Mobile Health Monitoring Apps in Type 1 Diabetes Management among Senegalese Rural Adults: Compliance and Glycaemic Control Performance Study

Type 1 diabetes management requires strict glycemic control, often involving frequent blood glucose monitoring. In sub-Saharan Africa, including Senegal, access to medical care and technology is limited. A mixed-methods approach was employed, including pre- and post-intervention surveys to assess app usage frequency (mean daily use) and self-reported glycemic control. App data were also analysed for adherence to recommended monitoring schedules. Mean daily use of the diabetes management app was 3. 5 times per week among participants who used it regularly, with a reported glycaemic control improvement in 70% of users compared to baseline levels (95% confidence interval: 62-78%). Mobile health monitoring apps show promise for improving Type 1 diabetes management and compliance in rural Senegalese adults. Future research should explore long-term use effects and app design improvements to enhance user engagement and efficacy. Type 1 Diabetes, Mobile Health Monitoring, Rural Africa, Patient Compliance, Glycaemic Control Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.