Telemedicine-assisted structured self-monitoring of blood glucose in management of T2DM results of a randomized clinical trial.
BMC Med Inform Decis Mak
; 23(1): 182, 2023 09 14.
Article
en En
| MEDLINE
| ID: mdl-37710226
ABSTRACT
BACKGROUND:
This prospective study aimed to compare telemedicine-assisted structured self-monitoring of blood glucose(SMBG) with a traditional blood glucose meter (BGM) in adults of type 2 diabetes mellitus (T2DM).METHODS:
Adult participants with T2DM were assigned to an intervention group or a control group. The patients in the intervention group received a connected BGM with real-time data submission as well as individual needs-based tele-coaching to address and improve motivation and daily diabetes self-management. The patients in the control group received a traditional BGM. Changes in glycated hemoglobin(HbA1c), low blood glucose index(LBGI), and diabetes self-management behaviors were analyzed.RESULTS:
The study demonstrated the superiority of the telemedicine-assisted structured SMBG versus the traditional BGM for improving HbA1c. Additionally, the telemedicine-assisted SMBG reduced the risk of hypoglycemia and enhanced diabetes self-management behaviors, as differences in the LBGI and the Diabetes Self-Management Questionnaire(DSMQ) results between the groups after 6 months were found to be significant.CONCLUSIONS:
Telemedicine-assisted structured SMBG helps physicians and patients to achieve a specific level of glycemic control and reduce hypoglycemia. The use of coaching applications and telemedicine-assisted SMBG indicated beneficial effects for T2DM self-management, which may help limit disease progression. TRIAL REGISTRATION Chinese Clinical Trail Registry No ChiCTR2300072356 on 12/06/2023. Retrospectively registered.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Telemedicina
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Diabetes Mellitus Tipo 2
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Hipoglucemia
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adult
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Humans
Idioma:
En
Revista:
BMC Med Inform Decis Mak
Asunto de la revista:
INFORMATICA MEDICA
Año:
2023
Tipo del documento:
Article
País de afiliación:
China