TY  - JOUR
AU  - Osborn, Chandra Y
AU  - van Ginkel, Joost R
AU  - Marrero, David G
AU  - Rodbard, David
AU  - Huddleston, Brian
AU  - Dachis, Jeff
PY  - 2017
DA  - 2017/11/29
TI  - One Drop | Mobile on iPhone and Apple Watch: An Evaluation of HbA1c Improvement Associated With Tracking Self-Care
JO  - JMIR Mhealth Uhealth
SP  - e179
VL  - 5
IS  - 11
KW  - type 1 diabetes
KW  - type 2 diabetes
KW  - mobile health
KW  - mobile phone
KW  - smartwatch
KW  - glycated hemoglobin A1c
KW  - HbA1c
KW  - glycemic control
KW  - self-care behavior
AB  - Background: The One Drop | Mobile app supports manual and passive (via HealthKit and One Drop’s glucose meter) tracking of self-care and glycated hemoglobin A1c (HbA1c). Objective: We assessed the HbA1c change of a sample of people with type 1 diabetes (T1D) or type 2 diabetes (T2D) using the One Drop | Mobile app on iPhone and Apple Watch, and tested relationships between self-care tracking with the app and HbA1c change. Methods: In June 2017, we identified people with diabetes using the One Drop | Mobile app on iPhone and Apple Watch who entered two HbA1c measurements in the app 60 to 365 days apart. We assessed the relationship between using the app and HbA1c change. Results: Users had T1D (n=65) or T2D (n=191), were 22.7% (58/219) female, with diabetes for a mean 8.34 (SD 8.79) years, and tracked a mean 2176.35 (SD 3430.23) self-care activities between HbA1c entries. There was a significant 1.36% or 14.9 mmol/mol HbA1c reduction (F=62.60, P<.001) from the first (8.72%, 71.8 mmol/mol) to second HbA1c (7.36%, 56.9 mmol/mol) measurement. Tracking carbohydrates was independently associated with greater HbA1c improvement (all P<.01). Conclusions: Using One Drop | Mobile on iPhone and Apple Watch may favorably impact glycemic control. 
SN  - 2291-5222
UR  - http://mhealth.jmir.org/2017/11/e179/
UR  - https://doi.org/10.2196/mhealth.8781
UR  - http://www.ncbi.nlm.nih.gov/pubmed/29187344
DO  - 10.2196/mhealth.8781
ID  - info:doi/10.2196/mhealth.8781
ER  -