Nurse-led App Intervention to Improve Glycemic Control in Patients With Insulin-treated Type 2 Diabetes on Medicaid
This 12-month pilot tests a nurse-led, app-based intervention to improve diabetes self-management for Medicaid patients. It includes MyChart messaging to give education, phone help on problem-solving with clinicians, and using a diabetes app to track data. The study aims to enhance self-management behaviors through health technology.
• A1C \>7 for age 18-64, A1C\>8 for age 65 or older within 12 months prior baseline
• A1C\>7 for age 18-64, A1c\>8 for age 65 or older at baseline
• Medicaid recipient or dual Medicaid and Medicare recipient
• Age 18 or older
• Type 2 diabetes
• On insulin therapy
• Owning and using Android or iOS smartphone for at least 6 months
• English proficiency
• Adequate vision to read text messages on their current smartphone
• Smartphone use proficiency. Smartphone proficiency will be self-reported and determined by telephone as the ability to use a smartphone in ways other than emailing, texting, and making phone calls.