Susan Hunter-Schulze MS RD CDE
University of Maryland
Center for Diabetes and Endocrinology
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Review of technological advancements
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Provide practical ways to use technology
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Review some of the benefits for youth and
adults with diabetes
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Computer download of glucometers
Internet and phone apps
Blood glucose monitoring
Carbohydrate counting, recipes & logs
Nutrition information
Activity logs
Support network
Mobile-phone use in diabetes management
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Available with most glucometers
Requires set-up in clinic setting
Provide reminders to bring meter
Patient obtains feedback
Team utilizes data for identifying patterns
and making necessary changes
Aviva
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Blood glucose logs and trends
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Carbohydrate counting and logs
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Nutrition information and recipe analysis
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Activity impact and logs
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Support network
• “Best Diabetes Mobile iPhone Apps”
Nutrition Informatics Committee of
Academy of Nutrition and Dietetics
x Diabetes App Reviews
• Diabetes Mall
x http://www.diabetesnet.com/
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www.calorieking.com
Diabetes Companion
http://www.gomeals.com
Carbscontrol
sparkpeople.com
Fitday.com
Dlife.com
FitWatch Recipe Analyzer - chili (serves 8)
Nutrition Facts
Amount per serving
Calories:
Water
Carbohydrate (18%)
Protein (43%)
Total Fat (39%)
Monounsaturated
Polyunsaturated
128.7 kcal
58.66 g
5.85 g
13.37 g
5.56 g
2.03 g
1.4 g
Saturated
1.42 g
Cholesterol
42.08 g
Dietary Fibre
1.82 g
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National Restaurant Menu Labeling
USDA ChooseMyPlate.gov
Nutrition Labeling
2010 Dietary Guidelines for Americans
WeCan Program
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Legislation in March, 2010
Includes those with more than 20 locations
Disclosure of calorie information
Make available nutrient information
New guidelines issued in April, 2011
Issues related to extent consumers rely on
food prepared away from home
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Super Tracker
Food analysis
choosemyplate.gov/SuperTracker/foodtracker
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Myfitness pal (Android) My Fitness Pal
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Vree http://www.vree-health.com
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Sparkpeople.comActivity impact and logs
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Social networks can influence body weight
and health-related lifestyle behaviors
“The Social Network Diet” by Miriam Nelson
Online social networks can benefit those
attempting behavior change
Tufts Health&Nutrition Letter,October,2011
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StickK.com
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Loseit!(iPhone, iPad and Internet)
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Sparkpeople.com
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Compared usual care with usual care with webbased intervention
62 adult for 6 month intervention
Outcomes included quality of life, depression,
social support and self-efficacy
Results showed significant improvement with
intervention group
DiabetesEducator 2010,36(3),446.
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163 patients in 20 primary care practices
Compared glycated hemoglobin in patients given
usual diabetes care compared to care that
included mobile application and coaching
Patients entered their bg and received education
and behavioral messages
Intervention group with maximal intervention had
decrease of 1.9% in glycated hemoglobin
compared to 0.7% decrease in group with usual
care.
DiabetesCare2011,(34)1934.
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39 adolescents who had had diabetes for at least 1
year
6 month study with survey of adolescent and their
parent(s) every 3 months
System automatically transmitted SMBG to HCP
Cell phone glucose monitoring system that used
portal that HCP could view.
Results: Adolescent has positive feelings about the
system but did not change factors such as quality
of life, level of conflict with parents, average
glucose control
DiabetesEducator2011(37:1),59.
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Need for a combination of methods and resources
to help manage diabetes.
Older adults can benefit from the technology that
the youth have grown up with and embrace.
Adolescents that will be taking on the
responsibility for managing diabetes will need to
utilize the many resources.