It is estimated that in 2007, $174 billion was spent on total costs just for patients diagnosed with diabetes.  With the disease prevalence on a steady incline, nearly all specialists will continue to encounter the disease in some form, whether it is an intensivist dealing with diabetic ketoacidosis, an ophthalmologist dealing with proliferative retinopathy, or a surgeon performing an amputation.

However, long-term management of diabetic patients is mainly the domain of internists, endocrinologists, and family practitioners.  Treating patients with diabetes requires a broad and up to date knowledge of complex medication regimens and its many potential complications.

This is the goal of Diabetes Mellitus i-pocket by Borm Bruckmeier Publishing: to help provide clinicians with the most current recommendations.  The app, for the iOS platform (iPhone and iPad versions), was created by Mount Sinai endocrinologists, Drs. Brett and Mechanick for use by physicians at all levels of training.  Read below the fold to see our review of the iPhone app.
The tabbed navigation at the bottom of every screen allows access to the Table of Contents (ToC), Search, BB iTools (which can also be accessed throughout the app at the bottom of the screen), and an About Us section.  IMG_0432
The ToC contains the bulk of the app, ranging from topics of inpatient intensive care management, to outpatient preventative care, to specialty topics such as diabetes in pregnancy and concerns in pediatrics. IMG_0433
Much of the app is organized into mini-chapters of sorts.  The first page of the topic provides a bulleted overview of the information that will follow.

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There are often small discussions to the sub-topics, along with charts and tables.

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There is also an appendix of medications related to Diabetes, ranging from insulins and oral antidiabetic drugs to antihypertensives and antilipidemics.

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However, one of the best features of the app is the up-to-date, evidence-based guidelines, often with references that the authors present.

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Browsing the app does reveal some flaws in the formatting and layout.  From the small size and varied fonts used (the small size is improved by using the app in landscape mode), to the tabs at the top of the screen that allow users to scroll between different categories and topics, but without an index of what topics are next.  While the app contains a breadth of information, there could be improvements in layouts of categories and topics.

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Price:

  • $9.99 from the Appstore

Likes:

  • Comprehensive guide
  • Evidence-based practice guidelines and references

Dislikes:

  • Formatting issues take time to get used to

Conclusion:

  • With so much involved in the management of Diabetes, the DM i-pocket presents an in-depth guide for dealing with diabetic patients.
  • At $9.99, the app may not be for everyone, but would be best utilized by those who treat diabetes more frequently.