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Six-month Outcomes of Mobile Phone Application-based Self-management in a Patient with Type 2 Diabetes.

Hong MK, Cho YY, Rha MY, Kim JH, Lee MK - Clin Nutr Res (2015)

Bottom Line: At 3 months, the body weight had decreased by 4.4 kg (from 75.6 to 71.2 kg), waist circumference by 5 cm (from 88 to 83 cm) and HbA1c level from 7.9% to 6.1%.Also at 3 months, the medication was reduced from from the dose of 850 mg to the dose of 500 mg metformin per twice a day.At 6 months, no significant change in the body weight and body composition was observed in comparison with those at 3 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Dietetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

ABSTRACT
We report the case in order to examine the effect of a mobile application program ("Diabetes & Nutrition") developed in 2011-2012 for self-management in patients with type 2 diabetes and to recommend important considerations when the mobile application program is developed. A 46-year-old man was newly diagnosed with type 2 diabetes in 2013 and had no complications. The height of the patient was 168 cm and the body weight was 75.6 kg. Nutrition education was conducted according to a medical prescription, and follow-up nutrition education was conducted after 3 and 6 months. After nutrition education, the patient was engaged in self-management using "Diabetes & Nutrition" program during 3 months. At 3 months, the body weight had decreased by 4.4 kg (from 75.6 to 71.2 kg), waist circumference by 5 cm (from 88 to 83 cm) and HbA1c level from 7.9% to 6.1%. Also at 3 months, the medication was reduced from from the dose of 850 mg to the dose of 500 mg metformin per twice a day. Since then, the patient did not continue to use the "Diabetes & Nutrition" because the level of blood glucose had stabilized, and the patient felt inconvenient and annoying to use the program. At 6 months, no significant change in the body weight and body composition was observed in comparison with those at 3 months. The present case demonstrates that the early use of "Diabetes & Nutrition" could be helpful for self-management of glycemic control in patients with type 2 diabetes. Developing self-management mobile application programs in the future will require strategies of how to promote continuous use of application program and self-management of type 2 diabetes.

No MeSH data available.


Related in: MedlinePlus

Data input screen of "Diabetes & Nutrition". (A) The first screen consists of five categories (a) information about diabetes, (b) self-inputs of blood glucose levels, (c) food intake record, (d) comprehensive report screen, (e) my page. (B) Food intake record screen using (a) food exchange lists or (b) searching for food. (C) Sample screen of food exchange lists.
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Figure 1: Data input screen of "Diabetes & Nutrition". (A) The first screen consists of five categories (a) information about diabetes, (b) self-inputs of blood glucose levels, (c) food intake record, (d) comprehensive report screen, (e) my page. (B) Food intake record screen using (a) food exchange lists or (b) searching for food. (C) Sample screen of food exchange lists.

Mentions: Diabetes is a chronic and systemic disease characterized by metabolic disorders of carbohydrate, protein, fat, and insulin, and abnormal structures and functions of blood vessels and nerves [1]. Continuous self-management is highly important for the prevention of several complications after diagnosis of diabetes [23]. The diet and exercise therapies are typical methods of self-management but somewhat difficult to implement. Especially for dietary therapy, it may be extremely difficult for patients themselves to calculate their dietary intake and understand their nutrition problems with attending just a single educational session [4]. Therefore, the effective tool is required to enable the provision of correct information and education as well as to encourage continuous practice [5]. Recently various programs designed for self-management such as diet evaluation and blood glucose monitoring by using the Internet or smartphone application have been much developed along with remarkable advances in the technology of information and communications [6]. The use of such programs had several advantages; easy of self-diagnosis, reinforced monitoring, and efficient communications with medical professionals in relation to a disease management [789]. Based on such benefits the Nutrition Team and Department of Endocrinology at Samsung Medical Center (SMC) in Seoul jointly developed a mobile phone application, named "Diabetes & Nutrition" to help patients self-manage dietary therapy for diabetes in 2011-2012 (Figure 1).


Six-month Outcomes of Mobile Phone Application-based Self-management in a Patient with Type 2 Diabetes.

Hong MK, Cho YY, Rha MY, Kim JH, Lee MK - Clin Nutr Res (2015)

Data input screen of "Diabetes & Nutrition". (A) The first screen consists of five categories (a) information about diabetes, (b) self-inputs of blood glucose levels, (c) food intake record, (d) comprehensive report screen, (e) my page. (B) Food intake record screen using (a) food exchange lists or (b) searching for food. (C) Sample screen of food exchange lists.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4525137&req=5

Figure 1: Data input screen of "Diabetes & Nutrition". (A) The first screen consists of five categories (a) information about diabetes, (b) self-inputs of blood glucose levels, (c) food intake record, (d) comprehensive report screen, (e) my page. (B) Food intake record screen using (a) food exchange lists or (b) searching for food. (C) Sample screen of food exchange lists.
Mentions: Diabetes is a chronic and systemic disease characterized by metabolic disorders of carbohydrate, protein, fat, and insulin, and abnormal structures and functions of blood vessels and nerves [1]. Continuous self-management is highly important for the prevention of several complications after diagnosis of diabetes [23]. The diet and exercise therapies are typical methods of self-management but somewhat difficult to implement. Especially for dietary therapy, it may be extremely difficult for patients themselves to calculate their dietary intake and understand their nutrition problems with attending just a single educational session [4]. Therefore, the effective tool is required to enable the provision of correct information and education as well as to encourage continuous practice [5]. Recently various programs designed for self-management such as diet evaluation and blood glucose monitoring by using the Internet or smartphone application have been much developed along with remarkable advances in the technology of information and communications [6]. The use of such programs had several advantages; easy of self-diagnosis, reinforced monitoring, and efficient communications with medical professionals in relation to a disease management [789]. Based on such benefits the Nutrition Team and Department of Endocrinology at Samsung Medical Center (SMC) in Seoul jointly developed a mobile phone application, named "Diabetes & Nutrition" to help patients self-manage dietary therapy for diabetes in 2011-2012 (Figure 1).

Bottom Line: At 3 months, the body weight had decreased by 4.4 kg (from 75.6 to 71.2 kg), waist circumference by 5 cm (from 88 to 83 cm) and HbA1c level from 7.9% to 6.1%.Also at 3 months, the medication was reduced from from the dose of 850 mg to the dose of 500 mg metformin per twice a day.At 6 months, no significant change in the body weight and body composition was observed in comparison with those at 3 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Dietetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

ABSTRACT
We report the case in order to examine the effect of a mobile application program ("Diabetes & Nutrition") developed in 2011-2012 for self-management in patients with type 2 diabetes and to recommend important considerations when the mobile application program is developed. A 46-year-old man was newly diagnosed with type 2 diabetes in 2013 and had no complications. The height of the patient was 168 cm and the body weight was 75.6 kg. Nutrition education was conducted according to a medical prescription, and follow-up nutrition education was conducted after 3 and 6 months. After nutrition education, the patient was engaged in self-management using "Diabetes & Nutrition" program during 3 months. At 3 months, the body weight had decreased by 4.4 kg (from 75.6 to 71.2 kg), waist circumference by 5 cm (from 88 to 83 cm) and HbA1c level from 7.9% to 6.1%. Also at 3 months, the medication was reduced from from the dose of 850 mg to the dose of 500 mg metformin per twice a day. Since then, the patient did not continue to use the "Diabetes & Nutrition" because the level of blood glucose had stabilized, and the patient felt inconvenient and annoying to use the program. At 6 months, no significant change in the body weight and body composition was observed in comparison with those at 3 months. The present case demonstrates that the early use of "Diabetes & Nutrition" could be helpful for self-management of glycemic control in patients with type 2 diabetes. Developing self-management mobile application programs in the future will require strategies of how to promote continuous use of application program and self-management of type 2 diabetes.

No MeSH data available.


Related in: MedlinePlus