Modem transmission of glucose values reduces the costs and need for clinic visits
Modem transmission of glucose values reduces the costs and need for clinic visits
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DOI：
10.2337/diacare.26.5.1475
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发表时间：
2003-05-01
期刊：
影响因子：
16.2
通讯作者：
Garg, SK
中科院分区：
文献类型：
--
作者：
Chase, HP;Pearson, JA;Garg, SK
目的：研究设计与方法：将70例青少年糖尿病患者前瞻性随机分为对照组和现代组，以确定现代技术是否能有效地治疗1型糖尿病。对照组患者继续每季度就诊的护理标准，现代组患者被指示每2周传送一次血糖数据，为期6个月，而不是通常的每季度就诊。医疗保健提供者分析了现代人收到的数据，并联系了患者，讨论糖尿病治疗的变化。分别在0个月和6个月时测定CHBA(1c)水平，并追踪高、低血糖水平和不良事件的数量。对两组患者的就诊费用、患者费用和医疗服务提供者时间进行跟踪，以进行成本分析。结果：共有63名患者(33名对照组，30名现代患者)完成了为期6个月的研究。两组GHbA(1c)值均显著降低，组间差异无统计学意义(P=0.96)。轻至中度低血糖事件的发生率为1)。在两组相似的患者中，没有发生严重的低血糖事件，一次诊所就诊的平均护理成本为305.00美元，而现代治疗6个月的成本为163.00美元。结论--这项研究表明，与目前的标准护理相比，每两周电子传输血糖水平和其他糖尿病数据--而不是临床就诊--导致类似的血糖控制水平和急性糖尿病并发症的发生率。
OBJECTIVE - To determine whether modern technology allows for effective management of type 1 diabetes when used in lieu of a clinic Visit.RESEARCH DESIGN AND METHODS - A total of 70 adolescent patients with diabetes were prospectively randomized to either a control group or a modern group. Control group patients continued the standard of care of quarterly clinic visits, and modern group patients were instructed to transmit blood glucose data every 2 weeks for 6 months instead of a usual quarterly clinic visit. Health care providers analyzed the data received by modern and Contacted patients to discuss diabetes treatment changes. CHbA(1c) levels were determined at 0 and 6 months, and the number of high and low blood glucose levels and adverse events were tracked. Clinic visit costs, patient expenses, and health care provider times were tracked for cost analysis for both groups.RESULTS - A total of 63 patients (33 control, 30 modern) completed the 6-month study. The GHbA(1c) values significantly decreased in both groups, with no statistically significant difference between groups (P = 0.96). The occurrence of mild-to-moderate hypoglycemic events were 1). similar in the two groups, and there were no severe hypoglycemic events, The average cost of care for a clinic visit was $305.00, whereas the cost for 6 months of modern transmission was $163.00.CONCLUSIONS - This study shows that electronic transmission of blood glucose levels and other diabetes data every 2 weeks-in lieu of a clinic visit-results in a similar level of glucose control and incidence of acute diabetes complications when compared with current standard care.