Impact of Modem-Transferred Blood Glucose Data on Clinician Work Efficiency and Patient Glycemic Control
Abstract
BACKGROUND: Communication of blood glucose (BG) results between patients and health care providers (HCPs) is of established benefit and remains a critical part of the diabetes management process. Currently, HCPs typically receive BG data from patients at the time of clinic visits or by telephone. The Accu-Chek Acculink modem (Roche Diagnostics Corp., Indianapolis, IN) provides an additional and attractive option that can potentially facilitate this communication. METHODS: To assess the impact of modem transfer of BG, we studied 47 participants with diabetes enrolled in a diabetes education program. Subjects were randomized to weekly communication of BG data to their HCP by either telephone (n = 23) or modem (n = 24) for 4 weeks. Mean age (+/- SD) was 44 +/- 15 years, 62% were female, 74% used insulin, 53% had type 1 diabetes, and mean baseline glycosylated hemoglobin (A1C) was 8.8% (range 5.2-13.2%). RESULTS: There were no differences between groups in the amount of time the HCP spent analyzing BG data and communicating with patients (12.6 +/- 6.1 min/week in the telephone group and 11.5 +/- 5.1 min/week in the modem group) or in the number of patient and HCP attempts needed to make contact. There were similar improvements in A1C between groups (change of -0.4 +/- 0.7% in the telephone group and -0.9 +/- 1.4% in the modem group, P = 0.18). BG data provided by telephone had a 6% error rate, in contrast to modem-sent data, which were transmitted without error. CONCLUSIONS: Modem transfer of BG data can provide an accurate and clinically useful option for communication between patients and their HCP and has comparable effects on A1C.
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5 (56%) of the 9 studies demonstrated a benefit of telemonitoring on patient satisfaction when compared with a comparator.
“A total of 56% (5/9) of the studies [22,28,42,78,91] demonstrated a benefit of telemonitoring on patient satisfaction when compared with a comparator”
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- Authors
- Bergenstal, R. M., Anderson, R. L., Bina, D. M., Johnson, M. L., Davidson, J. L., Solarz-Johnson, B., & Kendall, D. M.
- Affiliations
- International Diabetes Center, Minneapolis, Minnesota.
- Venue
- Diabetes Technology & Therapeutics
- Publisher
- SAGE Publications
- Published
- 2005-04
- Volume
- 7
- Issue
- 2
- Pages
- 241-247
- ISSN
- 1520-9156 (ISSN-L)
- 1557-8593
- OpenAlex
- W2070959258
- Cited by
- 37
- References
- 9
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 2 · 2019: 5 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 5
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Technology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Roche Diagnostics
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- blood glucose monitoring, telephone communication, glycemic control, HbA1c, diabetes management, patient-clinician communication, diabetes education, insulin users, type 1 diabetes
- MeSH terms
- Adult, Blood Glucose, Modems, Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Efficiency, Female, Health Education, Glycated Hemoglobin, Humans, Male, Middle Aged, Monitoring, Physiologic, Nurses, Physicians, Blood Glucose Self-Monitoring, Reproducibility of Results, Telemedicine
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