community should act upon a diabetic patient or how resource providers such as (1) food and business companies or (2) pharmaceutical companies should be held accountable - or at least be a part of the discourse. Is community based approach more effective or modifying the mindset of individuals ]]> 2020-11-22 02:06:36 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948863088 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948864105 In terms of nudging health behavior of Malaysians, our team has come up with a few concerns, would be great if our mentors could enlighten us with some example of interventions or insights: 
1. How can we measue the effectiveness of the action? 
2. Is the time lag significant? should we take this into account when coming up with solutions?
3. Is there any potential ethical issue or transparency issue when it comes to altering people's choices/behavior? ]]> 2020-11-22 02:08:24 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948864105 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948864490 2020-11-22 02:09:08 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948864490 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948866334 From the previous testimonies from the diabetic patients, it seems to me that family plays a huge role on the patients mental health or them accepting diabetes, is there a programme set up in hospitals  on educating families on supporting these patients or how can the family members support these patients]]> 2020-11-22 02:12:22 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948866334 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948870649 Malaysia's Internet Penetration as of 2020 is 68.4%, (IWS, 2020).

In response to this, and not yet taking into account the willingness to adopt telehealth, our team interestingly found that Malaysians are still arguably very much still attached to the brick-and-mortar health facilities as opposed to today's e-health services. 

On top of that, we'd like to know how policies and initiatives can extend to the 31.6% that lack effective internet services to receive health services remotely

]]> 2020-11-22 02:19:17 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948870649 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948873391 We understand that every approach will have its pros and cons, whether in terms of immediate/long term effect, time lag, outreach etc. Considering that diabetes has reached a worrying level in Malaysia, what do you think should be given priority to our solution? (implementation time lag, outreach, ease of implementation whether it can be implemented immediately or much preparation needed, etc)]]> 2020-11-22 02:23:46 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948873391 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948875445 This is something we all know. But with the Malaysian culture of  unhealthy lifestyles like hawker stall culture, fast food restaurants and lack of exercise, how do our interventions uproot this deeply ingrained culture?]]> 2020-11-22 02:27:17 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948875445 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948877814 How can we determine if our approach falls under one of these? 

What is your suggestion based on the pros and cons of these two approaches? ]]> 2020-11-22 02:30:53 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948877814 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948881443 Diabetes in one of the major public health concern in Malaysia, however, why is there no programmes that have been done to help tackle the problem - such as any intervention or prevention programme? I may be wrong if there are any existing ones, do let me know. Thanks!]]> 2020-11-22 02:37:02 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948881443 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883078 Thank you Dr Shiva for your presentation! May I enquire the difference between the connected system with insulin infusion pump?

]]> 2020-11-22 02:39:34 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883078 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883189 Thank you Dr Shiva! The solution that Sanofi presented, I would assume this would cater to diabetic patients that can afford it right? What would you suggest to enable a data-driven connected healthcare response system for the lower-income population? ]]> 2020-11-22 02:39:43 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883189 sharifahkhadijah011 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883222 Thank you Dr Shiva, following up on kishen's question, what if we split the physicians' percentage into smaller percentage by including other health care professionals like dieticians and pharmacists etc?

]]> 2020-11-22 02:39:47 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883222 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883694 Diabetes Self-Management Education and Support (DSMES)]]> 2020-11-22 02:40:32 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948883694 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948885383 Hi Doctor, Thank you for your time. Id like to ask if there is an example where the automated tracking system has been practiced and been successful.
-Seaan, Team 5.]]> 2020-11-22 02:43:23 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948885383 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948886044 In the slides you mentioned the physicians time constraint and overwhelming requirement. Would you say there is an unbalanced doctor-patient ratio? What do you think would reduce this burden?]]> 2020-11-22 02:44:29 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948886044 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948886501 I liked your slide regarding specific data required by physicians to make clinical decisions. As we move into a more digitalized world (accelerated more so by Sars-Cov-2), what are your thoughts on improvements that could be made to make the technology more easy for users? And is the use of technology a silver bullet in this case? ]]> 2020-11-22 02:45:15 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948886501 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948890546 Thank you Dr Shiva, may I ask how much does the whole system (glucose monitoring system and pumps) of the diabetes patients costs?]]> 2020-11-22 02:51:49 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948890546 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948919513 2020-11-22 03:40:33 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948919513 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948936410 Hello Dr. Khor! Health policies directly affect the lifestyles and choices people make. What do you think about health policies decided by public referendum?

]]> 2020-11-22 04:03:40 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948936410 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948950091 2020-11-22 04:19:04 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948950091 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948950105 Hi Dr. Khor! Is there any policy made based on evidence based studies which might have conflict of interest? Is financial benefit their priority?
Thanks :)
-Wen Lee (Team 9)

]]> 2020-11-22 04:19:05 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/948950105 https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/949450803 While looking online, so far I can't find how is Type 1 and Type 2 diabetes is clearly differentiated in terms of diagnosis. Could you share more?

I see that Hba1c count is clear enough to diagnose a patient for diabetes, but it is unclear how they test for maybe.. Insulin secretion to determine Type 1/2. 

My thinking is with this diagnosis, the patient can have a better decision to start on drug treatment or not.]]> 2020-11-22 10:25:01 UTC https://padlet.com/pad2434/i2ym7kqc2ijpkcxs/wish/949450803