A Digital Ecosystem of Diabetes Data and Technology: Services, Systems, and Tools Enabled by Wearables, Sensors, and Apps
Open accessAbstract
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 measuredSuch 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].”
From Advanced Diabetes Management Using Artificial Intelligence and Continuous Glucose Monitoring Sensors (2020) · cites this paper as [66]
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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
- Publisher
- SAGE Publications
- Published
- 2015-12-20
- Volume
- 10
- Issue
- 1
- Pages
- 35-41
- ISSN
- 1932-2968 (ISSN-L)
- PMC
- PMC4738231
- 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
- bronze
- doi.org
- 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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