Clinical efficacy and plausibility of a smartphone-based integrated online real-time diabetes care system via glucose and diet data management: a pilot study
Clinical efficacy and plausibility of a smartphone-based integrated online real-time diabetes care system via glucose and diet data management: a pilot study
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DOI：
10.1111/imj.14738
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发表时间：
2020-12-01
影响因子：
2.1
通讯作者：
Choi, Hyung Jin
中科院分区：
文献类型：
--
作者：
Ku, Eu Jeong;Park, Ji-In;Choi, Hyung Jin
背景智能手机已成为糖尿病患者的新型医疗保健工具。方法将40例2型糖尿病患者随机分为两组，每组20例。指导SC组使用智能手机应用程序（Noom Coach）和血糖仪，并根据发送到中央数据库服务器的血糖水平和食物摄入信息进行医疗监督。以糖化血红蛋白评价疗效（糖化血红蛋白2.6 +/- 2.3 vs 0.4 +/- 1.1 -> 1.8 +/- 2.2;特定饮食，4.2 +/- 1.7 -> 5.4 +/- 1.2 vs 3.8 +/- 1.6 -> 5.1 +/- 1.1;血糖测试，3.3 +/- 2.8 -> 4.9 +/- 2.3 vs 1.0 +/- 2.2 -> 4.7 +/- 2.3;足部护理，1.5 +/- 1.6 -> 3.6 +/- 2.8 vs 1.4 +/- 1.9 -> 6.1 +/- 1.4;所有P < 0.05）。结论基于智能手机的一体化在线实时糖尿病护理系统通过血糖和饮食数据管理，在真实的临床实践中显示了血糖控制的临床可行性。
Background Smartphones have become novel healthcare tools for patients with diabetes. However, it is uncertain whether the smartphone application support system helps in glycaemic control in patients with type 2 diabetes.Aims To evaluate the efficacy and plausibility of smartphone-based integrated online real-time diabetes care.Methods Forty patients with type 2 diabetes were randomly assigned to the smartphone-based care (SC) (n = 20) and conventional care (CC) (n = 20) groups for 12 weeks. The SC group was instructed to use smartphone application (Noom Coach) and a glucose meter, and was provided medical supervision based on blood glucose level and food intake information sent to the central database server. The efficacy was evaluated by glycated haemoglobin (A1C 2.6 +/- 2.3 vs 0.4 +/- 1.1 -> 1.8 +/- 2.2; specific diet, 4.2 +/- 1.7 -> 5.4 +/- 1.2 vs 3.8 +/- 1.6 -> 5.1 +/- 1.1; blood glucose test, 3.3 +/- 2.8 -> 4.9 +/- 2.3 vs 1.0 +/- 2.2 -> 4.7 +/- 2.3; foot care, 1.5 +/- 1.6 -> 3.6 +/- 2.8 vs 1.4 +/- 1.9 -> 6.1 +/- 1.4; all P < 0.05). There was no difference between both groups other than the aspect of foot care (P = 0.008).Conclusions The smartphone-based integrated online real-time diabetes care system through glucose and diet data management showed clinical plausibility in glucose control in real clinical practice.