Saturday, 23 January 2016


In a nutshell, Diabetes mellitus is a metabolic disease characterized by persistently elevated levels of blood glucose level over a long period. Diabetes mellitus is classified into type 1, type 2 and gestational diabetes mellitus. 

Diabetics have problem controlling their blood glucose level within the normal limits because of either insufficient insulin secretion by the pancreas or insulin resistance by the liver, muscle cells or fat tissue. After a meal, blood glucose level shoots rapidly and insulin hormone is required for the liver, muscle cells and fat tissue to take in the glucose and stop it accumulating in the blood. This function is compromised at some point in diabetics and an external source of insulin is vital.Blood glucose variations are depended on insulin supply, meal, exercise and other intrinsic factors. These should be put into consideration when drafting individual plan for diabetes management. 

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Technology has been in the hype and this it is overwhelmingly empowering. The mind of man is overly hungered for more knowledge and endeavors to make life much easier and this is the reality. On the other side, technology has surpassed most of us on the ground of mere misconception that “I don’t want to be addicted to it’ which is making us lurk behind on sensitive matters.

Now, in the advent of all these technological evolvement, Diabetes Mellitus management has its share. Several Apps have been made accessible via Google play and iTunes for smart phones and tablets. We took a whack of ‘Madivo, OnTrack Diabetes’ downloaded and installed it. The App is absolutely amazing, easy to navigate through and accessible worldwide. Some Apps are only accessible in specified countries. 

After installation the App prompted us to input contact e-mail address and followed suit. We chose the default settings for the blood glucose, hemoglobin A1C and weight. This seemed spectacular. The exemplary thing with this App is that you can input your blood sugar levels and the insulin given during breakfast, lunch and dinner. This means that it doesn’t underscore endocrinologists advice as one is keeping track of the diabetes as some Apps are. 

Other spectacular features for the App include:-

  1. You can set values for low and high glucose ranges. Values which are outside the set values are highlighted in red just to show that things might be slipping through the fingers to uncontrollable state.
  2. The App is alarm enabled. One can set reminders.
  3. One can view daily, weekly and monthly reports in graphical representation. Some other Apps have a tabulated format of these reports or both.

The challenge being faced with these Apps is meal standardization with regard to calorie specifications in a certain meal. We all can't be eating certain foods because we are diabetics. Diet education to include meal portioning (plate model), timing  and eating healthy is primary. 
Reflecting on these Apps for diabetes mellitus care is purely on the grounds of ensuring continuity of care from hospital set up to home and make follow up with your doctor easier. Diabetic complications like hyperglycemia, hypoglycemia, ketoacidosis, diabetic foot, diabetic neuropathy, nephropathy and retinopathy are life threatening.

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