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Glucose Buddy app associated with improved type 1 HbA1c in a trial

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Adults with poorly controlled type 1 diabetes using Glucose Buddy plus weekly educator texts lowered HbA1c versus usual care.

Source

Diabetes self-management smartphone application for adults with type 1 diabetes: randomized controlled trial

Kirwan M, Vandelanotte C, Fenning A, et al. · Journal of medical Internet research · 2013

doi.org/10.2196/jmir.2588Read the full paper ↗225 citationscc by

Study at a glance

Design
RCT — Glucose Buddy app plus weekly CDE text feedback vs usual care
N
N=72 · Adults with type 1 diabetes; outcomes to 9 months
Population
Adults with type 1 diabetes using a smartphone self-management app
Outcome
HbA1c change vs usual care

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

Two-arm RCT randomized 72 adults with type 1 diabetes to Glucose Buddy smartphone self-management plus weekly CDE text feedback versus usual care, with outcomes to 9 months.

What they found

App plus feedback produced a significant HbA1c decrease versus usual care; usage frequency did not clearly mediate the HbA1c change.

The limits

What it doesn't show

Whether app alone without CDE texts works, long-term durability beyond the trial, or QoL gains despite better glycemia.

Key terms

HbA1c
Glycated hemoglobin reflecting average glucose over ~3 months.
Type 1 diabetes
Autoimmune insulin deficiency requiring lifelong insulin therapy.
Glucose Buddy
Smartphone diabetes self-management application used in the trial.
Certified Diabetes Educator (CDE)
Clinician providing structured diabetes education and feedback.
Usual care
Standard secondary diabetes care without the study app package.
Self-management
Patient behaviours monitoring and adjusting diabetes day to day.

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Randomized N was:

Common questions

How many people were randomized?

72 adults with type 1 diabetes.

What was the intervention package?

Glucose Buddy app plus weekly text-message feedback from a CDE.

What improved?

Glycemic control (HbA1c) versus usual care.

Did heavier app use clearly explain HbA1c change?

No significant mediation by usage/text frequency was shown.

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