Abstract
Aims
The primary objective was to evaluate the impact of the smart phone-based diabetes
management application, Welltang, on glycated hemoglobin (HbA1c). The second objective
was to measure whether Welltang improves blood glucose, low-density lipoprotein cholesterol,
weight, blood pressure, hypoglycemic events, satisfaction of patients to use Welltang,
diabetes knowledge of patients, and self-care behaviors.
Methods
One hundred evenly randomized subjects with diabetes, aged 18–74 years, were recruited from the outpatient Department of Endocrinology for a 3-month
study. The Welltang intervention group received training for the use of Welltang,
while the control group received their usual standard of care. HbA1c, blood glucose,
low-density lipoprotein cholesterol, weight, blood pressure, hypoglycemic events,
satisfaction of patients to use Welltang, diabetes knowledge of patients, and self-care
behaviors were measured. Patient data were analyzed using independent t test and paired sample test using SPSS version 12.
Results
The average decrease in HbA1c was 1.95% (21 mmol/mol) in the intervention group and 0.79% (8 mmol/mol) in the control group (P < 0.001). Measures of self-monitored blood glucose, diabetes knowledge, and self-care
behaviors improved in patients in the intervention group. Eighty four percent of patients
in the intervention group were satisfied with the use of Welltang. Differences in
hypoglycemic events, low-density lipoprotein cholesterol, weight, and blood pressure
were not statistically significant.
Conclusion
Diabetes patients using the Welltang application achieved statistically significant
improvements in HbA1c, blood glucose, satisfaction of patients to use of Welltang,
diabetes knowledge, and self-care behaviors.
Keywords
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Article info
Publication history
Published online: April 25, 2016
Accepted:
March 4,
2016
Received in revised form:
February 2,
2016
Received:
June 3,
2015
Identification
Copyright
© 2016 Elsevier Ireland Ltd. All rights reserved.
