Abstract
ABSTRACT OBJECTIVE: To assess the effect of an Internet-based glucose monitoring system (IBGMS) on glycated hemoglobin (A1C) levels in patients with type 2 diabetes mellitus treated with insulin. METHODS: Fifty patients were randomly assigned to receive conventional care alone (control) or additional follow-up via IBGMS for 6 months. Patients randomized to the IBGMS group uploaded blood glucose readings to a secure website every 2 weeks to receive feedback from their endocrinolo- gist. After 6 months, all patients returned to conventional care. A1C and laboratory test results were collected at 0, 3, 6 and 12 months. RESULTS: Baseline parameters were not significantly different. After a 6-month follow-up, A1C dropped from 8.8% to 7.6% (p CONCLUSION: IBGMS significantly improved A1C levels in patients with type 2 diabetes treated with insulin, but this effect was lost with cessation of the intervention.
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