Asthma: Symptoms, Reliever Use and Doctor Report

No. Neither Sam nor a consumer wearable detects or predicts an asthma attack, and no wearable measures lung function. Sam records what you enter: for each attack how bad it was, whether your reliever helped, night waking, steroid tablets, medical help and triggers. It also shows measured values like respiratory rate and sleep from Apple Health, with no conclusion.

Yes. A diary can help you spot your own triggers and show your doctor how often symptoms occur. Note when symptoms start (cough, breathlessness, chest tightness, wheeze), what came before and when you used your reliever. In Sam you log each use, even without an attack. Your practice can show you what a good diary looks like.

Sam has three entries. Log an attack: how bad it was, whether your reliever helped, steroid tablets, medical help, night waking and what might have set it off. Log a reliever use: the number of puffs, and whether it was for symptoms or before exercise. Or choose Not sure: it stays in your record but out of your attack count.

No. Your written action plan, made with your doctor, is your medical guide, and Sam is a diary. It reminds you of your daily preventer and never tells you which inhaler to use or when. For acute symptoms use your action plan and your local emergency number (112 in the EU, 999 in the UK, 911 in the US).

In Sam you can tag stress as something that might have set off an entry. These tags are your own notes, not a verdict on what caused anything, and the doctor report shows them as counts. That gives you a pattern to talk through with your doctor. Whether stress matters for your asthma is a question for your doctor.

Sam sets no rhythm for this. In the asthma program it shows your overnight respiratory rate from Apple Health as a number next to your own average, with no conclusion. If you notice higher values over several days, note your symptoms and bring both to your next appointment. What the numbers mean for you is for your doctor to say.

No. You keep measuring peak flow with your meter and record it on paper or in a peak flow app. Sam has no field for peak flow values. Sam adds a diary for reliever use and attacks, a reminder for your daily preventer and a monthly check with four yes/no questions.

You export a PDF report from your asthma program for the period you choose. It shows reliever days in the last 28 days with the puff count, night waking, your attacks with the severity you gave, steroid courses, preventer intake, your tagged triggers and a reference line based on GINA. Everything is self-entered. It holds no peak flow values.

No. Sam does not include the ACT. The check has four yes/no questions on the areas GINA uses for symptom control: daytime symptoms, night waking, reliever use and activity limitation. The wording is Sam's own and the check is not a validated questionnaire. Your score from 0 to 4 shows your trend over time.

You log each use: puffs and the reason, symptoms or planned before exercise. Sam counts the days in the last 28 on which you used it for symptoms, not the puffs. Uses before exercise are counted apart. There is no streak and no goal. Sam never tells you which inhaler to use or when.

Asthma and hay fever are separate programs, each with its own diary, monthly check and report. There is no combined report. Both show pollen and air quality values for your approximate location if you share it. More is on the page about asthma and hay fever together.

Sam is an iPhone app and reads values from Apple Health that your Apple Watch stores there. There is no separate Watch app. The asthma program is for people whose asthma a doctor has diagnosed, and you confirm that at the start. You log reliever use and attacks, answer four questions each month and export a report.