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Cited by 19Diabetes Management and EducationDiabetes Management and ResearchTelemedicine and Telehealth Implementation

Telemedicine-assisted structured self-monitoring of blood glucose in management of T2DM results of a randomized clinical trial

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Han, Chen-Yu, Zhang, Jian, Ye, Xiao-Mei, Lu, Jia-Ping, Jin, Hai-Ying, Xu, Wei-Wei, Wang, Ping, Zhang, Min·2023·BMC Medical Informatics and Decision Making
DOI 10.1186/s12911-023-02283-4PMC PMC10500819
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Abstract

BACKGROUND: This prospective study aimed to compare telemedicine-assisted structured self-monitoring of blood glucose(SMBG) with a traditional blood glucose meter (BGM) in adults of type 2 diabetes mellitus (T2DM). METHODS: Adult participants with T2DM were assigned to an intervention group or a control group. The patients in the intervention group received a connected BGM with real-time data submission as well as individual needs-based tele-coaching to address and improve motivation and daily diabetes self-management. The patients in the control group received a traditional BGM. Changes in glycated hemoglobin(HbA1c), low blood glucose index(LBGI), and diabetes self-management behaviors were analyzed. RESULTS: The study demonstrated the superiority of the telemedicine-assisted structured SMBG versus the traditional BGM for improving HbA1c. Additionally, the telemedicine-assisted SMBG reduced the risk of hypoglycemia and enhanced diabetes self-management behaviors, as differences in the LBGI and the Diabetes Self-Management Questionnaire(DSMQ) results between the groups after 6 months were found to be significant. CONCLUSIONS: Telemedicine-assisted structured SMBG helps physicians and patients to achieve a specific level of glycemic control and reduce hypoglycemia. The use of coaching applications and telemedicine-assisted SMBG indicated beneficial effects for T2DM self-management, which may help limit disease progression. TRIAL REGISTRATION: Chinese Clinical Trail Registry No: ChiCTR2300072356 on 12/06/2023. Retrospectively registered.

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Cited by

Sorted by citations

Authors
Han, C.-Y., Zhang, J., Ye, X.-M., Lu, J.-P., Jin, H.-Y., Xu, W.-W., Wang, P., & Zhang, M.
Affiliations
  • Fudan University (CN)
  • Shaoxing University (CN)
Corresponding author
Zhang, Min
ORCID
Venue
BMC Medical Informatics and Decision Making
Publisher
Springer Science and Business Media LLC
Published
2023-09-14
Volume
23
Issue
1
Pages
182-182
ISSN
1472-6947 (ISSN-L)
DOI
10.1186/s12911-023-02283-4
PMC
PMC10500819
OpenAlex
W4386746161
Cited by
19
References
5
Citations by year
2026: 4 · 2025: 9 · 2024: 6
FWCI
3.90
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Shanghai Municipal Commission of Science and Technology (17DZ1910605)
  • Shanghai Municipal Health Commission (20204Y0060)
  • Science and Technology Development Fund Project of Qingpu District in Shanghai (QKY2021-03)
  • The fourth round of personnel training project of Qingpu District Health System in Shanghai (WM2019-06)
  • The fourth round of discipline construction project of Qingpu District Health System in Shanghai (WZ2019-03)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
telemedicine, type 2 diabetes, telecoaching, diabetes self-management, glycemic control, HbA1c, hypoglycemia, low blood glucose index, diabetes self-management behavior
MeSH terms
Adult, Blood Glucose, Diabetes Mellitus, Type 2, Glycated Hemoglobin, Humans, Hypoglycemia, Prospective Studies, Telemedicine

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