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Smartphone Apps for Diabetes
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Transcript of Smartphone Apps for Diabetes
Smartphone Apps for Diabetes
Chris Cheyette BSc MSc RDSenior Diabetes Dietitian (Kings College Hospital)
Author Carbs & Cals
Global mobile health market report 2010-2015 http://www.research2guidance.com/shop/index.php/mhealth-report
• 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?
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
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
Cost: £1.49Pros: Easy to set up, can reduce dose for exercise, CHO in grams or exchanges, mmol/l or mg/dlCons: No active insulin consideration, no storage of BG levels, no CHO database
Cost: £5.49Pros: Lots of settings, graph, stores results, insulin on board, accounts for alcohol / hypo in last 6hrsCons: Users may find difficult to set up, max of 20 CPs, no carb database, cost
Cost: FreePros: Easy to use for logging BG levels, add doctor appointments / details / medical info, graphCons: No scroll wheels, no dose calculator, no units on graph, no carb database
Cost: FreePros: Integrates with calorie track, forum, graph, log BG, activity, insulin Cons: display, adverts, poor graph display
Cost: £1.99Pros: Easy to use, scroll wheels, graph, time of day averagesCons: no CHO database, no bolus calculator , no log for exercise
Cost: FreePros: CP database, BG diary, links with DAFNE online, iPhone & Android, no scroll wheelCons: No graph, may not be suitable for non DAFNE graduates, no bolus calculator
Cost: £3.99Pros: Unique photographic database of foods, iPhone & Android (Blackberry very soon), growing database including branded foods, set up targets, log exerciseNew features coming very soon include: recipe builder, barcode scanner, diabetes area, bolus advisor, USA database
Cost: FreePros: Large food database, barcode scanner, recipe builder, log exercise Cons: Primarily a weight loss app, ease of use, no diabetes area