Diabetes technology

The effectiveness of telemonitoring and integrated personalized diabetes management in people with insulin‐treated type 2 diabetes mellitus

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · HbA1c change from baselineResult — go to the resultMean difference −0.65 % 95% CI −0.99 to −0.30

Authors' conclusion

Telemonitoring can support the iPDM care model in individuals with insulin-treated type 2 diabetes. It improves the efficiency of diabetes care, enhances glycaemic control at 12 weeks, and sustains glycaemic control at 24 weeks.

Study context

Population
Insulin-treated T2D patients aged 18–65 years with HbA1c 7.5%-10.5%
Participants
151 patients
Comparison
Telemonitoring-based integrated personalized diabetes management (iPDM) vs self-monitoring and insulin adjustment
Primary endpoint
Difference in HbA1c change from baseline between groups
Follow-up
24 weeks
Methodological detailssingle-centre, open-label, prospective
  • Single-centre
  • Open-label
  • Prospective

Primary result

HbA1c change from baseline

Mean difference

−0.65 %

95% CI −0.99 to −0.30

P < 0.001

Change by group

tele-iPDM

−1.14

CI −1.38–-0.89 · %

Control

- 0.49

CI −0.73–-0.25 · %

tele-iPDMvs Control
mean difference −0.65 % (95% CI −0.99 to −0.30); P < 0.001

As reported in the abstract

Secondary outcomes

%

Outcometele-iPDMControlMean difference (%) (95% CI)P value
HbA1c change from baseline · 12 weeks−1.2 (CI −1.42–-0.98)−0.57 (CI −0.79–-0.36)−0.63 (−0.94 to −0.32)P < 0.001

Body weight and body mass index (BMI)

No significant differences in body weight or BMI between groups

Safety

No significant difference in hypoglycaemic events between groups

Original publication

The effectiveness of telemonitoring and integrated personalized diabetes management in people with insulin‐treated type 2 diabetes mellitus. Diabetes Obes Metab. Published 19 August 2024. doi:10.1111/dom.15870

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