Rotary diabetes management: mHealth application connected with the caregiver


The number of mobile apps designed to make life easier for patients with diabetes is constantly growing. However, disconnected from care cycles, most are useless to patients.

Management of mobile diabetes in real life

Typically, mobile software for diabetes only offers a set of useful tools especially for self-control, i.e. tracking vital factors such as activity, blood pressure, nutrition and others. This information is kept on the patient’s device, serving as a maximum motivating element.

As a result, caregivers are unaware of the patient’s health status between appointments, exams, and tests. Therefore, they cannot recognize a condition pattern, reduce complications, and fulfill the basic mission of values-based care: higher outcomes.

Bringing patients and caregivers together requires building a bridge between a mobile diabetes app and a caregiver’s EHR. With this bridge, the care cycle can escape the communication and information gaps, and patients will feel permanently connected to their provider.

Below is a concept of an EHR-based diabetes management application designed to treat type 1 and type 2 diabetes.


The core of the concept is a HIPAA compliant Diabetes management system (DMS) linked to EHR and mobile application (as backend).

The DMS offers elements of health data analysis, alert and information exchange. It receives patient data from the EHR and the patient directly, analyzes them, and, if necessary, notifies physicians and other members of the care team (e.g., when, according to the latest laboratory results, HbA).1c level is above the predefined threshold).

From doctor to patient: guidelines for the treatment plan

The diabetes management system provides patients with personalized EHR information, such as:

  • Drug intake schedule (according to treatment plan)
  • Nutrition recommendations (best protein food options, diabetes diet tips, guidelines for drinking alcohol, and more)
  • Instructions (proper insulin injection algorithm, blood pressure control scheme, personal hygiene milestones and more)
  • Motivation (elements of successful gamification, exchange of social networks, goal setting and others)

Patient to doctor: health status updates

Between appointments, patients can share theirs state of health information with caregivers, including data such as:

  • Subjective
  • Photos of feet
  • Goal
  • Insulin and medication intake

Patients only enter their data in the corresponding fields and tap “Submit”. In addition, the app can connect to other diabetes-related devices (instant glucometers, CGM, insulin pumps) and include information collected about patient messages.

Possible scenario of use

A doctor creates a personal treatment plan in the EHR or diabetes management system based on the type of diabetes of a particular patient, HbA1c level, comorbidities, allergies, level of physical activity, nutritional habits and more.

The patient receives the treatment plan through the mobile app and follows the guidelines, for example, the recommendations and instructions described above. In the app, they can specify the daily regimen to receive relevant reminders about medication intake. To ensure the most accurate compliance with the treatment plan, the patient should keep a diary and send the caregiver information such as daily glucose, blood pressure, diet, physical activity, mood, and medication intake. And the app can do it all.

Based on the processed data, the diabetes management system will monitor the patient’s health status and, if necessary, notify the physician or patient (through the diabetes application such as this).

For example, the app may warn a person about the risk of complications and recommend an appointment with a doctor when glucose levels rise slowly due to a gradual increase in insulin resistance or decreased secretion of insulin. ‘insulin. In addition, the software can also alert the patient to the risk of hyperglycemia in case the patient’s diet contains excessive amounts of carbohydrates or their physical activity is not regular.

The health professional can then adjust the treatment plan accordingly or suggest to the patient to schedule an appointment to discuss changes in their condition. All of these communication elements are maintained through DMS-based notifications.

Alternative to a mobile application

In some cases, a medical website may be an alternative to a mobile app, although it is less convenient and attractive. A mHealth diabetes app provides more personalization as it is installed on a patient’s personal device. In this way, a person tends to use the software more often, which is beneficial for both them and the caregiver.

Why use a mobile app for diabetes management

Rotary management of diabetes: benefits

Patients and caregivers benefit from the new generation development of mobile health applications approach, where applications are closely integrated into the daily management of chronic disease.

In particular, an EHR-connected mHealth application to manage diabetes guarantees the following benefits:

  • Revolutionize care delivery through continuous and constant communication with patients
  • Improve health outcomes, reducing the risk of complications caused by hypoglycemia and hyperglycemia (up to retinopathy, angiopathy, neuropathy and others)
  • Advanced patient involvement
  • Educate patients on how to manage their conditions in the comfort of their home, thus reducing the need for clinic visits (especially useful for the health of the rural population)

If you would like to learn more about mHealth applications for diabetes, as well as the concept of the diabetes management system and its integration into your EHR, feel free to contact us. We will be happy to offer you one free consultation ia PoC.

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