Approved Patient Scenario: Lou Davis, Diabetic Feet and MyNetDiary App

Patient Scenario

Define Approved Patient Scenario: The  patient scenario is of a 45 year old Black male named Lou Davis who goes by the moniker “Sweet Lou” since he always had soft spot for sweets. The patient was on vacation in the Dominican Republic and walked barefoot on the hot asphalt and pavement. The average daily air temperature range 93-94 degrees which also means the temp of the asphalt may have be 100 + degrees. After walking around the beach and asphalt barefoot for several hours Sweet Lou is starting to feel pressure on his feet  and takes a look down and sees his feet are blistered and opened down to full thickness granular tissue. After being rushed to the hospital and down to wound care the patient expresses that things have come too far and he’s ready to make a change to save his feet and his life.

• Information: MyNetdiary has a designated teaching page for those who need assistance with all of the features that the app provides. For example here is an excerpt teaching those with continuous glucose monitor (CGM) that can sync with iPhone Health app how to connect the CGM blood glucose data with Health app. Follow instructions for syncing - each device might be a bit different and not all devices allow syncing to Health app. Call your meter or CGM manufacturer if you are not sure if your device can sync with Health app.

1. Go into MyNetDiary's Settings, scroll down to "Apps, Devices, Services," tap "iOS Health App Sync," and then tap "Sync with Health Manage."

2. Now you should be in the iPhone Health app. Tap the little heart icon at the bottom of the screen, tap "MyNetDiary," scroll down to the bottom of the screen and under "Allow MyNetDiary to Read Data," tap Blood Glucose to toggle on.

3. When your BG data loads into the BG row in MyNetDiary, be sure to go into the BG screen and assign a label so that you know if the reading was fasting, before dinner, etc. Learn more about BG labels below.

Tip: If your BG sync does not seem to be working, check that you completed Step #3 above. You must allow MyNetDiary to read BG data. If you accidentally chose to have MyNetDiary write BG data, then the system is looking at MyNetDiary for BG data to send to Health app (the wrong sync direction). 

• Safety features/guidelines provided by the mHealth app: The guide lines provided on the app are general safety guidelines and disclaimers that recommendation/ suggestion provided on the app do not supersede any recommendations or orders from the patient’s provider.

• Interpret and act on the information in the mHealth app:  This app is intended to help organize data and help patients make conscious choice about their health 

• Patient has a decent trend of blood sugar readings within the range recommended by the patients endocrinologist or Internist

• Patient is able to demonstrate the way they utilize the app in actuality how utilizes features within the app 

• Patient  is able to teach back nuances they’ve learned from utilization