Digital Diabetes Management Application Improves Glycemic Outcomes in People With Type 1 and Type 2 Diabetes

Offringa, Reid; Tong, S. Y.; Parks, Linda; Clements, Mark A.; Kerr, David; Greenfield, Michael

doi:10.1177/1932296817747291

Cited by 61 publications

(49 citation statements)

References 20 publications

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“…Studies have also shown that the higher the frequency of SMBG, the lower the HbA1c value, regardless of the type of treatment the patient receives [ 9 – 11 ]. The negative correlation between SMBG frequency and HbA1c in patients in our study confirms finding, thus reaffirming the importance of blood glucose monitoring.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Cohort Study on the Management of Young Patients with Newly Diagnosed Type 2 Diabetes Using Mobile Medical Applications

Hao

2018

Diabetes Ther

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IntroductionThe aim of this study was to evaluate the effect of using a mobile medical application (app) for self-monitoring of blood glucose (SMBG) and blood glucose control in young patients with newly diagnosed type 2 diabetes mellitus (T2DM).MethodsThis was a prospective cohort study involving young patients with newly diagnosed T2DM. On a voluntary basis, the patients chose to be included in a group in which they were followed up for 24 weeks with a mobile medical app and the changes in laboratory data and frequency of SMBG observed via the app, or in a group in which they received traditional medical treatment and follow-up. The results between the two groups were compared.ResultsA total of 126 patients signed the informed consent form and were enrolled in the study, of whom 66 chose the mobile medical group, which used the mobile medical app, and the remaining 60 patients chose the traditional medical treatment model. The differences in the physical and chemical indicators between the app-using group and the traditional medical model group were not statistically significant at baseline (p > 0.05). At 24 weeks of treatment, the levels of glycosylated hemoglobin A1c (HbA1c), total cholesterol, triglycerides, and low-density lipoprotein cholesterol were significantly reduced in all patients compared to before treatment (p < 0.05). The app-using group had a higher HbA1c compliance rate and higher frequency of both SMBG and doctor–patient communication than the traditional medical model group (p < 0.01). The HbA1c compliance rate of patients using the mobile medical app was 1.53-fold higher than that of the traditional medical model group. At 24 weeks, HbA1c was negatively correlated with the frequency of SMBG (r = − 0.208, p = 0.020) and the frequency of doctor–patient communication (r = − 0.323, p = 0.000). Additionally, there was a positive correlation between the frequency of SMBG and doctor–patient communication (r = 0.579, p = 0.000).ConclusionA mobile medical app is helpful to young patients with newly diagnosed T2DM for monitoring their blood glucose level and improving their blood glucose control to meet the standard.

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Section: Discussionmentioning

confidence: 99%

A Prospective Cohort Study on the Management of Young Patients with Newly Diagnosed Type 2 Diabetes Using Mobile Medical Applications

Hao

2018

Diabetes Ther

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“…26 Users report high levels of satisfaction with diabetes apps. 27,28 Increased app use has been strongly correlated with improved diabetes management, including improved knowledge about diabetes and improved DSM behaviors such as blood glucose (BG) monitoring and insulin administration [27][28][29][30] and reductions in HbA1c. [31][32][33] However, the sheer number of diabetes apps available can be overwhelming.…”

Section: Virtual Education and Medical Visitsmentioning

confidence: 99%

Virtual Coaching to Enhance Diabetes Care

Ramchandani

2019

Diabetes Technology & Therapeutics

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Rates of diabetes are increasing worldwide and there is not a sufficient clinical workforce to care for these patients. Diabetes-related apps are a feasible way to provide diabetes education to large numbers of people with diabetes but attrition rates are high. Apps enhanced by virtual coaching may be a way to circumnavigate these problems. Virtual coaches are able to address common treatment barriers and other health disparities by providing data-driven individualized support in real time, at any time of day, and from anywhere. Enhanced glycemic benefits have been seen in those who use an app plus virtual coaching versus those who use an app alone, along with clinically meaningful behavior change, psychosocial effects, prolonged engagement, and high levels of satisfaction with the system. More research needs to be done to determine the longitudinal and widespread effects of virtual coaching in different populations.

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“…Creating such a model cannot be achieved until some practical problems are solved in terms of digital health literacy and diabetes data interoperability. 25,26 Why Can't I See My Data?…”

Section: Evidence and Excusesmentioning

confidence: 99%

A Digital-First Model of Diabetes Care

Cafazzo

2019

Diabetes Technology & Therapeutics

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If we were to create the diabetes care experience anew, there is little doubt that it would not resemble the current bricks-and-mortar way we do things currently. For however a future model of care is designed, it would assume a digital-first approach, whereby the modern conveniences of digitally-mediated services we have experienced in other industries would be reflected in our diabetes care. To this end, our diabetes data would be liberated, transparent to those that need it, but safe and secure otherwise. We would have access to new tools that create insights that lower the burden, not add to it. And access to care would be just in time, convenient, and from a distance when needed. What is stopping a digital-first model is complex and deeply seated, but not insurmountable with engagement from industry, regulators, and care providers that are all willing to modernize the way care is delivered. Personal human interaction will continue to play an important part in the care for millions of people living with diabetes, no matter the sophistication of these digital services. What these technologies will provide is the human capacity to deal with the higher need, vulnerable people for whom access to timely care is an issue. Moreover, it will provide choice for an increasingly diverse population that seeks options for the form, and the delivery, of their personalized care.

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Digital Diabetes Management Application Improves Glycemic Outcomes in People With Type 1 and Type 2 Diabetes

Abstract: Users of the mobile platform tested their BG more often and demonstrated greater improvement in blood glucose compared to users who did not use the mobile platform. This supports previous studies indicating that digital technologies can enhance diabetes care in a real-world setting.

Cited by 61 publications

References 20 publications

A Prospective Cohort Study on the Management of Young Patients with Newly Diagnosed Type 2 Diabetes Using Mobile Medical Applications

A Prospective Cohort Study on the Management of Young Patients with Newly Diagnosed Type 2 Diabetes Using Mobile Medical Applications

Virtual Coaching to Enhance Diabetes Care

A Digital-First Model of Diabetes Care

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