Can a Basic Management App Paired With A Glucose Meter Help Reduce Glucose Levels Among Adults With Type 2 Diabetes? The REALL Study
Authors' conclusion
Making an App for monitoring glucose easily available for download with a glucose meter can be helpful for self-selected adults with T2D. Effective utilization assumes that users are sufficiently motivated and engaged, are comfortable and trusting of the technology, and have sufficient knowledge of how to make use of the glucose data.
Study context
- Population
- Adults >21 years with T2D >12 months, able to read English, insulin using (IU) and non-insulin using (NIU), who independently elected to pair their meter with the app
- Participants
- 461 adults
- Exposure
- Glucose levels at 16 weeks vs baseline with a free app paired with a glucose meter
- Outcome
- Weekly glucose levels
- Follow-up
- Baseline to 16 weeks
Methodological detailsself-selected sample, pre-post
- Self-selected sample
- Pre-post
Main finding
As reported in the abstract
- Baseline mean (SD)
- 169 (62.0) (9.4 mmol/L; 3.44)
- 16-week mean (SD)
- 146.5 (36.0) (8.1 mmol/L; 2.0)
- Significant decrease over time
- P < .001
Observational data: associations, not effects.
Further findings
Time course of glucose reduction
- Largest reductions during the first six weeks, with no later rebound effects
Patient-reported outcomes · 16 weeks
- Global quality of life improved
- P = 0.03
- Hypoglycemia concerns improved
- P = 0.01
- Diabetes distress improved
- P < 0.001
- Significant, though modest
Original publication
Can a Basic Management App Paired With A Glucose Meter Help Reduce Glucose Levels Among Adults With Type 2 Diabetes? The REALL Study. J Diabetes Sci Technol. Published 9 May 2022. doi:10. 1177/ 19322968221096163
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