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BMC Medical Informatics and Decision Making

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Open Access 01-12-2023 | Telemedicine | Research

Telemedicine-assisted structured self-monitoring of blood glucose in management of T2DM results of a randomized clinical trial

Authors: Chen-Yu Han, Jian Zhang, Xiao-Mei Ye, Jia-Ping Lu, Hai-Ying Jin, Wei-Wei Xu, Ping Wang, Min Zhang

Published in: BMC Medical Informatics and Decision Making | Issue 1/2023

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.

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Title: Telemedicine-assisted structured self-monitoring of blood glucose in management of T2DM results of a randomized clinical trial
Authors: Chen-Yu Han
Jian Zhang
Xiao-Mei Ye
Jia-Ping Lu
Hai-Ying Jin
Wei-Wei Xu
Ping Wang
Min Zhang
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Telemedicine
Diabetes
Hypoglycemia
Published in: BMC Medical Informatics and Decision Making / Issue 1/2023
Electronic ISSN: 1472-6947
DOI: https://doi.org/10.1186/s12911-023-02283-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Telemedicine-assisted structured self-monitoring of blood glucose in management of T2DM results of a randomized clinical trial

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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