TELEPHONE MODEM ACCESS IMPROVES DIABETES CONTROL IN THOSE WITH INSULIN-REQUIRING DIABETES
TELEPHONE MODEM ACCESS IMPROVES DIABETES CONTROL IN THOSE WITH INSULIN-REQUIRING DIABETES
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DOI：
10.2337/diacare.15.8.971
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发表时间：
1992-08-01
期刊：
影响因子：
16.2
通讯作者：
FARID, NR
中科院分区：
文献类型：
--
作者：
AHRING, KK;AHRING, JPK;FARID, NR
目的-为了评估是否现代访问改善糖尿病控制在胰岛素依赖型糖尿病patients.RESEARCH设计和METHODS -42例患者参加了这项研究，并进行了为期12周的随访。 在基线时将患者随机分为两组，现代组和对照组。 在研究开始时，两组之间的HbA 1c、随机血糖和体重无显著差异。 要求患者每天进行5次血糖测定（早餐前、午餐前、下午[1500]、晚餐前和睡前），每周2次。 调制解调器组每周通过电话传输一次数据。 对照组每6 wk定期随访一次，报告结果。 结果：现代组HbA 1c从0.106提高到0.092（13.20%），而对照组HbA 1c从0.106提高到0.092（13.20%），差异有统计学意义（P < 0.05）。 对照组从0.112提高到0.102（8.9%）。 体重，随机血糖，或insulin.CONCLUSIONS -使用电话调制解调器为基础的患者监测系统在糖尿病临床研究似乎刺激患者保持密切控制血糖水平没有显着变化。 这在农村环境中可能特别有用，而本研究正是针对农村环境设计的。
OBJECTIVE - To assess whether modem access improves diabetes control in IDDM patients.RESEARCH DESIGN AND METHODS - Forty-two patients participated in the study and were followed for 12 wk. The patients were randomly divided into two groups at baseline, a modem group and a control group. There were no significant differences between HbA1c, random blood glucose, and weight between the groups at the beginning of the study. Patients were asked to perform five blood glucose determinations/day (before breakfast, before lunch, afternoon [1500], before dinner, and at bedtime) twice/week. The modem group transferred their data over the phone once/week. The control group would bring in their results on their regular visit every 6 wk. Patients in the modem group were counseled every week over the telephone after transferring results to adjust insulin and food intake if necessary.RESULTS - In the modem group, HbA1c improved from 0.106 to 0.092 (13.20%). The control group improved from 0.112 to 0.102 (8.9%). There was no significant change in weight, random blood glucose, or insulin.CONCLUSIONS - The use of telephone modem-based patient-monitoring systems in diabetes clinical research seems to stimulate the patient to keep closer control of blood glucose levels. It might be especially useful in rural settings, for which this study was designed.