Welltang – A smart phone-based diabetes management application – Improves blood glucose control in Chinese people with diabetes

Zhou, Weibin; Chen, Min; Yuan, Jingyun; Sun, Yan

doi:10.1016/j.diabres.2016.03.018

Cited by 77 publications

(159 citation statements)

References 24 publications

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“…The titles and abstracts were screened for 1687 records, with full text reviewed for 17 manuscripts. Of these, six studies were included [15,16,17,18,19,20] in addition to one study [21] known to authors and two studies [22,23] identified from hand searching of reference lists, with a final library of nine studies [15,16,17,18,19,20,21,22,23]. No previous reviews of the research question were identified.…”

Section: Resultsmentioning

confidence: 99%

The Effect of Using Mobile Technology-Based Methods That Record Food or Nutrient Intake on Diabetes Control and Nutrition Outcomes: A Systematic Review

et al. 2016

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(1) Background: Mobile technologies may be utilised for dietary intake assessment for people with diabetes. The published literature was systematically reviewed to determine the effect of using mobile electronic devices to record food or nutrient intake on diabetes control and nutrition outcomes; (2) Methods: The review protocol was registered with PROSPERO: registration number CRD42016050079, and followed PRISMA guidelines. Original research of mobile electronic devices where food or nutrient intake was recorded in people with diabetes with any treatment regimen, and where this intervention was compared with usual care or alternative treatment models, was considered. Quality was assessed using the Quality Criteria Checklist for Primary Research; (3) Results: Nine papers formed the final library with a range of interventions and control practices investigated. The food/nutrient intake recording component of the intervention and patient engagement with the technology was not well described. When assessed for quality, three studies rated positive, five were neutral and one negative. There was significantly greater improvement in HbA1c in the intervention group compared to the control group in four of the nine studies; (4) Conclusion: Based on the available evidence there are no clear recommendations for using technology to record dietary data in this population.

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Section: Resultsmentioning

confidence: 99%

The Effect of Using Mobile Technology-Based Methods That Record Food or Nutrient Intake on Diabetes Control and Nutrition Outcomes: A Systematic Review

et al. 2016

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“…(20) A study conducted in Canada with 20 adolescents aged 14-16 years had significant results in glycemic monitoring during the three-month use of an application in which the adolescent could transfer data from the glucometer to a mobile device via Bluetooth. (6) A similar study revealed that alarm sound with application feedback on clinical information led participants to reflect on the influence of behavior on glycemic control, and helped adolescents to take on decision making and problem-solving tasks. (5) One of the advantages of alarm sound features in applications compared to an alarm clock and paper notes is the convenience of users being able to adjust the times of insulin administration as calculated per meal, and being reminded as to when the current and previous blood glucose levels were measured.…”

Section: Discussionmentioning

confidence: 99%

“…(11,(22)(23)(24) Another feature used for sentiment record is coaching with the objective to identify barriers and motivate users for decision making and achievement of selfcare goals. (6) Although 12 articles were included in the results of this review, the number of researchers working on the subject is actually smaller, as some of the reviewed articles were authored by the same research group. (10)(11)(12)(13)16) Therefore, the lack of studies and dissemination of this subject among the Brazilian population demonstrate the importance of this integrative review.…”

Section: Discussionmentioning

confidence: 99%

“…(5)(6)(7) The aim of this study was to examine the features of mobile applications for self-care of adolescents with type 1 diabetes mellitus reported on in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…(5) A study in China reports on important features of applications for better glycemic control in an educational intervention in type 1 diabetes mellitus. (6) First, the application must have features that provide greater support for day-to-day self-care behavior, including glycemic level monitoring, healthy food consumption habits, and regular insulin application. Furthermore, the application must include resources for recording physical activity practice, carbohydrate counting and interactive features that simulate problem solving related to emotional and psychosocial aspects.…”

Section: Introductionmentioning

confidence: 99%

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Aplicativos para adolescentes com diabetes mellitus tipo 1: revisão integrativa da literatura

et al. 2017

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Objective: To examine the functionalities of mobile applications for self-care of adolescents with type 1 diabetes mellitus. Methods: Integrative review targeting articles in journals indexed in the following databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin American Health Sciences Literature, PubMed (National Library of Medicine), Scopus, and Web of Science in the period between 2012 and 2017 using the following descriptors and their respective descriptors in English and Spanish: mobile applications, self-care and type 1diabetes mellitus. Results: Databank query yielded 248 articles, out of which 12 articles met the selection criteria and were included in the final analysis. Applications were examined in terms of functionalities catering for glycemic control, insulin therapy, diet, physical activity, sentiment analysis and social relationships. No article reported on an application featuring all of the examined functionalities. Conclusion: Mobile application functionalities were pointed out as essential aids in glycemic control of adolescents with type 1 diabetes mellitus. ResumoObjetivo: Examinar os recursos de aplicativos para dispositivos móveis destinados ao autocuidado de adolescentes com diabetes mellitus tipo 1. Métodos: Revisão integrativa por meio da busca de artigos nos periódicos indexados nas bases de dados: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Literatura Latino-Americana em Ciências da Saúde, PubMed (National Library of Medicine), Scopus, e Web of Science no período de 2012 a 2017, utilizando os seguintes descritores: aplicativos móveis, autocuidado e diabetes mellitus tipo 1, bem como respectivos descritores em inglês e espanhol. Resultados: A busca gerou um total de 248 artigos, dos quais 12 artigos atenderam os critérios de seleção. Os recursos dos aplicativos foram examinados a partir das funções de controle glicêmico, insulinoterapia, alimentação, atividade física, abordagem dos sentimentos e relações sociais. Observou-se que nenhum artigo descreveu um aplicativo que integrasse todos os recursos examinados. Conclusão: Os recursos de aplicativos para dispositivos móveis foram apontados como necessários para auxiliar no controle glicêmico de adolescentes com diabetes mellitus tipo 1.

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Effect of a Smartphone App on Weight Change and Metabolic Outcomes in Asian Adults With Type 2 Diabetes

et al. 2021

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IMPORTANCE Lifestyle interventions are effective in diabetes management, with smartphone apps that manage health data and dietary and exercise schedules gaining popularity. However, limited evidence from randomized clinical trials exists regarding the effectiveness of smartphone-based interventions among Asian adults with type 2 diabetes. OBJECTIVE To compare the effects of a culturally contextualized smartphone-based intervention with usual care on weight and metabolic outcomes. DESIGN, SETTING, AND PARTICIPANTS This randomized clinical trial conducted at multiple primary care centers in Singapore included 305 adults with type 2 diabetes and body mass index (BMI) of 23 or greater who had literacy in English and smartphone access. Participants were recruited between October 3, 2017, and September 9, 2019, and were randomly assigned (1:1; stratified by gender, age, and BMI) to intervention (99 participants) or control (105 participants) groups. Participants' data were analyzed using intention-to-treat analysis. INTERVENTIONS Both control and intervention participants received diet and physical activity advice from a dietitian at a baseline face-to-face visit. Intervention participants additionally used a smartphone app to track weight, diet, physical activity, and blood glucose and then communicated with dietitians for 6 months. MAIN OUTCOMES AND MEASURES Primary outcome was change in body weight, while secondary outcomes were changes in hemoglobin A 1c (HbA 1c ), fasting blood glucose, blood pressure, lipids, and diet. Post hoc analyses included glycemic changes in the subgroup with HbA 1c levels of 8% or greater and diabetes medication changes. RESULTS Among the 204 randomized participants (mean [SD] age, 51.2 [9.7] years; 132 [64.7%] men), baseline mean (SD) BMI was 30.6 (4.3). Compared with the control group, intervention participants achieved significantly greater reductions in weight (mean [SD] change, −3.6 [4.7] kg vs −1.2 [3.6] kg) and HbA 1c levels (mean [SD] change, −0.7% [1.2] vs −0.3% [1.0]), with a greater proportion having a reduction in diabetes medications (17 participants [23.3%] vs 4 participants [5.4%]) at 6 months. The intervention led to a greater HbA 1c reduction among participants withHbA 1c levels of 8% or higher (mean [SD] change, −1.8% [1.4] vs −1.0% [1.4]; P = .001). Intergroup differences favoring the intervention were also noted for fasting blood glucose, diastolic blood pressure, and dietary changes. (continued) Key Points Question What is the effect of a culturally contextualized smartphonebased lifestyle intervention on weight change and metabolic outcomes in Asian adults who have overweight or obesity and type 2 diabetes compared with usual care? Findings In this randomized clinical trial of 204 adults with type 2 diabetes, the use of a smartphone app tracking personal health data and using integrated behavioral modification strategies led to significantly greater reductions in weight and hemoglobin A 1c , along with a significantly greater proportion of patients with a reduction i...

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Welltang – A smart phone-based diabetes management application – Improves blood glucose control in Chinese people with diabetes

Cited by 77 publications

References 24 publications

The Effect of Using Mobile Technology-Based Methods That Record Food or Nutrient Intake on Diabetes Control and Nutrition Outcomes: A Systematic Review

The Effect of Using Mobile Technology-Based Methods That Record Food or Nutrient Intake on Diabetes Control and Nutrition Outcomes: A Systematic Review

Aplicativos para adolescentes com diabetes mellitus tipo 1: revisão integrativa da literatura

Effect of a Smartphone App on Weight Change and Metabolic Outcomes in Asian Adults With Type 2 Diabetes

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