Clin Nutr Res.  2015 Jul;4(3):201-207. 10.7762/cnr.2015.4.3.201.

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

• KMID: 2148630
• DOI: http://doi.org/10.7762/cnr.2015.4.3.201

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.

Keyword

Type 2 diabetes mellitus; Nutrition therapy; Mobile application

MeSH Terms

Blood Glucose
Body Composition
Body Weight
Cellular Phone*
Diabetes Mellitus, Type 2
Education
Follow-Up Studies
Humans
Metformin
Middle Aged
Mobile Applications
Nutrition Therapy
Prescriptions
Self Care*
Waist Circumference
Blood Glucose
Metformin

Figure

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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.

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  Figure 2 The dietary record of the day before the 3-month visit using "Diabetes & Nutrition" vs. by 24-hr recall method. (A) A report screen of "Diabetes & Nutrition" about daily dietary record : (a) food intake lists, (b) recommended calories vs. actual calorie intake, (c) intake exchange units of recommendation vs. exchange units of actual intake. (B) A dietitian's reassessment of intake exchange units from using 24-hour recall.

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