Type 2 diabetes remains a global epidemic. According to a 2017 CDC report, over 100 million Americans have prediabetes or diabetes. Diabetes was the number seven leading cause of death in 2015. The World Health Organization (WHO) published a report showing a quadrupling of the prevalence of diabetes since 1980 worldwide. According to the CDC, 1 in 4 with diabetes do not know they have the disease. Diabetes creates a significant burden on morbidity and mortality and comes at a cost of $245 billion per the American Diabetes Association (ADA) in the U.S. alone.
For general information on diabetes, we still recommend any of our first line general medical reference apps such as Dynamed/Dynamed Plus, UpToDate, Essential Evidence and/or Medscape. However, for quick access to current diabetes treatment recommendations, additional options include ADA Standards of Medical Care and the AACE Diabetes Algorithm. The 2018 ADA standards can be found here. For years, the ADA app had not been updated since the release of the 2014 standards. Finally, in June, the app was updated to the 2018 ADA Standards of Care and completely redesigned. The latest version of the app includes detailed information on diagnosing and treating diabetes, lifestyle and nutrition recommendations, and specific guidelines from lipid management to retinopathy treatment. The new version includes interactive tools on diagnoses, A1C targets, medication management, and hypertension management.
The app delivers evidence-based and expert/consensus-based content from the 2018 ADA Standards of Care released in January 2018. The app is well referenced and provides content any medical student and up to seasoned attending could benefit from having available at the tips of their fingers. The app covers nearly every topic of diabetes in detail from prevention to diagnosis to treatment and prevention of complications. The app contains hyperlinks to references, comprehensive PDFs, and links to online ADA articles.
Who would benefit from this App?
Any healthcare provider who cares for patients with diabetes including students, NPs, PAs, interns/residents in primary care specialties including internal medicine, family medicine, geriatrics, endocrinology and emergency medicine.
Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.
- Responsive user interface with built-in tools, calculators, and algorithms
- Comprehensive, well-referenced content covering a wide range diabetes topics
- Available for Android
- Some recommendations clearly expert/consensus opinion
- App at times challenging to navigate (too many buttons/arrows/screens)
- Almost too much information for a point-of-care app
The ADA Standards of Care 2018 is the most comprehensive app yet from the ADA that makes an outstanding addition to both iOS and Android for providers who treat patients with diabetes. The app contains the most current diabetes prevention, diagnosis, and treatment recommendations from a reputable source. The is ambitious in its scope with almost too many tools, drop down menus, etc., but it was worth the update of their previous app. Some of the ADA recommendations are clearly expert-based and in opposition to those from other groups including the USPSTF, AAFP, ACP, and others. The app contains an entirely new tools section to put the recommendations into practice at the point of care
- Overall Score
- User Interface
Pretty intuitive interface with many summary recommendation sections and detailed algorithms with expandable content and PDFs. The apps multi-screen layout takes some getting used to and could be simpler.
- Multimedia Usage
The app contains numerous tools, calculators, charts, algorithms, references, PDFs, hyperlinks, etc. most of which are easy-to-use/see on the iPhone, but some would benefit from a large screen.
App is free.
- Real World Applicability
This latest and by far greatest update yet to the ADA Standards of Care app now makes it the most up to date and comprehensive app available for diabetes. It is available for both iOS and Android so providers shouldn’t hesitate. Although some recommendations are based on weak evidence and/or expert opinion, more and more are now based on solid evidence and the app includes evidence ratings and numerous references. Regardless, it remains a valuable go-to resource for providers caring for patients with diabetes.
- Device Used For Review
iPhone 8 running iOS 11.4.1
- Available for DownloadAndroidiPhoneiPad