Show notes
Dr. Anne Latz is Co-Founder and Chief Medical Officer at Hello Inside, a company that specializes in scientific self-care. Will talks to Dr. Latz about why glucose?, being a business-person first and what drove her to become a medical doctor, and where she sees wearable technology going in the in the next 5-10 years. Hello Inside Follow Hello Inside on Instagram or LinkedIn. Follow Dr. Anne Latz on LinkedIn. Check out her Linktree! Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: WILL: This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Will Larry. And with us today is Dr. Anne Latz, Co-Founder and Chief Medical Officer at Hello Inside, a company that specializes in scientific self-care. Anne, thank you for joining us. DR. LATZ: Thank you for hosting me today, Will. WILL: Yeah, I'm excited to talk about Hello Inside. And let's start there; give us a quick summary about Hello Inside. DR. LATZ: So we are a German-Austrian startup, so we are based all over Europe, actually, all over the world, I have to say. And we help people by means of technology to understand their bodies best so to really become an expert of their bodies. And the technology we use is not only a smartphone app that shows data but a sensor that's called continuous glucose monitoring sensor that's like a little window you put on your arm that shows you in real-time your glucose data. And we at Hello Inside have then an app and the service around that that really helps you to understand your data and become an expert of your body because this data really gives you immediate feedback on what you do in the sense of eating, moving, but also how well you slept, how stressed you are. WILL: Wow, that's really neat. You said you had the continuous glucose monitor. The body is so complex, and there are so many ways that you probably could measure activity of the body. Why the glucose portion? Why are you doing glucose? DR. LATZ: I think that there are two, maybe even three, reasons to that. The first one is we do not have so many tools like biosensors or technology on the market, which enable us to give really continuous data on different biofluids or markers in the body. So the first one is just that the market here is quite mature because we usually know glucose from the context of diabetes patients, and the technology has been developed years and years ago for those people. And that's why we have really, really good technology, really good sensors, which have high accuracy. The prices get lower and lower, so more and more people can really access this technology. And we just know already a lot about glucose management. The second is it's a super, super potent marker. So I'm a medical doctor from my background. And I do not know so many markers in the body; maybe it's the heart rate variability or pulse that give us really immediate feedback to so many lifestyle pillars. So I think eating is quite intuitive that it does something to our blood glucose, but also movement does, also sleep and stress. And all these pillars immediately affect us, and we often know that. But this marker really gives us a take on how we can really visualize in the moment and then create a change from that. And the third is probably that it's just a really hot topic, the glucose monitoring, currently, and that's actually not a good thing. But we have really not only an obesity epidemic but really a metabolic health crisis. So a lot of people have problems with their glucose levels, not aware of it. A lot of people have, in general, problems with managing; yeah, I would say, their metabolism and have an energy crisis in their body. You could put it like that. And that's why we are really interested in glucose because if you manage glucose in the sense that you stabilize it, you can really improve your health in the short term and how much energy you have, midterm in the sense of what your weight is, and of course, long term to prevent diseases like diabetes or heart disease. WILL: Yeah, definitely. I think you're correct; you know, glucose is the one thing, especially for me, it's diabetes, and I know it in that direction. But also that after lunch drag that you hit, the wall that you hit whenever your glucose spikes and then it comes down and spikes, I mean, then crashes. I think that's the other direction people understand glucose from. DR. LATZ: Yeah, for sure. I mean, you bring up a great example, like the food coma after lunch. Everybody knows that, like, this energy and fatigue in the afternoon. But, I mean, you seem to be a little bit familiar with the technology, but a lot of people do not even connect the dots. They cannot really bring together what they eat and their behavior, for example, at lunchtime, how it really impacts them hours later. And what we love so much about the technology and what we can also use the Hello Inside servers a lot for is really to find out what you do, like, what you think is healthy often. A good example is a smoothie you drink that might spike your blood glucose, but you don't really understand it because you thought it was a healthy choice. So it gives me more nuance as to what is healthy for you because it's...and we didn't even stress that, but it's also highly personalized. So you and I would eat the same lunch, and we would react completely differently to it. So there's so much actionable data from it; that's what we love. And yeah, it's a little bit like running a lab test every few minutes of the day [chuckles] and give you the responses really on your smartphone to your hand and also some alternatives of how to create change there. WILL: Yeah, definitely. And I'm glad you brought that up because one of the questions I had for you is, with Hello Inside, how do you see it combating the bad advice around self-care and dieting when you're getting great scientific data? It's kind of hard to argue with the data and the numbers. DR. LATZ: For sure, yeah. I mean, we all know health, wellness, lifestyle. It all gets very close together, which has good sides and bad sides. But of course, people are still so confused in what is really good for them and their bodies. Because healthy, yeah, it's not a very specific term, especially in, let's stay with the example of food, what you put in, and different diet regimes you have. We see that there's so much frustration also in the market because all these one-size-fits-all recommendations in diet regimes or fasting regimes do not work for all people. And that's really why these personalized approaches, and as you say, data-driven approaches, are so crucial because then you really get power back in trusting your body and understanding how your personal health and well-being is really influenced. At the same time, it's super hard because some of these trends and fad diets have existed for a long time and have a huge community who really love them. But we see it really as a conversation, like a conversation we have with the users, but also a conversation that users have with their bodies. Because we know that creating change, especially behavior change, is like the holy grail for all health and also weight management tools. But it's also something that just takes a little longer because you need some experimenting. You need to find out what really works for you. But I'm quite convinced that when you see the data that's based on your body, that's something that you do not forget. If you see the foods that really spike you, surprisingly, this is really powerful. WILL: Yeah, definitely. And I can understand the benefit of it, especially, you know, you're working out two weeks, and your body really is not showing you any signs of change. But I can see how this could help in showing you the change, even if it's small, how you can say, hey, you're on the right track. DR. LATZ: Exactly. Yeah, it's like these small nudges. I mean, it's a monitor that already shows you the shortcuts and the little tweaks you make. For a lot of people, I always say if you find one food, one spiking element in your day and change that for the rest of your life, that's so much. For a lot of people, it's already in the breakfast. They jump on the blood glucose rollercoaster in the morning because they eat maybe porridge without any added protein to it. So it is very carb heavy, and they think it's super healthy and drink the oat milk latte. I mean, in general, there's nothing wrong with those foods, but you can combine them even better and add something to it and not really eliminate stuff but just add a nice mix of protein and fat to your carbs. And you will be so much fitter during the day. You will not have this huge spike putting you on the roller coaster in the morning. As we are very habitual people, I mean, people eat like 60 different foods per week, which is not a lot; once you find out what really works for you, that's super, super nice for the rest of your life. WILL: Yeah, definitely. And to be honest, I have been guilty of, oh, I just ate a very healthy meal. And then I go back and look at the nutritional facts, and I was like, what did I just eat? Because this was not healthy. DR. LATZ: Yeah, we should always learn and make mistakes and learn again. And it's like a jungle out there. I mean, health, in general, the healthcare market is quite complicated. And I think that doesn't only apply to Germany but definitely to where I'm based but also to the U.S. and all the different markets. And for food, it's the same; I mean, that's a little bit the enemy we all are trying to deal with because the food industry is so powerful. It has so much lobby. And you get so confusing information that this is really what we can use our tools now for to understand what really these, I would say, not always healthy but claimed healthy foods do to us. WILL: So, I have a question around wearable technology. So the last couple of years, there's been a trend of wearable technologies, the Garmins, the Apple Watches. This takes it to the next level. This is way more accurate than any of the wearables. Do you see this as the future in the next 5 or 10 years? DR. LATZ: Yeah, probably in the next 5 or 10 years, we will see even more to it in the sense of personalization. And also, I personally believe that we really have a toolbox here of different markers we use. Maybe some are still invasive, like the CGM you put on your arm that really measures the fluids invasively. But also, there will be an array of other things we can really include into our daily health checks. But this is definitely the next level of, as you said, Garmin and all these tracking tools because now we not only track data and have data, but we make them so actionable because we really put them into an immediate setting. So we can really calculate them now. I'm currently wearing my sensor, and I can have a look at my phone after we've finished recording and see, okay, what happened just now in my body? How did I respond to the setting? Was I super stressed? How is my lunch (because here it is early afternoon) affecting our body? We really had already the switch of not only measuring stuff but making it really approachable, actionable. And yeah, I think CGM will be one of the first tools where we can really make this approachable for the broad public; then, we will have a lot of different markers and sensors to look at. And in respect to glucose management, I really am looking forward to when we get the press announcement of some company that we can also non-invasively and continuously measure blood glucose, which is currently not feasible, and a lot of companies are working on it. So this would be very exciting in the next years. WILL: That's exciting. And I love how complex the human body is. DR. LATZ: Oh yeah. WILL: Like you just said, "How stressed was I?" And you can get that from your glucose level. DR. LATZ: Yeah, it's super complex, and it really takes the time to also figure out what...because just measuring data is not really exciting anymore. Then you have a lot of data, and then you're like, so what? So to really figure how interdependent these lifestyle pillars are of movement, sleep, food, et cetera, that really takes some time, but once you understand it, it makes so much sense. For example, stress is like this fight or flight response we've all heard about, and of course, you need energy for it. And that's why your blood glucose might go up because your body gives you energy to, for example, run away, [chuckles] or be alert. And then always breaking down to why our body does things always helps me to also make sense of the data. WILL: That's amazing. Really amazing. MID-ROLL AD: Now that you have funding, it’s time to design, build and ship the most impactful MVP that wows customers now and can scale in the future. thoughtbot Lift Off brings you the most reliable cross-functional team of product experts to mitigate risk and set you up for long-term success. As your trusted, experienced technical partner, we’ll help launch your new product and guide you into a future-forward business that takes advantage of today’s new technologies and agile best practices. Make the right decisions for tomorrow, today. Get in touch at: thoughtbot.com/liftoff. WILL: So tell me what excites you about Hello Inside, the company. DR. LATZ: I mean, we founded this company with a very clear vision that we really want to help people to become experts of their body and really learn their body's language because this is a quite messed up system. We do not really understand our bodies' signals in the daily life. For example, hunger or thirst, a lot of people cannot really tell what the body is talking to them, so we think it's a super emotional topic. And especially the combination of these really approachable, emotional, real-life moments with newest tech is, I think, an amazing combination because we can reach people really where they are. We can give personalized insights of your personal body. This is also something that makes you so much more reliable and compliant in what you do. Then we can really display the data in a way that you can experientially learn from it. To give you an example, in our Hello Inside app, one of the favorite features of mine is the experiment feature, so you would have a food event. Let's make it super simple, eat an apple and feel your body in the next two or three hours. So that's usually when we take into account the response to that food. And then you compare that to one factor you change, so you eat the apple with some nuts or nut butter. I would suggest to most people, but of course, it's hyper individual, and what extent it changes in the blood glucose response just because you included the nuts, which include fat and protein. You can put these two graphs, these two blood glucose curves together, and you really see the gap between it just from including nuts in your diet. And this is this nice combination of visualization, data-driven insights, and also something where you, I mean, people love to take pictures of their food. And that's what you can usually do here. WILL: Wow, that's amazing. You were talking about your story behind using Hello Inside, the CGM. Do you or any of your clients have any success stories that you would like to talk about? DR. LATZ: Yeah, for sure. I mean, we are quite a young company. We launched only in June and are live now in seven European countries. And actually, I have some really, really cool stories. We launched with…
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