Cited by 98Diabetes Management and ResearchMobile Health and mHealth ApplicationsDiabetes Management and Education

A Digital Ecosystem of Diabetes Data and Technology: Services, Systems, and Tools Enabled by Wearables, Sensors, and Apps

Open access
Heintzman, Nathaniel D.·2016·Journal of Diabetes Science and Technology

Abstract

The management of type 1 diabetes (T1D) ideally involves regimented measurement of various health signals; constant interpretation of diverse kinds of data; and consistent cohesion between patients, caregivers, and health care professionals (HCPs). In the context of myriad factors that influence blood glucose dynamics for each individual patient (eg, medication, activity, diet, stress, sleep quality, hormones, environment), such coordination of self-management and clinical care is a great challenge, amplified by the routine unavailability of many types of data thought to be useful in diabetes decision-making. While much remains to be understood about the physiology of diabetes and blood glucose dynamics at the level of the individual, recent and emerging medical and consumer technologies are helping the diabetes community to take great strides toward truly personalized, real-time, data-driven management of this chronic disease. This review describes “connected” technologies—such as smartphone apps, and wearable devices and sensors—which comprise part of a new digital ecosystem of data-driven tools that can link patients and their care teams for precision management of diabetes. These connected technologies are rich sources of physiologic, behavioral, and contextual data that can be integrated and analyzed in “the cloud” for research into personal models of glycemic dynamics, and employed in a multitude of applications for mobile health (mHealth) and telemedicine in diabetes care.

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  • Passive data collection makes a more useful and less burdensome diabetes app.

    “Passive data collection makes a more useful and less burdensome diabetes app [1,8].”

    From One drop | Mobile on iPhone and apple watch: an evaluation of hbA1c improvement associated with tracking self-care (2017) · cites this paper as [1]

    In “There’s an App for That,” the paper describes manual diabetes-data logging as burdensome and says successful apps are likely to combine passive data collection with interactive incentives and personalized feedback. This supports the less-burdensome rationale, but does not establish that passive collection alone makes an app more useful. (LLM, conf=0.83)

    Experimental — accuracy not yet measured
  • Such data integration could contribute to generating a digital ecosystem of diabetes data that can be used to extract new medical knowledge that cannot be discovered by relying on a single source of information.

    “Such data integration could contribute to generating a digital ecosystem of diabetes data that can be used to extract new medical knowledge that cannot be discovered by relying on a single source of information [66,67].”

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Research works printed but not linked: 2

  1. Wendel J, Heintzman ND. Open-source framework for inte- grating and visualizing multimodal data from geolocation, diabetes, and exercise devices. Diabetes Technol Ther. 2013; 15:A117-A118.
  2. Messori M, Cobelli C, Magni L. Artificial pancreas: from in- silico to in-vivo. IFAC-PapersOnLine. 2015;48:1300-1308.

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Authors
Heintzman, N. D.
Affiliations
Dexcom (United States) (US)
Corresponding author
Heintzman, Nathaniel D.
Venue
Journal of Diabetes Science and Technology
Published
2015-12-20
Volume
10
Issue
1
Pages
35-41
ISSN
1932-2968 (ISSN-L)
OpenAlex
W2226201345
Cited by
98
References
50
Citations by year
2026: 3 · 2025: 9 · 2024: 3 · 2023: 10 · 2022: 9 · 2021: 8 · 2020: 9 · 2019: 16 · 2018: 11 · 2017: 15 · 2016: 5
FWCI
1.55
Type
journal article
Language
en
Open access
Locations
  • Journal of Diabetes Science and Technology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Dexcom
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Keywords
type 1 diabetes, digital health ecosystem, blood glucose dynamics, wearable sensors, mobile application, mobile health, telemedicine, personalized diabetes management
MeSH terms
Smartphone, Diabetes Mellitus, Type 1, Humans, Self Care, Telemedicine, Mobile Applications

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