Effect of Personal Health Record (PHR) Application Use for Glycemic Control in Patients With Diabetes Mellitus Using Insulin

Abstract

We performed a retrospective study on the HbA1c lowering effect of a personal health record (PHR) application, Health2Sync, in the treatment of patients with type 1 and type 2 diabetes mellitus (T1DM and T2DM). We analyzed 49 patients (35 patients with T1DM and 14 with T2DM) using Health2Sync to examine changes in HbA1c, body weight, body mass index (BMI), and insulin dose for four months after the initiation of treatment. The changes were also reviewed according to frequency of application usage (<15 or ≥15 times per month). Overall, HbA1c values improved significantly, from 7.65±0.83 % at the initiation of the study to 7.50±0.87 % at four months. The frequent user group continued to maintain a significant decrease in HbA1c (the greatest decrease was 0.28 %) for four months after the initiation of therapy, without showing any changes in insulin dose or BMI. The study suggests that the PHR application may help improve HbA1c values in patients under insulin treatment regardless of the type of diabetes.