982-P: Effects of Digitization of Self-Monitoring of Blood Glucose Records Using a Mobile Application and the Cloud System on Glycemic Control and Self-Management in Outpatients with Diabetes

Abstract

Objective: In this study, we evaluated the impact of an application-cloud cooperation system with feedback from the attending physician during face-to-face visits on outpatient management of diabetes. Research Design and Methods: In this multicenter, open-label, single-armed prospective study, 48 patients with diabetes treated with insulin or GLP-1 receptor agonists and performing self-monitoring of blood glucose (SMBG) at three medical centers in Japan used the Smart e-SMBG system, an application-cloud cooperation system, for 24 weeks. The SMBG data were automatically uploaded to the cloud via the application. The patients could check their data, and their attending physicians reviewed the data through the cloud prior to the patients’ regular visits. The primary outcome was changes in HbA1c levels. Results: While HbA1c levels did not change significantly in total patients, it significantly decreased at 12 weeks in 21 patients whose antidiabetic medication had not been adjusted during the intervention period (−0.26%, 95% confidence interval [CI], −0.47 to −0.05; p = 0.018). The frequency of SMBG was increased significantly at 12 weeks (+0.60/day, 95%CI, 0.19-1.00; p = 0.002) and 24 weeks (+0.43/day, 95%CI, 0.02-0.84; p = 0.039) compared to that before inducing the system. The Diabetes Treatment Satisfaction Questionnaire total score and “Q4; convenience” and “Q5; flexibility” scores significantly improved after using the Smart e-SMBG system, and 71.7% patients and 76.1% physicians reported that the Smart e-SMBG system helped them adjust insulin doses. Conclusions: Digitization of SMBG records and sharing of the results with attending physicians during face-to-face visits improved glycemic control and self-management in patients with diabetes. Disclosure T.Handa: None. T.Onoue: None. T.Kobayashi: None. R.Maeda: None. H.Arima: None.