Abstract
BackgroundSmartphone and Web technology can improve the health care process, especially in chronic diseases.ObjectiveThe aim of this study was to investigate whether the use of blood glucose (BG) data management system, which enables connection to smartphones, the Web, the cloud, and downloading, can improve glycemic control in subjects with type 1 diabetes mellitus (T1DM).MethodsThis study was a prospective, single-arm, cohort feasibility study with 6 months of duration. T1DM subjects enrolled had experience in self-monitoring blood glucose, but were download data naïve. Fasting BG and glycated hemoglobin (HbA1c) were collected at the enrollment and at follow-up. Subjects were divided into Downloader (DL) and No-downloader (NDL).ResultsA total of 63 subjects were analyzed, of which 30 were classified as DL and 33 as NDL. At the end of the study, DL had significantly lower HbA1c, mean daily glucose, standard deviation, percentage of BG values above target, and pre- and postprandial (lunch and dinner) values compared with NDL (all P<.05). The percentage of BG values within treatment target was significantly higher in DL compared with NDL (47% [SD 9] vs 37% [SD 13]; P=.001).ConclusionsThe findings suggest that, in T1DM, downloading of BG from data management system, which enables connection to smartphones, the Web, and the cloud, might be a valuable contributor to improved glycemic control.
Highlights
Optimizing insulin therapy and achieving good metabolic control is still a challenge in the management of type 1 diabetes mellitus (T1DM)
The idea arising from these trials is that health care providers (HCPs), caregivers, and patients should be in close collaboration for optimal diabetes therapy and outcome
The main finding of this prospective cohort study is the significant difference in HbA1c from baseline to follow-up visit between patients who used the blood glucose (BG) information better, DL compared with NDL, with an overall difference of approximately 0.3%
Summary
Background Optimizing insulin therapy and achieving good metabolic control is still a challenge in the management of type 1 diabetes mellitus (T1DM). 1 (page number not for citation purposes) the efficacy of SMBG in improving decision making, obtaining better glycemic control, and facilitating a more timely and aggressive change of diabetes therapy, as well as in starting insulin therapy both in type 1 and type 2 diabetes [5,6,7]. These studies have stressed the need of availability of sufficient BG data, to involve caregivers and patients in the management of the disease, and to share information to achieve a good and stable metabolic control. Smartphone and Web technology can improve the health care process, especially in chronic diseases
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