Impact of initial active engagement in self-monitoring with a telemonitoring device on glycemic control among patients with type 2 diabetes.
Impact of initial active engagement in self-monitoring with a telemonitoring device on glycemic control among patients with type 2 diabetes.
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DOI：
10.1038/s41598-017-03842-2
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发表时间：
2017-06-20
影响因子：
4.6
通讯作者：
Park CY
中科院分区：
文献类型：
--
作者：
Lee MK;Lee KH;Yoo SH;Park CY
本研究旨在探讨使用远程监护设备的患者参与自我监测对2型糖尿病患者血糖控制的影响。我们对北加州Kaiser Permanente成员的远程监护设备研究进行了子分析。根据前6周自我监测的血糖(SMBG)频率，我们将远程监测组分为53个频繁使用者和54个不频繁使用者。在24周内检查了从远程监测设备传输的SMBG的频率。在基线、6周和6个月时收集临床和实验室检查。两组基线HbA1c水平差异无统计学意义。6个月后，糖化血红蛋白在经常使用人群中的变化为−2.4 ± 1.6%，在不经常使用人群中为−1.5 ± 1.5%(p = 0.003)。经常使用药物的患者在6个月后达到目标HbA1C水平的比例明显高于不经常使用的患者。SMBG频率的增加与6个月后HbA1c的降低显著相关。总而言之，最初积极参与远程监护设备的自我监测可以在6个月内提供血糖控制的增量改善。
This study aimed to investigate the effect of patient engagement in self-monitoring with a telemonitoring device on glycemic control among patients with type 2 diabetes. We conducted a subanalysis of the telemonitoring device study in Kaiser Permanente Northern California members. We divided the telemonitoring group into 53 frequent and 54 infrequent users based on self-monitoring of blood glucose (SMBG) frequency of the first 6 weeks. The frequency of SMBG transmitted from the telemonitoring device was examined over 24 weeks. Clinic and laboratory tests were collected at baseline, 6 weeks and 6 months. There was no significant difference in baseline HbA1c level between the two groups. After 6 months, change in HbA1c was −2.4 ± 1.6% among frequent users and −1.5 ± 1.5% among infrequent users (p = 0.003). The proportion of patients achieving target HbA1C level at 6 months was significantly higher among frequent users than among infrequent users. An increased frequency of SMBG was significantly correlated with a reduction in HbA1c at 6 months. In conclusion, initial active engagement in self-monitoring with a telemonitoring device could provide incremental improvement of glycemic control over 6 months.