A diabetes mobile app with in-app coaching from a certified diabetes educator reduces A1C for individuals with type 2 diabetes
Abstract
Purpose There are currently many diabetes apps available, but there is limited evidence demonstrating clinical impact. The purpose of this study is to evaluate the impact of a diabetes mobile app with in-app coaching by a certified diabetes educator on glycemic control for individuals with type 2 diabetes. Methods A 12 week-long single-arm intent-to-treat trial evaluated the impact of a diabetes mobile app and coaching program (One Drop | Mobile With One Drop | Experts), which facilitated tracking of self-care and included an in-app diabetes education program, on A1C for individuals with type 2 diabetes and an A1C ≥7.5% (58 mmol/mol). An online study platform (Achievement Studies, Evidation Health Inc, San Mateo, CA) was used to screen, consent, and enroll participants; collect study data; and track participants' progress throughout the study. Baseline and study end A1C measurements as well as questionnaire data from participants were collected. Results Participants (n = 146) were 52 ± 9 years old, 71% female, 25% black or Hispanic, diagnosed with diabetes for 11 ± 7 years, and with a mean baseline A1C of 9.87% ± 2.0 (84 mmol/mol). In adjusted repeated measures models, mean A1C improved by -0.86% among study completers (n = 127), -0.96% among active users of the app and coaching program (n = 93), and -1.32% among active users with a baseline A1C ≥9.0% (75 mmol/mol) (n = 53). Conclusions This program was associated with a clinically meaningful and significant reduction in A1C and can potentially increase access to effective diabetes self-management education and support for individuals with diabetes.
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Virtual, telehealth, or internet-based diabetes self-management education and support services have benefits for diabetes prevention and management in a wide variety of populations.
“Strong evidence now exists on the benefits of virtual, telehealth, or internet-based DSMES services for diabetes prevention and management in a wide variety of populations (43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [48]
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- Authors
- Kumar, S., Moseson, H., Uppal, J., & Juusola, J. L.
- Affiliations
- Evidation Health (United States) (US)
- Corresponding author
- Kumar, Shefali
- Venue
- The Diabetes Educator
- Publisher
- SAGE Publications
- Published
- 2018-03-24
- Volume
- 44
- Issue
- 3
- Pages
- 226-236
- ISSN
- 0145-7217 (ISSN-L)
- 1554-6063
- OpenAlex
- W2793184795
- Cited by
- 68
- References
- 23
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 8 · 2023: 10 · 2022: 10 · 2021: 14 · 2020: 10 · 2019: 7 · 2018: 3
- FWCI
- 12.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Science of Diabetes Self-Management and Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Informed Data Systems, Inc.
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, certified diabetes educator, glycemic control, HbA1c, diabetes self-management education, digital health interventions
- MeSH terms
- Mentoring, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Patient Education as Topic, Self Care, Treatment Outcome, Health Educators, Intention to Treat Analysis, Mobile Applications
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