Endocrine Abstracts

JOINT988

Introduction: Patients use technology based platforms for most daily activities, including managing their health. This is especially true of most adolescents, who prefer to use health based websites and text messaging platforms that involve health management. The management of Type 1 DM in adolescents can be challgening, given that many of these patients have poor diabetes control during this time period. Providers have been trying to find new and innovative ways to manage these patients, in order to improve their diabetes control. Given that adolescents prefer to use app based technology for their health management, they would benefit from an app to help in their diabetes care. Our group previously did a pilot study, where adolescent Type 1 DM patients received a smartphone with pre-loaded apps to help manage their diabetes care. In review of the data, most participants in the study had improvements in their diabetes outcomes. However, the partcipants preferred to have one app that they could download to their own phone to help manage their diabetes.

Objectives and hypotheses: Use of an app to improve the management of adolescent Type 1 DM patients.

Methods: Our group has a created an app with the aid of Equiva Health. Within the app, we have included a communication tab, where the participants can send HIPAA protected texts to providers, as well as have appointments via Zoom; an education tab with different modules that reviews diabetes education; a glucose monitoing tab, which has embedded CGM and glucometer monitoring apps; a fitness and nutrition tab that includes apps for carbohydrate counting. The study will focus on adolescent Type 1 DM patients, 12-22 years of age. Patients will have a baseline HbA1C or GMI and repeat HbA1C or GMI 3 months after using the app. Calls to the office, admissions to the hospital and hypoglycemia episodes will also be tracked at baseline and after using the app. The study team will include a physician, an advanced practice nurse and a social worker.

Results: Results acquisition is in process.

Conclusions: Given the preference of adolescents to use technology to manage their health, as well as our previous study data, we anticipate that this app will help improve diabetes management in adolescent Type 1 DM patients. The acquisition and analysis of the data obtained from this study will lead to continued app improvements and development of additional app features.