Expanding Technology-Enabled Nurse Delivered Chronic Disease Care

The purpose of this study is to investigate whether the self-management of diabetes and hypertension can be improved with the use of mobile monitoring devices and nursing support.

Inclusion Criteria: * type 2 diabetes by International Classification of Diseases (ICD) code or treatment with glucose-lowering medication or mention in clinical notes * Poor diabetes control as indicated by at least 1 HbA1c greater than or equal to 8.0% with NO HbA1c less than 8.0% over the past 6 months * At least 1 appointment (office visit, appointment, initial consult, telemedicine) at primary clinic site over the past year * hypertension by ICD code or treatment with blood pressure-lowering medication or mention in clinical notes * poor hypertension control as indicated by a clinic systolic BP \>140 AND/OR diastolic BP \>90 over past year * use of an Apple iPhone or Android smartphone * can provide informed consent * can read/speak English * can provide informed consent Exclusion Criteria: * dementia, psychosis, or life-limiting illness * acute coronary event in past year * hypoglycemic seizure/coma over the past year * residence in a nursing home * use of an insulin pump * are or plan to become pregnant * unable or unwilling to use necessary technology to participate in study