Health Technologies for Monitoring and Managing Diabetes: A Systematic Review
Open accessAbstract
Background: The primary objective of this review was to determine the strength of evidence for the effectiveness of self-monitoring devices and technologies for individuals with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) based on specific health-related outcome measures. Self-monitoring devices included those that assist patients with managing diabetes and preventing cardiovascular complications (CVCs). A secondary objective was to explore issues of feasibility, usability, and compliance among patients and providers. Methods: Study criteria included individuals ≥14 years and youth (7–14 years) with T1DM or T2DM, intervention with a self-monitoring device, assessment of clinical outcomes with the device, literature in English, and ≥10 participants. Relevant published literature was searched from 1985 to 2008. Randomized controlled trials and observational studies were included. Data were extracted for clinical outcomes, feasibility and compliance methods, and results. Selected studies were independently evaluated with a validated instrument for assessing methodological quality. Results: Eighteen trials were selected. Predominant types of device interventions included self-monitoring of blood glucose, pedometers, and cell phone or wireless technologies. Feasibility and compliance were measured in the majority of studies. Conclusions: Self-monitoring of blood glucose continues to be an effective tool for the management of diabetes. Wireless technologies can improve diabetes self-care, and pedometers are effective lifestyle modification tools. The results of this review indicate a need for additional controlled trial research on existing and novel technologies for diabetes self-monitoring, on health outcomes associated with diabetes and CVCs, and device feasibility and compliance.
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Recent reviews point out a lack of focus on detailed reporting on participants' long-term engagement with intervention tools.
“In addition, recent reviews [11,14,15] point out a lack of focus on detailed reporting on participants’ long-term engagement with the intervention tools.”
From Long-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes (2013) · cites this paper as [15]
Usability is important to patients who need encouragement or help in self-management activities.
“This implication is consistent with findings by Russell-Minda et al [15] regarding the importance of usability to patients who need encouragement or help in self-management activities.”
From Long-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes (2013) · cites this paper as [15]
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- Authors
- Russell-Minda, E., Jutai, J., Speechley, M., Bradley, K., Chudyk, A., & Petrella, R.
- Affiliations
- Lawson Health Research Institute (CA)
- University of Ottawa (CA)
- Western University (CA)
- Corresponding author
- Petrella, Robert
- Venue
- Journal of Diabetes Science and Technology
- Publisher
- SAGE Publications
- Published
- 2009-11
- Volume
- 3
- Issue
- 6
- Pages
- 1460-1471
- ISSN
- 1932-2968 (ISSN-L)
- PMC
- PMC2787048
- OpenAlex
- W2168602960
- Cited by
- 92
- References
- 58
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 6 · 2018: 6 · 2017: 8 · 2016: 5 · 2015: 8 · 2014: 11 · 2013: 13 · 2012: 7
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Diabetes Science and Technology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (CCT- 83029)
- 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
- diabetes self-monitoring, type 1 diabetes, type 2 diabetes, blood glucose monitoring, pedometers, diabetes self-care, cardiovascular complications, lifestyle modification
- MeSH terms
- Adolescent, Blood Glucose, Child, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Equipment Design, Glycated Hemoglobin, Humans, Patient Compliance, Practice Patterns, Physicians', Predictive Value of Tests, Self Care, Blood Glucose Self-Monitoring, Treatment Outcome, Practice Guidelines as Topic, Evidence-Based Medicine, Diagnostic Equipment, Guideline Adherence, Biomedical Technology, Risk Reduction Behavior, Cell Phone, Actigraphy
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