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Chronic disease management and digital therapeutics Managing a condition like diabetes over months, between visits to the doctor Picture a 45-year-old bank manager in Nagpur with type 2 diabetes. The doctor sees the manager for ten minutes, once every three months. The other 90 days decide how the illness goes: what the manager eats, how much the manager walks, and whether the medicine is taken on time.

Most of what makes people ill in the long run is like this: diabetes, high blood pressure, obesity, back pain, anxiety. These are called chronic conditions. They are managed not in the clinic but in daily life, over months and years, between visits.

The 90 days between visits: the doctor sees the patient for ten minutes on day 1 and day 90, while what is eaten, how much the patient walks and whether the medicine is taken decide how the illness goes; a digital programme fills those days with an app, a coach, a sensor and sometimes a doctor, paid for by employers and insurers.The 90 days between visits: the doctor sees the patient for ten minutes on day 1 and day 90, while what is eaten, how much the patient walks and whether the medicine is taken decide how the illness goes; a digital programme fills those days with an app, a coach, a sensor and sometimes a doctor, paid for by employers and insurers.

Digital programmes for chronic conditions pair an app with a coach, a device, and sometimes a doctor. Employers and insurers pay for them, because they expect to spend less on treatment as a result. India has more people with diabetes than almost any other country, and it has a group of programmes of its own.

Every company named here has posted software engineering jobs in India. Famous companies that don't actively hire software engineers in India are left out.

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The American programmes. Three companies here serve patients in America:

Hinge Healthwith engineers in Bengaluru, runs the largest digital programme for back and joint pain in America. It offers exercise therapy through an app, with a sensor and a physical therapist. It sells the programme to employers. Foodsmartwith engineers in Hyderabad, connects Americans with dietitians and meal plans, paid for by their health plans. Welldocwith engineers in Bengaluru, sells an AI coach for diabetes and heart disease. It has been cleared by the American regulator for medical products.

India's own programmes. Back to the bank manager from the start of this Market Segment. India's programmes are built around the glucose sensor. A continuous glucose monitor is a small sensor worn on the arm, which measures blood sugar all day. The manager can see at once what a plate of rice does to it. (More on such sensors in Market Segment 22.6, Remote patient monitoring (RPM).)

The glucose sensor loop: a continuous glucose monitor on the arm reads blood sugar all day, the app shows what a meal does to it, a coach suggests a change, and the habits change (sugar.fit, Elevate Now, CIPRA.ai, HabitNu).The glucose sensor loop: a continuous glucose monitor on the arm reads blood sugar all day, the app shows what a meal does to it, a coach suggests a change, and the habits change (sugar.fit, Elevate Now, CIPRA.ai, HabitNu). sugar.fit and Elevate Nowboth with engineers in Bengaluru, pair a continuous glucose monitor with coaching. They aim to reverse type 2 diabetes and manage weight. CIPRA.ai and HabitNusell AI coaching for diabetes, high blood pressure and weight.

The mind. Two companies work on stress and anxiety:

Basil Healthwith engineers in Delhi, tracks stress through the brain signals picked up by a headband. Wundrsight Healthtreats anxiety with virtual reality.

One company here sells to clinics instead of patients:

TimeDoc Healthwith engineers in Delhi, sells American practices the software to run their own programmes for chronic care and remote monitoring.

Three companies covered mainly in other Market Segments bring fitness into the same space:

Curefitwith engineers in Bengaluru, is here for cult.fit. MyYogaTeacheris here for its live yoga classes. Zippyis here for its running game, played on a treadmill. (More on it in Market Segment 31.2, Game payments and player services, in Industry Vertical 31, Gaming.)

Curefit and MyYogaTeacher are covered mainly in Market Segment 26.6, On-demand services apps (in Industry Vertical 26, E-commerce and D2C brands).

The glucose sensor for everyone.

The continuous glucose monitor was once a device for people who inject insulin. It is now sold to people with prediabetes, the stage before diabetes, and to healthy people too. The new weight-loss medicines have also changed what a programme for diabetes and weight is for. The Indian companies here are building for a country with a vast number of people with diabetes, and few diabetes specialists.

So the bank manager from the start of this Market Segment is no longer alone for the 90 days between visits. A sensor shows the blood sugar, an app records the day, and a coach helps change the habits.
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Who these companies hire, and for what, is on What digital health companies hire for.

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