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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:00
Hello friends and welcome to Episode 239 of the Juicebox Podcast. Today's episode of the show is sponsored by dancing for diabetes, Omni pod, and Dexcom. You can go to dancing the number four diabetes.com, my omnipod.com, forward slash juicebox. We're dexcom.com forward slash juice box to find out more about the sponsors. If you have trouble remembering those links, don't worry. They're available at Juicebox podcast.com. Or if you're listening in a podcast app, they're right there in the show notes, just tap on it. Only about 10 days ago, Kevin Sayer, the CEO of Dexcom, was on the show kind of sharing the big picture of where the company was going over the next year or so. And of course, as always, I reached out to you all and asked if you had questions for Kevin, which you all did, and I really appreciate it. So many of you asked really fantastic questions on my bold with insulin Facebook page and actually, on the Instagram page for the podcast as well, that we had just a repository of great feedback for Dexcom. So I asked Jake Leitch to come on. Jake, of course, is the Chief Technology Officer at Dexcom. Because he's in charge of scientific research, engineering, product development, Product Management, like he's the big overseer of this technology. And I thought, How great would it be if I could funnel your feedback right into his notebook. And that is exactly what Jake and I have done here over the hour that you're about to listen to. So if you want to hear your questions and other people's questions, ask Jake. If you'd like to hear the suggestions going right into his notebook, literally, you'll hear him writing in his notebook, then you're going to love this. And along the way, Jake is going to share things that are coming. Jake is going to explain the Apple Watch launch what no data means and much more.

Okay, are we all ready to find out what Dexcom is gonna be offering us over the next year or so? Huh? Are you getting excited? Are you jacked up? Are you ready to believe that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise? And to always consult a physician before making any changes to your medical plan for becoming bold with insulin. If you are ready for those things. Then I say to you, ladies and gentlemen, this is Jake Leitch.

Unknown Speaker 2:31
Hello, it's Jake.

Scott Benner 2:32
Jake Scott Benner. Hey, Scott, how you doing? Man? Good. Listen, hey, right off the bat. I gotta say, first of all, we're recording. But I need to tell you. Kevin doesn't answer his own phone anymore. So I don't know what you need to do at your next contract negotiation or something like that. But

Jake Leach 2:48
I'm just saying, Well, I was I was expecting your call. So I knew it was probably you. But I yeah, I don't I don't always answer my own phone either. Only when I know I've got someone calling me.

Scott Benner 2:58
I just didn't know he was saying he's making a power move on you there something like that.

Jake Leach 3:02
Exactly. Funny. Jake, I

Scott Benner 3:04
have to tell you, I had a call set up with Kevin that was kind of wrapped around ADA. And then I had a problem. on my end, I couldn't do it. And it actually gave me a little more time to reach out into the community of people who listen to the podcast and ask if they had questions for Kevin. And they did. But then they asked a lot of other questions that seemed more leech centric, let's call them I guess. Awesome. We're gonna have to come up with a different word. Because I can't just keep saying Jake's back on the podcast. Again, we have to find different ways to say it. But I was wondering if we couldn't treat this time together as sort of, I don't know, like a feedback thing for you. Instead of like the great Yeah, can we do that? Or that? That'd

Jake Leach 3:45
be really good. Let's do it.

Scott Benner 3:49
Now that I have your attention, let me just say this very briefly. And then Jake, and I will in fact, get into the podcast proper. hear these words that I want you to remember dancing for diabetes, that's dancing, the number four diabetes.com, check out their blog. Check them out on Facebook, see what they're doing on Instagram, dancing, the number four diabetes.com I'm gonna just start with some questions I have based on stuff they asked. So aware time consideration, like you guys are at 10 days for G six g fives. And if people still have fours, I guess seven days for the older ones. 10s for these?

Unknown Speaker 4:27
Yeah, yep.

Scott Benner 4:29
How come you I mean, I'll just ask a farcical question. How come I can't just wear it forever? Like what stops it from being? What what you need it to be?

Jake Leach 4:39
Yeah. Great. Great question.

Scott Benner 4:41
Yeah. How do you stretch that out at some

Jake Leach 4:42
point? Yeah, yeah, great question. So we see where time so extending the word time is a great way to add convenience to the product. So you don't have to change it as often. But we also recognize that there are challenges to Continuing to be able to wear the device for for longer periods of time, there are two main things that limit the was aware of the sensor. The first one is more obvious. And it's really around the tape adhesive, with the adhesive for always trying to run this balance of it sticks well to the body and allows people to be active and do all the things kids running around exercise a lot of things without it causing irritation. So there is quite a bit to adhesive technology that goes into it about the readability of the adhesive patch, and the amount of adhesives that sum on on the product. And so over time, we've continued to make enhancements to the adhesive to make it last longer. But even today, we know that not everybody can get it. You know, not everybody's getting 10 days out of allergy six sensors. And so we've offered one of the things we've done is we've offered the an overlay, which is another clear adhesive that some people found very helpful. And we offer that for free, people can call into our tech support and get that we send out a quantity of them. That allows the camera I think it's 10. I think we send out but we ended up package of those. But that helps. There's a lot of other folks have figured out other ways to get the sensors to stay adhere to their body. But we do have many active programs, part of our G seven program is a new patch, as well as our future technologies. We're always looking at edge design, and kind of pushing the limits on what's possible. So that's one thing is that he's attached.

Scott Benner 6:39
And one other thing he tell you the free thing I Arden's actually about an hour and 15 minutes into Dexcom swap. So we just moved her site to another place. And as we put cleaner site, put it on, and use your overlay, I mean, like put it right on immediately when we put just the and that's become kind of a common way we do it. We used to not put it on right away and wait to like, I don't know, the first time she's like, I'm getting a shower, like we're in and we just realized eventually, like that's stupid, it's meaningless. So just we put it on. It's been terrific. We were using opsite Flexi fix before, which you can buy on Amazon for like 20 bucks for like a giant roll that lasts forever and ever. But your overlay is pre cut. And it's easy, and it works great. And you know, it's been fine for us. I also kind of want to say, I'm sorry, I know you you had a thought I hope you're able to hold it for a second. Of course. I was thinking earlier today like thinking about our conversation. And just, I don't I think sometimes because we need our insulin pump, or we need our Dexcom that we think of them as these. I know these things that we just I don't know, I don't know what the word is exactly. But it should just work all the time, which is expected and hopefully companies work towards that. But if I was on a heart monitor in the hospital, I wouldn't say to myself, now's the time, I'm going to do jumping jacks, because my leads would fall off and like there's I think you don't mean like I think there's there there has to be some on me to say to myself, I'm a person wearing an insulin pump, I'm in person wearing a glucose monitor, there are some things that are going to affect it adversely. That's not just that can't be fixed by us tell saying to the person that makes it Hey, why don't you just fix this be right, because like, he's a great example, Arden does not get any adverse reactions from wearing adhesive. She could wear your Dexcom for three days, seven days, 10 days. I'm not saying I would reset it, but she could wear it for 20 days. And she never has a problem and other people and that they're absolutely heartbreaking pictures online have really horrible reactions to them.

Unknown Speaker 8:43
Yeah,

Scott Benner 8:44
you know, yeah,

Jake Leach 8:44
that's good.

Scott Benner 8:47
I was just gonna say that it's such an individual issue. And, and we expect it to fit for us all the time, except my situation is different than someone else's situation. But you're still one company trying to make one product.

Jake Leach 9:02
That's right. That's a that's part of the challenge, right, trying to make the product work for everybody. And I think you're absolutely right, Scott, there's a there's a motivation factor about you know, it takes some effort at different times depending on what you're doing and what situation is to ensure that your sensor or your your pump sites are secure to your body but we are always trying to, you know, look at what's the latest technology that we can utilize to make the sensor stay adhered. And your point about isn't one of the points you made earlier was really important in putting that overlay on at the beginning of a sensor where we found in our in our studies where we've really looked at the performance of the adhesives, it does matter putting it on the first day is the best way to do it. You can put it on later, by putting on on the first day really helps out some people. You know, the best longevity is putting that overlay on First,

Scott Benner 10:00
the first day, do you have any guesses as to why or it's just what you're saying.

Jake Leach 10:04
It's basically a lot of when when the adhesive patches start peeling or failing, it generally occurs from the outer outsides and it starts peeling on the outside. This isn't the case where you like walk into something and actually knock the whole patch off. But if it's just overwhelming, it'll start peeling from the outer edge. So if you've already got the overlay on, it protects the outer edge of the white part of the patch from peeling up for appealing. And so it really just kind of stops that that currents of the

Scott Benner 10:34
patch peeling and I stopped you earlier from what I assumed was talking more about the the hardware and how long it can last in the body is my

Jake Leach 10:42
Yeah, yeah, the other major driver for sensor longevity is the performance of the sensor probe. So the the tip of the sensor, probe, the end of the scan is where towards the very end of it is where the glucose measurement is made. And there is chemistry on there. That's consumable. And one of the things that there's a couple things, there's the the consumable chemistry itself on the sensor, and that tends to not be the limiter, because we've designed the sensor to last. You know, even in extreme environments, though, the chemistry will survive for up to two weeks. But the other thing is that everybody's physiology is similar but different, right. So some, the way your body reacts with your sensor, it may begin to start, you know, the foreign body response over time, it starts treating it as, okay, it's a biocompatible as possible, but it's still a sensor probe on your skin. And so some, some people and towards the later days, at times, we'll see, you know, sensor failure message, and we kind of, we call that early sensors shut off. And what that is, it's the algorithm inside the transmitter, that's always looking at the sensor, it starts to determine that the sensor signal is not as expected and so not reliable. And if that happens enough times, it'll actually shut the sensor off. And so that's the other major factor other than adhesive. When it comes to it will essentially last the full 10 days is about that. Looking at that sensor signal and ensuring it's accurate. There's a number of new algorithms that we put into g six, related to ensuring we hit those special controls for the FDA. IC GM requirements, it's really strict requirements, particularly around outliers, where the system is not accurate. A lot of you basically can't have very many of those, not to meet the standard. So we put some algorithms in that look at looks at the sensor signal and shuts it off. It's not reliable,

Scott Benner 12:50
so incredibly proud of myself right now, which is probably a weird thing to say after you spoke and nobody heard from me, but I you got to a moment where you pause and I thought I'm gonna ask Jake if that's because of G six not requiring finger pokes and this stuff that the FDA probably met like and you and then you set it I was like, Oh my god, I'm getting so good at this.

Jake Leach 13:10
You got it. Nice work. Thank you.

Scott Benner 13:12
I've managed to pat myself on the back for doing nothing just now. But No, but seriously, that's exactly what I thought was okay, you guys went to G six, you had you You said I want to be able to say you don't need finger sticks to wear and you can use a G six. And that makes sense to me that then the tolerances for what, what the algorithm will allow out of I guess tolerance would be smaller than and that makes is so is that why and let's just I'm just gonna say it kind of bluntly Is that why some people are getting or no data signals with JSX then they got on G five. Are you ready to see how simple it is? To get a free no obligation demo of valmy pod sent directly to your house? My Omni pod.com forward slash juice box. I hit return. It says request a free experience kit. That's a peck by the way a pod experience kit. I'm going to type my first name Scott, my last name, my zip code, which I won't be telling you my email address Arden's day@icloud.com preferred phone number. Mm hmm. type of diabetes, type one in my case, I certify that I'm 18 years of age or older. And I acknowledge I have been provided access to the insulet Corporation privacy policy and HIPAA privacy, which I have. And then I authorize insulet Corporation its distributors affiliates and wholly owned subsidiaries that contact me by telephone just means they can call you and then I click Request your experience code. There, it's done. Now I'm going to be able to try on and wear the Omni pod for my very self to Find out if it is something that I believe I would enjoy before moving forward with it. Come on. You can't You can't turn that down. They just send it right to your house. And then you figure out what tubeless insulin pumping is all about. You get to say to yourself, huh, that kid the guy talks about on the podcast, you should been wearing this for 11 years? I'm going to give it a whirl. My omnipod.com forward slash juicebox with the links in your show notes, or Juicebox podcast.com. Is that why some people are getting or no data signals with GE Sexton they got on G five?

Jake Leach 15:38
Yeah, that is part of it. Where the data displayed has to be accurate enough to make decisions. And so that is part of it. Now we do have in the pipeline a number of enhancements we're working on. Now that we've had g six in the market for just about a year. And we've got a lot of user data coming back to us about the performance of the product. And one of the things we do is we monitor product performance in the field. And so we're working on algorithms that will and more data will be displayed. And so we have a couple of updates, it'll be coming that you know the kind of users it'll be, it'll be embedded in in some of the newer transmitters that will be coming out for G sex and it should, for some users, it'll they'll see less of those, those instances of data being blanked out. So that's one answer. We're always we're always looking at how to make things more improved. I get it. The other thing I would say, too, is we're really working on how do we ease the burden of center replacement. So if someone's sensor, if the user center doesn't last, the full 10 days, how do we make it easier for them to get a new sensor? And you can imagine, there's a lot of things we can do if they're using the phone app. And so we're really focusing on that because we know that's a pain point as you're sending yours, but your percentage in the last 10 days and you're expecting it to how do we make sure that you've always got a sensor in Tibet as a backup in case that one? This one doesn't last your full 10 days? Isn't? You know, not not all centers will last 10 days for many different reasons. But we talked about the two main ones.

Scott Benner 17:14
Yeah, I have to say, and this is where I hope people listening aren't just like, yeah, Scott's saying that because Dexcom you know, they buy ads on his podcast. It's not why Arden never doesn't make it 10 days. It but it could just be randomness in her body makeup that is allowing that to happen. And so, I mean, again, I don't want to say that I extended a sensor recently, but you know, I saw what other people see 16 or 17 days in? Yeah, yeah, the spotty, no data stuff. And the minute I saw it, I was like, boom, gone, like, get rid of it. It's out of here. But interestingly enough, it just does not happen to her in the 10 day window.

Jake Leach 17:52
Most most people don't have the problem. There's there are some people that have more of an issue. But most of our customers do the sensors the last 10 days. Yeah.

Scott Benner 18:02
So you're hoping one day that they'll be able to pop onto an iPhone or Android app and just say, Hey, I had a sensor failure, here's the pertinent information about it. And then another one will come to them.

Jake Leach 18:12
Yeah, all the app auto detected. I mean, we know, we did the app issues the message so we could auto detected an auto ship. I mean, that that would be a really nice enhancement. Check. That's amazing.

Scott Benner 18:25
Is that like gonna happen before I'm old? or?

Jake Leach 18:29
Yeah, yeah, you know, it's the it's the power of the mobile platform, right? When you're connected on the phone, there are so many more things we could provide, I think we're just starting to, I mean, follow was a really important was kind of our main update for the, you know, kind of moving the mobile platform when we did it on the g4 system. It the connectivity allowed us to do the remote monitoring, and there's so much more we we can and will be doing with with the mobile platforms. And we there will be I do see a day where they're in before year old Scott, where we, we can auto auto replace sensors, if it's an issue, an issue occurs,

Scott Benner 19:07
Jake, I fixed a couple of steps outside in my landscaping the other day, and it took seven days for my knees not to hurt. So I don't have a lot of time. You know, you just had something that made me think of a question. It's not on my list. I feel like this is the first time I'm seeing you guys. say to me, Hey, this G six thing, we're gonna update it and improve it. We're not just going to hold these updates and improvements to the next level. Like, you know, like g five to me came out it was g five. I'm sure you did some back, you know, enhancements that were maybe on the digital side that I didn't say, but is this the first time you're going to actually make an improvement or a change to the transmitter itself during the, I guess the life of the product?

Jake Leach 19:50
Well, it's a great question. We did a little bit of that on G five. But I think one of the things that we've done over time is the the the development teams, our product development teams, we've staffed really we've had a focus on our new products, but also maintaining and enhancing our current products. Because we generally have this, you know, three to four year cycle between major iterations. Sorry, there's a jet flying over the building a little bit of loud background, being in San Diego right next to the marine base in Miramar. Nice. It was an FAA team. So, yeah, so we we've really focused on being able to enhance the system while being working our new platforms. And one of the things that g five introduced is with the lot of the intelligence on and the architecture of the intelligence being on the transmitter. transmitters are replaced every three months. So we really can push it Italy has allowed us to push out updates faster than in previous years where you kind of had a system that was around for longer. And then also with the app updates available, we can really get things out faster. So the architecture of our system allows us to make those updates. And then we've also added more staff that their focus is to improve the products we have,

Scott Benner 21:12
okay. I mean, throw in a comment from a user, and then I'm going to move on to something else. So this is a really honest feedback from someone on Instagram who said, I have to be honest, I almost always lie when I call Dexcom tech support. And they asked me where I put the sensor. And and so I have an interesting background because my wife does drug safety. So I understand why you asked why they're wearing it. But I think people are afraid that if they respond with an answer that's not FDA approved, that you're not going to replace the sensor. And I don't know the answer to this question when I'm asking, but would you prefer to hear where they're honestly wearing it? And you'll still replace their sensor? Or do they need to tell a white lie to get their sensor replaced?

Jake Leach 21:54
Well, I think often, you know, the reason for the question is, is because we can only as a company, we're kind of legally bound, we can only speak to on label use of the product. So that's basically why we asked the question, because if it's if it's off label use alternate site. There's not a lot we can do when speaking to customers about issues. So yeah, I think that's probably the safest thing I can I can say. One of the things. Yeah, exactly. One of the things I always like to add to is that the reason why the current product, my G sex is indicated for abdominal use in adults, and then impedes to dominance. And buttocks is really because that's where during our very large clinical studies that we have to run to show the performance of the product. Those are the sites we've chosen. And there's no scientific reason why it wouldn't work in other locations that we haven't proven with a you know, FDA study that shows performance in those alternate locations. So that's really why we don't have the indication. But as we look towards future products, that's something we're always evaluating is when when is the time to do the study that allows us to claim that it works in the arm versus some people using it there.

Scott Benner 23:10
And I imagine that g7 is going to offer that kind of opportunity because of the new size. So I'm just guessing out loud, but so Okay, so let's play for a minute, Jake, up the customer service representative like, hey,

Unknown Speaker 23:20
Scott, I'm

Scott Benner 23:21
calling because my sensor failed on the third day. And you say, Where were you wearing it? And I say on my forehead? And does that stop down the customer service representative from answering any questions that I understand? does it stop them from replacing it?

Jake Leach 23:36
Yeah, I don't believe it stops him from replacing it. No, but we can Yeah, I'm that I'm less familiar with exactly how that works. Okay, Jake, I

Scott Benner 23:44
appreciate it. I'm sorry, I put you on the spot.

Unknown Speaker 23:47
No worries.

Scott Benner 23:48
Now art, it always wears her on her, like her hip but area, like, like quite literally forever. So I never run into that. But I do understand a bit of the other side of it about the data collection. And you know, what, what ends up happening after that, so, Alright, ready, I'm gonna hit you with a bunch of asks. So this is the feedback part. And then, at the end, I'm going to ask you about Apple Watch which Kevin ran around town after ADA. Like, like Paul Revere, talking about everywhere, somebody would stop and look at himself. We'll get to that last but,

Unknown Speaker 24:21
but Okay, cool.

Scott Benner 24:22
So I have some asks of my own and I have some asks from people. Okay, I've got my notebook. Alright, let's break it down to like, I don't know how we'll break it down. Alright, here's the first one. raw data, like the so there are people who use third party apps who can see what the I guess the what the algorithms thinking it's thinking you might be here, you might be there or, you know, the somebody will say, Look, when my Dexcom app tells me there's no data available. I still see the data on this other thing. I think I know the answer to this, but is there ever a thought to allowing people to see that raw

Unknown Speaker 24:56
data

Jake Leach 24:59
um, I'll enter in different ways the raw data, which is actually the sensor signal. That is, we don't intend to share that. And display that in the real reason why is one of the reasons why we can develop algorithms that ensure sensors are accurate is the volume of data that we have. And that our experience with the sensor manufacturing and how we pair it to the algorithm, all those things, a lot of the what I've seen is folks trying to develop their own algorithms that use the raw data is that they have not seen all the different types of failure modes that can occur, or things in the signal, they just don't have enough. You know, even if you had a number of people trying to capture that raw data, you're never going to get it to an algorithm that has some, you know, seen all of the different things that our team has been able to look at over millions and millions of sensors. So it just kind of, uh, might be a little dangerous to do that. So I think our goal right now is to provide reliable real time data. One of the things we are doing, though that's new is, and I spoke a little bit of about it at our products here theater at ADA was that there's a retrospective API that's available today, or partners who are developing apps, meaning they can develop an app that then goes to our cloud and pulls down three hour delay data. Something that we're working with the FDA on is getting a an approval for a real time API, this would be an API that would provide real time data to other apps through the cloud. As you can imagine, a partner could develop a different type of follow up that maybe offers things different than the way that our follow app works, or other. There's lots of other reasons why people want real time data and not retrospective. And so I think that's going to be an exciting opportunity in the future, for access to real time data, but not raw data.

Scott Benner 27:00
If I dumped it down inside you, it's possible I could walk outside, close my eyes and walk across the street, not get hit by a car. But if I keep doing it, eventually I might get hit by the car. Is that the idea that you can? Exactly, exactly. Yeah, there are things that can happen that unless you have lots of experience with but often those cars drive down the street, you might type it wrong and get run over into somebody could be using this data that you're choosing not to show people for very good reasons. And it went well, it may work out for them. Well, today, it could end up making being a bad decision based on that data later. And that yeah, that's something your algorithm would weed out and never let get to the end user.

Jake Leach 27:37
Exactly. Gotcha.

Scott Benner 27:39
All right, cool. Some things that have that don't exist on like, follow, or there's one little one, that's amazing. And I don't, I'd love to know why I can't see rate of change on my Dexcom apps. Why can't I see that? My blood sugar is 160. And that means it's going down. I don't know three points since the last reading. Oh, so so the so the arrows indicate a rate of change, but you're saying like an actual number, show the number I have to say it's on a couple of third party apps that I've seen. And it's incredibly valuable. Like, like I was, so I was saying something to somebody this morning that is, is in the same vein, but different. So she's using this woman I'm talking to Hi, Brandy is has her low set at 100. But she really doesn't think of herself as you know, needing to do something till after 80. But when she gets under 100, her line turns red. And it changes how she feels about it. And so that the line itself doesn't scare her where it's at doesn't scare but the the color of it makes her brain think differently. So I said to her, just push it down to 80 so that you don't see red and believe it or not, Jake, and I'm sure you do believe it that that impacts how you think about what's going on. Sometimes it takes away anxiety, right? Like I see a falling line, but it's not red, so I feel better about it, the rate of change on other apps, I have a secondary app running behind Arden stacks comm app. And when I look at it, and it says, You know, I hear Oh, she's falling and I look but I see she's only fallen a little bit like he gives me more perspective rate of change would be an amazing update to your stuff. I think a plus or minus and a number.

Jake Leach 29:20
Oh, yeah. I just added it to our list. I do we do really identify with that concept of there's can be an emotional reaction to the way things are displayed in the colors. And that is one of the things that we factored into some of the G original g five and the imageclass design but things that we're also looking at for our next iteration of the app. Because you're absolutely right there there is a react can be a reaction to how you feel about the way the information is displayed. And building on that.

Scott Benner 29:54
I have a question I'm going to ask I don't know the answer to but I might bet a little bit of money on it. The last update to the Follow up. Have you have you changed? How the line is rendered? And I don't know, I don't even I'm using the right words like, but does the do the angles and the pitch of the lines? In that in when I look at that, that follow up? Have they been squeezed or stretch somehow, because I make so many. I manage art and based on so many informations on pitch of the line, which I know is probably a little above, you know how some people think about it. I'm gonna pull it out now, so that I can, so I can talk about a little more

Jake Leach 30:34
thoughtfully. It's a bit that's definitely advanced. But has

Scott Benner 30:38
that changed in the last update, and maybe you don't even know, like, it could have literally been something a graphics person did, just because it looked nicer. But it changed my interpretation of the data.

Jake Leach 30:51
The what? Yeah, I'll give a couple differences. So the, you know, with the new updates to follow, there's the we did it, we introduced the landscape mode, which allows you to turn the phone sideways, and then you can use your finger and you can actually trace along and see the points and what's displayed. And what is there were some enhancements, that basically makes the display on follow the same as the display that's on the G six app. Okay. So if the older version of follow had an older version of that graph display, and so you there may be, as you look at it, you may see it slightly different than the the new one versus the old one. But the, the new follow is identical to what's on the GS six app, when it comes to the way those points are displayed, actually the same physical code,

Scott Benner 31:43
you might want to add me to your beta tester list, as I'm saying, because as this podcaster get this podcast gets, we're about to By the way, this summer, we'll celebrate a million downloads. So as that's happening, I'm actually seeing almost to my amazement, that the ideas we talked about here are I think it's become a way of thinking. And so if it happened to me, it happened to other people. And it genuinely was it was off putting, like I looked, and I was like, Oh, now I can't decide what to do. Just because it interesting, visually looked different, which was just anyway, and they get that might be a ninja level problem. But but it was, it was real. Yeah, that's real. Definitely. Can followers, please see expiration times have sensors on the follow up?

Jake Leach 32:26
We Yes, absolutely. That is we want there's a number of like, there's extra information that we need to provide in the follow app. Because it's really around this concept of your parents are helping their children, children manage diabetes, and the more information we can put into that, the better. I'll give you an example. At one point, we were thinking, Okay, maybe we just take all of the clarity features and put them into the G six app. But in thinking through that, what we realized was, there's a lot of parents who use the follow up the don't get themselves have a G six app there, they have a follow up and they use the clarity app as well. And so that clarity app is an important aspect of being separate from CGM app. And so yeah, we definitely recognize it's a very important use case. And there's a lot of information that we want to update in the follow up. One of the things we did recently is there's now influent data in clarity. For the first time ever, we using if patients are using an in pen, companion medical, that's a smart pen that has its own app, and that data is being automatically uploaded to the clarity accounts. I would love to show that in follow. Show that influence data and follow and roll will add over time will add more of our influence partners will display influence data from their delivery systems, pumps and pens in our clarity software. And so that's another example of just the richness of the data we can provide inside inside the app. And yeah, expiration date. Definitely. Okay,

Scott Benner 34:03
Jake, you just answered a private question I've had that I've never asked anyone I've always wondered like I wonder if Dexcom is pissed at Mike left if it started up in 10 but now I realize you're not

Jake Leach 34:11
so not not at all not at all No I'm Mike and I are good friends and I yeah, they're doing great things over there and they were happy to be working with him

Scott Benner 34:21
is very nice to know that you are uplifting of people who who move on I actually a person who helps me with the business side of this podcast with you guys. She's going back to school. Melissa I want to wish you a ton of luck and success is very cool to know that you're not pissed at her now that she's going okay, so people ask all the time more volume and alarm control like like functionality user defined not just the timing of it, but the volume of it. One lady said I wish I had her. She's like it would be fantastic. Oh, if the high alarm to go off at night and wake me up but not scare everyone. I'm around her. In the day, that's how she put it that was I thought, appropriate because I see my daughter sometimes grab her phone and clutch it to her when her alarm goes off trying to quiet it down a little bit.

Jake Leach 35:09
Right? Yeah. So adding a volume to like the times a day. That the profile. Yep,

Scott Benner 35:15
yep, yeah.

Jake Leach 35:16
today. Yep.

Scott Benner 35:16
So here's one for you talked about how there's the landscape view now on the follow up, which I really like. And you can run your finger and all that. But when you guys did that, you took away the three 612 and 24 options on the portrait view that's made a lot of people unhappy. I'm one of them, actually.

Jake Leach 35:33
Yeah, and is that because you have to turn it sideways to be able to get to it? Yeah, it's kind of an extra step.

Scott Benner 35:39
And I, I can speak for myself, I don't know why other people do it. But I can make better treatment decisions on a three hour line than I can on a six hour line, I look at a 24 hour line for trends, I look at a 12 hour line to see if my boluses are off. So the the the the ability to step back, like you know, the idea of like, you know, when your hands right in front of your face, you can't see much but you step back a little bit, I sometimes I need my hand in front of my face, and sometimes I need to be able to step back. But when you go to landscape mode, you can select the three hour display, right? Yes, but there's something about it. That irritates me that I have to do that. And I couldn't even I can't. I can't quantify that for you. But so many people say it that I don't think I'm the only one.

Jake Leach 36:22
Yeah, no, it definitely It was a big change here it

Scott Benner 36:24
and I also imagine if you thought, here's me, I'm putting myself in your head. I'm in the meeting. And I go, yeah, it'll be on the landscape side. That's fine. And that's probably made sense. But it It wasn't just how do I put this? I thought when it first changed a lot get used to it. And I never have that that I thought I think the important part.

Jake Leach 36:44
That's good feedback. Yeah.

Scott Benner 36:44
Will Will we ever get an app for follow? Will it be excuse me a widget for follow?

Jake Leach 36:51
Yes. Yeah, absolutely. That's that's on that's on the list for sure. That's Yeah, tie a tie on the list for fall.

Scott Benner 36:59
Here's a wind will follow have the features that users can see see this, somebody just asked it in a great like, one liner, like all this stuff we've been going over. So just I wanted to just share that with you. It came back so much at somebody just said, Look, I see all these people have asked these great questions here. I don't know if my questions in here. So I just want to know, when will the features be there for follow? And what will they be? And, and so I'm wondering, as I'm asking you the questions, are you hearing me going, Oh, that's definitely coming soon? Or Oh, that's a good idea. Are you having both reactions to

Jake Leach 37:31
I have Yeah, both both reactions, I think most of the stuff we talked about is on is on the list to do and the way we what we do is we manage we in software development, we call the backlog, we have all these requests of things you want to implement. And we go through and prioritize using the mainly customer feedback. But also kind of level of effort, some features are really easy to implement the ticket and have a big impact. Some features are harder to implement. And they have a big impact, but they kind of take longer. And we try and group a number of those together. And one of the things that we're looking at doing right now is being able to make releases faster. So we've you know, with the classification of G six moving to a class two, from a class three, it's enabled a lot of us our systems to be able to be updated so that we can do things a little faster, doesn't change of the validation requirements or any of the quality, but it just allows us to put things out faster without having to always put it in front of the FDA before long before putting it into the market. So we're in the midst of planning out how can we move faster. And so there'll be updates coming out more frequently than we have in the past, particularly for follow follow really hadn't been updated much since the original version was launched. With g four, we done a lot of compatibility updates, but not new features. And so we're just beginning to start planning out. Okay, what are all these new features, we've got a great list. And many of the things that we've talked about, most of the things you and I've talked about, are on that list, but the timing is going to definitely be within the G six timeframe. So within the next year, or a year or so, there'll be a number of new releases for follow. But we just did our first big one. And we learned we learned some things. Not everything went perfect with that at launch. And we recognize that and so we're looking at Okay, how can we do it better in the future? The exciting thing, though, is that it's going to become faster, faster releases.

Scott Benner 39:33
It's also worth noting, like sure there are like third party apps that people like Oh, look, it has like rate of change is a good example, this one as rate of change. This one's better. Why doesn't Dexcom do that. But I would also tell those people who like those apps, those apps are incredibly confusing and overwhelming. And only the people who really understand all that can look at that and not become confused and overwhelmed by it. I think they have to accept that there is always going to be something from the company. That's for everyone. that there might be other avenues. And you spoke about it before you said it will be an API available where people will be able to make a different app like theirs. They have to understand your Dexcom for everybody there. And I think that way too, because there's some third party apps that people love. And I look at them and I'm like, Oh, my God, that is garbage. And I could never use that. But people love it. It's just it's too much. And I don't think I'm easily overwhelmed by the data coming back from Arden CGM. And sometimes I'm like, That's too much. I have one here for you, Jake. I, but when I saw people ask, I thought, Oh my God, that's the completion of my thought. Because sometimes when you get away from, you know, like, say you go in the pool, and so there's no set, there's no, you know, you can't get a signal. And your kids been swimming for 20 or 30 minutes. You think, Oh, I really would like to know what their blood sugar is. And then they jump out and then you have to wait for a cycle before you get a number back again. Could you use a could there be a button that forces an update? Let's go with this. Scott types into his browser thing one more time. dexcom.com Ford slash juice box. So make knowledge your superpower with the Dexcom g six CGM system. I think your superpowers that you live. I think you're superpowers that you listen to the Juicebox Podcast but we'll make this your second superpower. Okay. Anyway, let's see what does this say your zero finger sticks, glucose readings right on your smart device customizable or salons? Get started with Dexcom collect? Patient name, first name, last name, email address, phone number, city, zip code, birth date, type of diabetes. The pump do use pills injections, insurance information. I agree. I agree. I'm not a robot. And next. Wow, look at this. Thank you for your submission. You are one step closer to obtaining a dexcom continuous glucose monitoring system. One of our representatives will be reaching out to you to take the next step. You know, the next step is Don't you know more finger sticks, seeing what direction your blood sugar's moving, and how fast it's going. They're being able to follow a loved one's blood sugar no matter where they are on your iPhone, or Android. Hmm, that's the next step, baby. The next step is the stuff you hear us talking about on this podcast every night. The next step is freedom. It's ease, it's happy. Take care a happy step dexcom.com. forward slash Juicebox. Podcast share show notes at Juicebox podcast.com. Alright, let's find out about this apple watch thing, shall we? Could there be a button that forces an update

Jake Leach 42:43
right now. So the way that the system is architected, it's the transmitter that earns on and tries to make a connection with the plays that are within range. Okay. And today because of a battery and the technology kind of constraints, it only does that every five minutes. But there's lots of concepts that we've been mulling over for our g7 system that could potentially make that quicker, because we totally recognize the, hey, I want an update now. And, you know, I might have to wait up to five minutes to get get the update. So yeah, there's, I think our approach that would be are more faster updates between the two devices, not just every five minutes, like there is today.

Scott Benner 43:27
So maybe when there's a battery situation that can handle it, you'll be able to ping more, because I saw both sides of it. I thought that's a really brilliant idea. And then I also thought, oh my god, some type A Luna is going to stay on there and push that button over and over again and kill the battery in the transmitter. And And so yeah, just be like, What is it now? What is it now? Like, okay, relax. But but I think this question comes specifically from parents because I've had the same thought like when you have to stop your kid's life and tell them hey, stand here. It's, it's a little. You know what, it's weird, but it's a little demeaning. I don't know another way to put it like, hey, stand here till this thing tells me this number. So you can go back on the field or go back in the pool or something like that, in that specific context. It makes a ton of sense to me. And it's the only other time I've ever considered it. I mean, maybe like when you're battling a low sometimes and you eat something you're like, God, I wish I knew what it was right now. But you just usually test in that situation. But that's good to know. So it's, it's alright, so it's something on your radar. Do we have time? Can I hammer you with a couple quick ones and like your and then go to an option for a snooze alarm was asked a bunch of times, like, Hey, I have it set up so that I repeat every five minutes. Because I want that but so that I hear and I know but once I know, I know. Is there a way I could tell it? Right? Right on Don't tell me five minutes from now again. I have that problem sometimes with high blood sugars. Like I wanted to let you know what I mean. So it's news in the works.

Jake Leach 44:57
Got it? Yes, yeah, actually, there's a number of things that It's actually a great you mentioned I, there's a number of things about the high alert and the intelligence of the alerts that we're working on. I think one of the things that I always think about is, you know, sometimes people want to be alerted when they're going high. Sometimes people know they're going to go high, and they don't necessarily want the alert, at least not within a period of time. So some sort of flexibility there. There's definitely we're trying to design it for you know, for, again, like you mentioned, apps that can work for lots of different people. And so we're looking at how do you turn features like that on for people who want them? And so I think that the intelligence around the alerts the snooze, and all those things are definitely on the on the horizon.

Scott Benner 45:39
Yeah, I know, I mentioned this to you in the past, but I think it bears repeating. Again, here, Photoshop Elements has tabs at the top, you can you can use it in expert, or you can use it in beginner and beginner. It's been it's like PaintShop Pro from like 30 years ago, and an expert it has more options. And I just I think that's a simple way around. Fall alerts for followers that people say is really desperately needed. Like it's not enough to see the number going down. Like they want to be alerted if they're falling fast or not.

Jake Leach 46:10
Okay.

Scott Benner 46:11
Just let's see what thresholds can be set to my time today. Oh, this one comes up a lot. Is there? How did she put it profile options? Like, can I set up a profile that works for the school nurse, but is different from me? Because I don't want the school or like for follow? Yeah, like, I don't want the school nurse know what my kids blood sugar is? After five o'clock in the afternoon, that kind of thing? Oh, okay. So by time of day, okay, yeah. And by person, like so can that person have access to this data, but only in this time of, you know, and on these certain days? Or can I stop them from seeing it without making force like unfollowing? like dropping them from the follower list?

Jake Leach 46:54
Yes, we could we could do some that says that's a not I've heard that a request a similar type of request, not in the same way. But I think, yeah, that's definitely something that could be implemented. I think you can have different settings for different followers. But what we don't have is the ability to turn off follow, like on the weekend, or the exact use case, the nurse, you're talking about them. That was not the original use case, when we designed the follow system was not for that. But we've learned over time, there's a lot of different uses for follow that we didn't originally designed for that we need to consider. And so that's, that's an important one adding when we added up to 10. followers, recently, that was really born out of people were having to add followers and remove followers every week, because there were more than five that needed at a given time. So this is like an enhancement to that it's okay, now that you have up to 10, let's figure out when we could turn them on and off based on a profile.

Scott Benner 47:54
Yeah, I like that. That's a great idea. And I think in a similar, slightly similar vein, someone said, hey, my son's use our app has different thresholds that can be set for different times a day. But can I do that on my follow up, too? Yeah, I guess that's a person saying, you know, maybe they're saying, Look, I'm comfortable with my kids blood sugar being 150 while they're sleeping, but during the day, I want to know when it's over 130 or something like that. So I don't want to get woken up. Like I want to be able to say not now then when the follow side as well. And I guess you could use that the opposite way. I'd like to know, you know, I want to know what I want to know when I want to know it, I guess is the is the crux of it. Okay, so one quick question. And then I want to I'm just gonna say Apple Watch and let you talk. somebody pointed out that there's some seems to be a lag to the Health app. And I don't think a ton of people use the Health app, but I think you would like them to and I use it sometimes. Is there a reason why the information is not live on the Health app? Is that an apple thing?

Jake Leach 48:50
Oh, it's Yeah, that's a great question. There's the Health app on the apple platform. And then on Google, we actually have Google Fit, which is also the same type of a database where users if they activated can it'll deposit their their CGM information in there, it is three it is delayed as three hours delayed and split is an in called retrospective. And that is really, because of the the FDA kind of regulation around real time data. In real time, data is a different classification. In terms of risk than the retrospective data. retrospective data is considered data that you can't utilize to manage your diabetes in real time. Because it's three hours old and full action times and all things factored in, you can't really use three hour old data to manage diabetes in real time. So that is something that we're looking at revisiting the right now that it is delayed three hours, it's because of the way that we got that cleared with the FDA. If you think about it, it's very exact same delay. That's in our current retrospective API. Where we share data with, like gluco and others. That's all three hour delayed for the same type of reason. But we're engaged with the FDA right now in conversations about how do we open up real time data or make it more available to partners and health is Apple Health is one of those things where it's a database, users can use it to share their CGM data with other apps on the phone that they collect. And so we're looking at all the different options there.

Scott Benner 50:28
It's cool that people are using it, that's for sure. Hey, listen, before I say Apple Watch to you, I want to tell you, I got this feedback from somebody recently. And you talk you guys have been talking a lot more about partnerships. Obviously, in the last year or so you have won with tide pool and Omni pod and T slim and I'm sure others and and it's it's really moving people forward quickly. And even though you you know, Dexcom in this podcast aren't partners. Having access to your to your brain and being able to pick your brain like this. And having access to the data that comes back from my daughter's glucose monitor has sort of turned this podcast into that thing. Like, when I recognize that there were people saying that they manage their diabetes. And they were talking about it like they were being bold with insulin, I was like, well, that's something we said on the podcast years ago, and it's become a hashtag that's growing at what I didn't realize is that people think of that as a management style now, and I would never have come up with it without the data that you guys share with me for my daughter. So in some fairly strange way. You know, there are now I'm going to say, I because I want to be conservative, but I pretty sure I hear from a dozen people a day, a dozen different people every day, who are showing me either they figured out a meal, or they're a one CS down 122 and a half points, people that once they've listened to the podcast for a while just get 681 C's in the sixes, like just, it just happens. Now, they don't even stress about it, it's just they do these things, these things turn into an A one c that's, you know, more like sex. So I have to thank you. I mean, my daughter's health aside, I'm a little overwhelmed by how many people it's reaching. So it really is, it means a lot to me. And from what I'm hearing back from all these people, it means a lot from them, too. Because every one of these questions, and with please thank them, you know,

Jake Leach 52:22
I yeah, we really appreciate it in our teams, you know, one of the great things about working at Dexcom is we get a lot of feedback, you know, the both positive and constructive. But when people talk about how the product is helped them, you know, change their lives or help them, you know, manage diabetes better or save their child's life last night, it's one of the things I love to share with our teams, because they I mean just helps drive their motivation and passion for what they're doing. Yeah. And it is, we are company cultures, it was motto patient first, which is you you do right by the patient, and everything kind of takes care of itself. So that is core to our DNA. And it's going to remain part of what we do.

Scott Benner 53:08
Forever. We'll share this one next time I met a person in their late 40s, who's had diabetes for all of their adult life. And their blood sugars are constantly all over the place a onesies are constantly in the eights and the nines. And just by looking at a graph from a dexcom receiver, I was able to tell them, okay, here's what's wrong with your basal insulin. Here's where you're, you know, your boluses are wrong, we have to change your insulin to carb ratio, blah, blah, blah, so decades of living like that. And three days after we talked, they're fine. Blood Sugar, never under 80. Never over 120 they know how to do it now. It was all there the whole time. They just didn't know how to interpret it. Yeah, it's fascinating.

Jake Leach 53:52
It's data that is data that people haven't you know, in the past, we didn't have access to that type of information now that it's there. There's so much can be done with it when there's so much more we can do with it. So yeah.

Scott Benner 54:03
And it doesn't even take long like I am at the point now where I can look at a graph and be like, Oh, I know what's wrong, like immediately. And I trust me you don't know me that well, that I'm the guy that has that skill is bizarre, because it shouldn't be me like I'm really the guy you should be like, oh, Scott, yeah, we go to the movies with him. He's nice. Like, that's pretty much it like that, that I've developed any kind of skill is crazy. So if I can interpret that data back, I can't imagine what it's doing even for the people that I don't know. So okay, Jake. 8,014,253 people asked me when they can use their Apple Watch without a receiver or their iPhone. When's that happened? Okay.

Jake Leach 54:43
Yes, trust me, it is coming. Yes, I you know, we are doing some, we have some prototypes that we've built and been testing quite quite heavily. And so, we're a couple things about it. And it requires an update to our transmitter firmware. So it's kind of invisible to users but, and there'll be a firmware that's going in update, that's the software inside the transmitter. And there's some new features, we had to add to the Bluetooth interface to enable the smooth handoff between when the user is on their phone is in range, and they're using their phone. And then when they walk away from their phone, and they want their watch to take over, we had to make some rather significant changes to the Bluetooth interface to do that, working with the apple profile for the watch. And so we've made those changes. And we've got systems that we've been testing for quite a while to ensure that this thing works exactly where we want it to. But it'll go off, we'll begin shipping transmitters with that firmware in it. And soon, I can't be exactly specific, but we'll ship it. And then as soon as enough of those transmitters are out there, we'll turn on the app feature that allows it to have allows it the transmitter to communicate directly with the watch. A couple things about it, though, you'll always need to have an iPhone to kind of set up and start the session. Because there's a lot of functionality in the app. That is we can't implement all of that on the watch. But once you have the session up and running, then you can walk away from your phone for extended periods of time. And you'll you'll get your alerts and you'll get all your CGM data live. I've been testing the feature myself. It's incredible. I don't have diabetes, but I'm always testing our products and understanding from user perspective. But it's wildly freeing to know I can just walk away from the phone and still get my readings on on the watch. Without having to wait, I gotta go back. And Randy, I like that concept you're mentioning about having a child stand next to you for at least five minutes to get their data. Well, this is one of those are wearing the watch as well, in all likelihood, there's gonna be data on it. So there's, um, yeah, it's a really exciting feature, it's more impactful than I even thought it was going to be when I started testing it. So it will it will come out it will come out on G six. And that's about as much I can say on timing. But well, it's kind of

Scott Benner 57:08
the way Kevin said it was. And because I said to him, I was like, Look, you should just not mention it until it's you know, in everyone's hands and turn it on and be like, hey, guess what you guys have now. But let me ask you a question about, about that about setting expectations for people. And then I'm going to let you go because we've been talking about Apple Watch. And this this usability, it feels like for a really long time. And while most people aren't in the space, enough, in their day to day lives to feel like Oh, God, they told me that two years ago, I don't believe it anymore. I have heard that from people who are constantly in the diabetes space. So my question is, is it did you guys start talking about because nothing happens by mistake in a company, you're a publicly traded company? So did you start talking about it by and think it was going to go faster?

Unknown Speaker 57:56
Did

Scott Benner 57:56
somebody else that was the apple side that held it up? Or were you just like, hey, this thing's coming. But you don't think of time the same way as maybe the people who are waiting for it like, and there's a lot of questions in there. But I'd love to understand that whole, like when we hear about something. And you know when to when we get it like what's the thought process on the back end with you guys like dessert?

Jake Leach 58:18
Yeah, that's a great, it's a great question. The So the short answer is we we thought it was going to go faster. So we usually don't like g7. Right? We've talked about that for quite a while. And part of that's because it revolved around a partnership with verily and we have there was a large financial commitment made in that partnership. So you kind of talk about what are you doing? Well, it's for our g7 platform. But the Apple Watch specifically is about we thought it was going to go faster. And what happened was, Apple turned on the core Bluetooth functionality for certain partners. Dexcom being one of them. That's the ability to actually connect directly to the watch with a Bluetooth interface. And as we started to go through our use case, with the version that they first implemented, it was about two years ago, I think they announced it, we started to realize that the use case wasn't going to work. One of the specific things was pairing our transmitter to the watch was a challenge with the original implementation of how that core functionality worked on the watch. And so giving, you know, working with Apple feedback, we're also not the only folks working with Apple on connectivity to the watches, other types of devices out there that are doing it's all of us working together and basically had to we had to iterate on the implementation. So the new watch OS that was launched at the end of last year has the functionality in it that we need to make the user experience what we wanted. And so, since that release, we've been doing a lot of testing to ensure it covered all the use cases. But what we didn't want to do is launch it and have it not not delight users and have some issues on the usability side. So we've actually had prototypes, and for multiple years that have been out of the functionality, but they didn't work smoothly, there'd be data gaps would be things that happen. So it's taken us this time, and the updates from Apple to make it work properly. So that's a long answer, but we thought it was going to go faster. It's pretty good.

Scott Benner 1:00:20
I'm an Apple Watch user. And every time I buy a new one, I think to myself, why am I buying another one of these things? And I, there's part of me that's like it, because it's gonna start working the way I wanted to. And, and yeah, it is really new technology. Listen, it's easy to joke about this a tiny little thing on your wrist, it's a computer that, you know, probably could have could launch the space shuttle. And if we had a space shuttle anymore, that was an old reference. And it's just this, this stuff takes time to develop. And there's so many different partners and people trying to use it. Like it all makes sense to me. But it's easy in the moment to think, to feel like as I thought to like how they said Apple Watch. And now, you know, I think I'm two more Apple Watches into it. And but you're saying now everything is sort of finally there. Like you're comfortable that when this comes out, it is going to be the thing that people wanted? Yes, yeah, it's excellent. Hey, I'm gonna let you go. But I I don't know anything about Android. But I got a lot of messages that just said Galaxy S 10. Is that a thing?

Jake Leach 1:01:15
Yeah. So what the it's not about it's not that doesn't work. But the Samsung S 10 is a new phone from, from Samsung, the Galaxy S 10. And it just launched at the beginning of the year. And we're currently testing compatibility for it. One of the things that happens with our current testing, particularly for Android, because Android devices, there's more of them, and they release at different cycles, we have to do quite a bit of compatibility testing to be able to add it to our list of compatible devices on the website. There's right now, there's over 40 devices on our website that the G six and G five are compatible with that cell phones, but the Samsung one is that we just finished the testing. So within the next month or so it should be on the supported device list. And so we're working hard to bring that but it does take us about three months to get through all of the testing that's required. One of the things we are looking at and working with the FDA on is there. Now that we've had a lot of experience with this compatibility testing, is there a way to do this faster, because we think there's probably some things we've been doing that we could go faster or reduce that amount of testing, but it is important. And it's important to the FDA that the device works well and that they're very compatible. And there are some Android devices out there, they tend to be lower cost devices that don't work as well. And we don't support them for that reason. Because the the Bluetooth compatibility is not as strong as it needs to be. So that's what we're validating with the S 10. So hopefully, I by the end of this month, which is like a week away, I think we should have it up by then. But I was just actually looking at that the other day. So very soon this time will be sported

Scott Benner 1:03:04
cool. Hey, so other other other watches that I have an Apple Watch. So I'm American, I just imagined nothing else exists. And so are there other like watches and devices that are you guys looking at having the ability to do it on Fitbit, or like I'm just making up words now but others? Are there other things like that that exists? Are you just as far as a watch goes? Is it just gonna be Apple Watch in the near future?

Jake Leach 1:03:26
on the Android platform today, we support the secondary display on on the where I OS system so the lot of different manufacturers manufacturer manufacture of watches that are compatible with them where OS and so that we do that secondary display and we are looking at doing a direct to watch on some other some of the other platforms as well. But Apple is going to be the first

Scott Benner 1:03:53
Okay. Hey, and my last thought is because I just had it now. Hey Siri for followers.

Is that Yeah,

Jake Leach 1:03:59
yeah, definitely on the list, because people like it

Scott Benner 1:04:02
and I hear a lot from people like when I'm driving Hey, Siri is a big help to me. Now. I've said hey, Siri, three times my phone's gonna start yelling at me soon. But cool, Jake, I kept you like for the whole hour. This thing is packed with information. I really appreciate you coming on and doing this. I'm going to say goodbye. And thank you to Dexcom on the pod and dancing for diabetes for sponsoring this episode of the Juicebox Podcast. Please don't forget that there are links in your show notes at Juicebox podcast.com. If you want to find out more about the sponsors. If you downloaded this on Friday or the weekend I hope you enjoyed getting an extra episode of the podcast this week. Please don't forget that defining diabetes also came out on Friday along with this episode. Defining diabetes of course is with Jenny Smith and I where we take a term from your diabetes life and define it in just a few short minutes.

Jake came back, back again. Yes, he's back. Back again. Jake came back Jake came back Jake came back Jake came back