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Background  The One Drop | Mobile app supports manual and passive (via HealthKit and One Drop’s glucose meter) tracking of self-care and glycated hemoglobin A 1c  (HbA 1c ).    Objective  We assessed the HbA 1c  change of a sample of people with type 1 diabetes (T1D) or type 2 diabetes (T2D) using the One Drop | Mobile app on iPhone and Apple Watch, and tested relationships between self-care tracking with the app and HbA 1c  change.    Methods  In June 2017, we identified people with diabetes using the One Drop | Mobile app on iPhone and Apple Watch who entered two HbA 1c  measurements in the app 60 to 365 days apart. We assessed the relationship between using the app and HbA 1c  change.    Results  Users had T1D (n=65) or T2D (n=191), were 22.7% (58/219) female, with diabetes for a mean 8.34 (SD 8.79) years, and tracked a mean 2176.35 (SD 3430.23) self-care activities between HbA 1c  entries. There was a significant 1.36% or 14.9 mmol/mol HbA 1c  reduction (F=62.60,  P <.001) from the first (8.72%, 71.8 mmol/mol) to second HbA 1c  (7.36%, 56.9 mmol/mol) measurement. Tracking carbohydrates was independently associated with greater HbA 1c  improvement (all  P <.01).    Conclusions  Using One Drop | Mobile on iPhone and Apple Watch may favorably impact glycemic control.

One Drop | Mobile on iPhone and Apple Watch: An Evaluation of HbA1c Improvement Associated With Tracking Self-Care