1. Smartphone Apps for Diabetes Chris Cheyette BSc MSc RD Senior Diabetes Dietitian (Kings College Hospital) Author Carbs & Cals

6. Global mobile health market report 2010-2015 http://www.research2guidance.com/shop/index.php/mhealth- report http://www.research2guidance.com/shop/index.php/mhealth- report

7. More than 100,000 iPhone Apps released on iTunes store Over 6000 health /medical related Apps Largest cohort users is aged 25-44 Can they help behavior change? Can they improve clinical outcomes? Can they engage the ‘hard to reach’ Which apps should we recommend?

8. What makes a good quality app? Who is it made by? Is it evidence based? Has the content been reviewed? Does it cross the line to being a medical device? Draft US FDA guidelines

9. Rao et al. Journal of diabetes science and technology. 2010;4(4)949-57 Rao et al evaluated 3 diabetes apps (n=23) WaveSense Diabetes Manager only app developed by BG meter company on App store Examined self-reported ease of use but no clinical outcomes Highlighted limitations to apps: require manual entry of BG results, lack of features to help with calculating insulin based on CHO intake Apps need to keep up with developments in BG meters Diabetes Management

10. Cost: £1.49 Pros: Easy to set up, can reduce dose for exercise, CHO in grams or exchanges, mmol/l or mg/dl Cons: No active insulin consideration, no storage of BG levels, no CHO database

11. Cost: £5.49 Pros: Lots of settings, graph, stores results, insulin on board, accounts for alcohol / hypo in last 6hrs Cons: Users may find difficult to set up, max of 20 CPs, no carb database, cost

12. Cost: Free Pros: Easy to use for logging BG levels, add doctor appointments / details / medical info, graph Cons: No scroll wheels, no dose calculator, no units on graph, no carb database

13. Cost: Free Pros: Integrates with calorie track, forum, graph, log BG, activity, insulin Cons: display, adverts, poor graph display

14. Cost: £1.99 Pros: Easy to use, scroll wheels, graph, time of day averages Cons: no CHO database, no bolus calculator, no log for exercise

15. Cost: Free Pros: CP database, BG diary, links with DAFNE online, iPhone & Android, no scroll wheel Cons: No graph, may not be suitable for non DAFNE graduates, no bolus calculator

16. Cost: £3.99 Pros: Unique photographic database of foods, iPhone & Android (Blackberry very soon), growing database including branded foods, set up targets, log exercise New features coming very soon include: recipe builder, barcode scanner, diabetes area, bolus advisor, USA database

17. Cost: Free Pros: Large food database, barcode scanner, recipe builder, log exercise Cons: Primarily a weight loss app, ease of use, no diabetes area

19. Thank You! chris.cheyette@nhs.net www.carbsandcals.com