When there is not enough glucose in the body, fat is burned as a source of energy and ketones are produced. While the presence of ketones in normal individuals does not have negative consequences, ketone production in diabetes patients results in an accumulation of ketones and a low blood pH, leading to drowsiness, stupor, coma, and death in com (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3190476/) Because ketones form when blood glucose levels are low and can have life-threatening consequences, it is crucial that patients continuously check these levels 4 to 6 times a day, per doctor’s orders. Unfortunately, many pediatric diabetes patients are noncompliant with this regimen due to factors such as lack of motivation or forgetfulness. Since most pediatric patients are fixated with their cell phones, restricting access until the patient checks their blood sugar will force them to be compliant and possibly save them from adverse medical events such as diabetic ketoacidosis. This phone application will lock the phone until the patient checks their blood glucose levels and will thus force the noncompliant patient to check their blood glucose level. Based on the diagnosis and treatment, an algorithm will be created to establish what times of the day the phone will be locked. A notification with an alarm will appear to alert the patient that they no longer have access. To ensure that the patient has taken their blood sugar, a blood glucose monitor will be used and synced with the application upon activation. It will request access to the device application and monitor results to know when the patient has checked their blood sugar levels. Once they do so, results would be sent to the provider to notify them that the patient has adhered and the patients will regain access to their cell phone. This application will make the patient adhere to their treatment plan and allow them to avoid hospitalizations due to life-threatening complications such as diabetic ketoacidosis. The decrease in hospitalizations will also cause a decrease in costs for families and hospitals. Not only would the parents benefit financially but they would also have peace-of-mind knowing that their child indeed checked their blood glucose levels and followed their doctor’s orders. In the future, we hope to develop this application and test it for effectiveness in ensuring the patient’s medical adherence. To do so, it is imperative that this developing system would partner with a blood glucose monitor developer as well as an application developer to make sure the product would remain as effective and accurate as possible. Allowing providers access to records and sugar levels will aide in maintaining communication between the patient (and parent) and physician; this would be most efficient through remote access granted via an account with the app and would remain within HIPAA guidelines.



Author: Unji Lee

Coauthor(s): Sarah Elbalalesy

Status: Project Concep