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Smartphone Apps for Diabetes Chris Cheyette BSc MSc RD Senior Diabetes Dietitian (Kings College Hospital) Author Carbs & Cals

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Global mobile health market report 2010-2015 http://www.research2guidance.com/shop/index.php/mhealth- report http://www.research2guidance.com/shop/index.php/mhealth- report

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More than 100,000 iPhone Apps released on iTunes store Over 6000 health /medical related Apps Largest cohort users is aged 25-44 Can they help behavior change? Can they improve clinical outcomes? Can they engage the hard to reach Which apps should we recommend?

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What makes a good quality app? Who is it made by? Is it evidence based? Has the content been reviewed? Does it cross the line to being a medical device? Draft US FDA guidelines

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Rao et al. Journal of diabetes science and technology. 2010;4(4)949-57 Rao et al evaluated 3 diabetes apps (n=23) WaveSense Diabetes Manager only app developed by BG meter company on App store Examined self-reported ease of use but no clinical outcomes Highlighted limitations to apps: require manual entry of BG results, lack of features to help with calculating insulin based on CHO intake Apps need to keep up with developments in BG meters Diabetes Management

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Cost: 1.49 Pros: Easy to set up, can reduce dose for exercise, CHO in grams or exchanges, mmol/l or mg/dl Cons: No active insulin consideration, no storage of BG levels, no CHO database

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Cost: 5.49 Pros: Lots of settings, graph, stores results, insulin on board, accounts for alcohol / hypo in last 6hrs Cons: Users may find difficult to set up, max of 20 CPs, no carb database, cost

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Cost: Free Pros: Easy to use for logging BG levels, add doctor appointments / details / medical info, graph Cons: No scroll wheels, no dose calculator, no units on graph, no carb database

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Cost: Free Pros: Integrates with calorie track, forum, graph, log BG, activity, insulin Cons: display, adverts, poor graph display

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Cost: 1.99 Pros: Easy to use, scroll wheels, graph, time of day averages Cons: no CHO database, no bolus calculator, no log for exercise

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Cost: Free Pros: CP database, BG diary, links with DAFNE online, iPhone & Android, no scroll wheel Cons: No graph, may not be suitable for non DAFNE graduates, no bolus calculator

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Cost: 3.99 Pros: Unique photographic database of foods, iPhone & Android (Blackberry very soon), growing database including branded foods, set up targets, log exercise New features coming very soon include: recipe builder, barcode scanner, diabetes area, bolus advisor, USA database

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Cost: Free Pros: Large food database, barcode scanner, recipe builder, log exercise Cons: Primarily a weight loss app, ease of use, no diabetes area

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Thank You! chris.cheyette@nhs.net www.carbsandcals.com