Six-month Outcomes of Mobile Phone Application-based Self-management in a Patient with Type 2 Diabetes.
- Author:
Mi Kyeong HONG
1
;
Young Yun CHO
;
Mi Yong RHA
;
Jae Hyeon KIM
;
Moon Kyu LEE
Author Information
- Publication Type:Case Report
- Keywords: Type 2 diabetes mellitus; Nutrition therapy; Mobile application
- MeSH: Blood Glucose; Body Composition; Body Weight; Cellular Phone*; Diabetes Mellitus, Type 2; Education; Follow-Up Studies; Humans; Metformin; Middle Aged; Mobile Applications; Nutrition Therapy; Prescriptions; Self Care*; Waist Circumference
- From:Clinical Nutrition Research 2015;4(3):201-207
- CountryRepublic of Korea
- Language:English
- Abstract: We report the case in order to examine the effect of a mobile application program ("Diabetes & Nutrition") developed in 2011-2012 for self-management in patients with type 2 diabetes and to recommend important considerations when the mobile application program is developed. A 46-year-old man was newly diagnosed with type 2 diabetes in 2013 and had no complications. The height of the patient was 168 cm and the body weight was 75.6 kg. Nutrition education was conducted according to a medical prescription, and follow-up nutrition education was conducted after 3 and 6 months. After nutrition education, the patient was engaged in self-management using "Diabetes & Nutrition" program during 3 months. At 3 months, the body weight had decreased by 4.4 kg (from 75.6 to 71.2 kg), waist circumference by 5 cm (from 88 to 83 cm) and HbA1c level from 7.9% to 6.1%. Also at 3 months, the medication was reduced from from the dose of 850 mg to the dose of 500 mg metformin per twice a day. Since then, the patient did not continue to use the "Diabetes & Nutrition" because the level of blood glucose had stabilized, and the patient felt inconvenient and annoying to use the program. At 6 months, no significant change in the body weight and body composition was observed in comparison with those at 3 months. The present case demonstrates that the early use of "Diabetes & Nutrition" could be helpful for self-management of glycemic control in patients with type 2 diabetes. Developing self-management mobile application programs in the future will require strategies of how to promote continuous use of application program and self-management of type 2 diabetes.
