The use of technology in diabetes is helpful for glycemic control. My Dose CoachTM, is a mobile app, that can suggest optimized basal insulin injection doses using fasting blood glucose and hypoglycemia data. The aim of this study was to evaluate the effect of using My dose CoachTM in achivieng Self- Measured plasma Glucose (SMPG) goal of 90-130 mg/dl (5-7.2 mmol/L) and improving WHO´s Five Well Being Index (WBI).
This experimental study involved the use of My Dose CoachTM previously programed with a titration scheme according to fasting glucose in patients with type 2 diabetes that were treated with basal insulin in Clinica Nova in Monterrey, Mexico. We followed the patients for 16 weeks. According to WBI, a change higher than 10% is considered significant. Descriptive statistics and student t-tests were used when appropriate.
We included 158 patients (46.8% women), mean (SD) age 51 (10.3) years. One hundred forty-one completed the study (89%). Three patients suspended insulin needs. Sixty eight percent achieved the SMPG goal. There was a mean (95CI) increase of 2.23 (-3, -1.4, p<0.01) points in WBI scale (12.3%). There was no change in mean (95CI) units of insulin needed [-1.48 IU (-3.5,0.5, p= 0.15)].
My dose Coach was effective in helping patients to achieve SPMG goals, and in increase of WBI.