Assessment of basal insulin adherence in people with type 2 diabetes in telemonitoring: Post-hoc analysis of novel data modalities including insulin injection data
Authors' conclusion
Utilizing insulin injection data our results provide detailed insights into basal insulin adherence behavior, including irregularities and daily dose adjustments. Our findings are necessary for supporting healthcare providers' preventable efforts and optimizing diabetes care.
Study context
- Population
- People with insulin-treated T2D in telemonitoring, using connected insulin pens
- Participants
- 165 people
- Comparison
- Adherent vs non-adherent participants
- Primary endpoint
- Basal insulin adherence: overall adherence, adherence distribution and dose deviation
Methodological detailsconnected insulin pen injection data
- Connected insulin pen injection data
Primary result
As reported in the abstract
Basal insulin adherence
Weekly averaged overall adherence levels
70.6 % to 79.3 %
Participants with deviation from recommended dose, primarily increased or reduced doses
98.8 %
Further findings
| Outcome | OR (95 % CI) |
|---|---|
| Characteristics of non-adherent vs adherent participantsNon-adherent vs Adherent · HbA1c; higher in non-adherent | 0.96 (0.93–0.99) |
| Characteristics of non-adherent vs adherent participantsNon-adherent vs Adherent · total daily insulin dose; higher in non-adherent | 0.99 (0.98–0.99) |
| Characteristics of non-adherent vs adherent participantsNon-adherent vs Adherent · physical activity; lower in non-adherent | 2.55 (1.23–5.28) |
Original publication
Assessment of basal insulin adherence in people with type 2 diabetes in telemonitoring: Post-hoc analysis of novel data modalities including insulin injection data. Diabetes Res Clin Pract. Published 17 April 2025. doi:10. 1016/ j. diabres. 2025. 112191
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