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Sara Lee, MPH, CCRP1, Michele Borgstrom, RN1, Jayne Chatterton, NP1, Lindsay Nicol, RN1, Nels Thompson1, Krista Mullen1, Paul Chatterton1, Timothy Barnes, PhD, MPH1, and Laura Gandrud, MD1
1Children’s Hospitals and Clinics of Minnesota, St. Paul, Minnesota
Diabetes Control and Complications Trial (DCCT) and its long-term Race Regularly use a
White 91.0 88.6 phone app to 77.3 15.5 7.2 55.9 15.3 28.8
follow up study Epidemiology of Diabetes Interventions and Other* 9.0 11.4
manage diabetes
Willing to use a
Complications (EDIC), have both demonstrated a consistently Ethnicity
phone app to 10.9 36.9 52.2 11.1 23.1 65.9
Hispanic 3.2 2.4 manage diabetes
significant relationship between unmaintained blood glucose levels Non-Hispanic 96.8 97.6 Think a phone app
and the development and progression of long-term complications. could help me 11.9 43.9 44.3 14.6 32.7 52.7
Duration of Diagnosis improve BG control
Importantly, frequent blood glucose testing is associated with both Less than 6 months ago 3.6 13.0
6 – 11 months ago 4.0 6.1
clinically and statistically improved glycemic control. However, 1 – 2 years ago 11.2 35.9
despite the known positive relationship between frequent blood 3 – 4 years ago
5 or more years ago
18.4
62.8
26.7
18.3 Results
glucose testing and glycemic control, challenges remain in ►Participants reported being distracted, the inconvenience of
Use a Glucose meter 97.8 97.7
patients. This study aimed to address those challenges by Use an insulin pump 60.5 58.0 carrying supplies, and being too busy as barriers to frequent BG
capturing the perceived barriers related to frequent blood glucose Use a sensor 18.7 37.5
testing.
testing and use of mobile applications for diabetes management a Frequency Blood Sugar Checks
Less than once a day 0.7 0
pediatric T1D population. Once a day 3.6 0 ►Ninety-two percent of adolescents reported using a cell phone
2-3 times a day 29.6 3.1
4-6 times a day 54.2 52.7 daily, with less than 25% of adolescents regularly using a phone
Objective 7 or more times a day 11.9 44.2 app to manage T1D.
HbA1C
Describe the perceived barriers related to frequent blood glucose < 7.0% 18.4 16.3
7.0-7.9% 24.9 39.8 ►Ninety-nine percent of parents of children < 12 years reported
testing and use of mobile applications for diabetes management in 8.0-8.9% 24.5 31.7 using a cell phone daily, with 44% of parents regularly using a
a pediatric T1D population. 9.0-9.9% 16.3 8.9
phone app to manage their child’s T1D.
10% or greater 15.9 3.3
*Black or African-American ,Asian, Native Hawaiian or other Pacific Islander, American Indian or Alaska Native, or Other
frequency 2. Klein R, Klein BE, Moss SE, Davis MD, DeMets DL. Glycosylated hemoglobin predicts the incidence and progression of diabetic retinopathy. JAMA 1988;260:2864-2871
attitudes towards health information sharing. Most questions Assembly of lancets 3. Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications
and test strips stops
utilized a Likert-type scale response. me from testing as 89.2 7.9 2.9 89.1 7.9 3.0 in insulin-dependent diabetes mellitus. N Engl J Med 1993;329:977-986
frequently 4. Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group. Retinopathy and nephropathy in patients with type
1 diabetes four years after a trial of intensive therapy. N Engl J Med 2000;342:381-389[Erratum, N Engl J Med 2000;342:1376.]
►Basic descriptive statistics were used to describe the patients’ 5. The Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research Group N Engl J Med 2005;
353:2643-2653December 22, 2005