A Telehealth Program Using Continuous Glucose Monitoring and a Connected Insulin Pen Cap in Nursing Homes for Older Adults with Insulin-Treated Diabetes: The Trescasas Study
Authors' conclusion
A telehealth program using CGM and a CIPC was associated with improved glycemic profiles among institutionalized older individuals with diabetes receiving insulin and was well perceived by professionals.
Study context
- Population
- Older adults with insulin-treated diabetes in 7 nursing homes; age 87.7 ± 7.1 (68–102) years, 56% women, diabetes duration 18.7 years, baseline HbA1c 6.9% [52 mmol/mol]54 completed
- Participants
- 82 adults
- Exposure
- Telehealth program with continuous glucose monitoring (CGM) and connected insulin pen cap: baseline blind CGM vs intervention 1 (CGM without alarms) vs intervention 2 (CGM with alarms)
- Outcome
- Reduction of hypoglycemia rate
Methodological detailsmulticenter, sequential, three phases, Two telehealth visits from reference diabetes units to adjust antidiabetic treatments, Insulin treatment tracked with the Insulclock® connected insulin pen cap
- Multicenter
- Sequential
- Three phases
- Two telehealth visits from reference diabetes units to adjust antidiabetic treatments
- Insulin treatment tracked with the Insulclock® connected insulin pen cap
Main finding
As reported in the abstract
Mean number of hypoglycemic events
Baseline
4.4
mean
Intervention 1
2.8
mean
Intervention 2
2.1
mean
Intervention 1 vs Baseline: P = 0.060 · Intervention 2 vs Baseline: P = 0.023
Observational data: associations, not effects.
Further findings
| Outcome | Baseline | Intervention 1 | Intervention 2 | P value |
|---|---|---|---|---|
| TBR <70 mg/dL (3.9 mmol/L)Intervention 2 vs Baseline | 3.7% | — not stated in the abstract | 1.4% | P = 0.036 |
| Number of insulin injectionsIntervention 1 vs Baseline | 1.2 | 0.99 | — not stated in the abstract | P = 0.027 |
— not stated in the abstract
Nursing home staff perception
- Staff expressed a positive view of the program, greater convenience and potential to reduce hypoglycemia with Freestyle Libre2® CGM vs glucometer
Original publication
A Telehealth Program Using Continuous Glucose Monitoring and a Connected Insulin Pen Cap in Nursing Homes for Older Adults with Insulin-Treated Diabetes: The Trescasas Study. Diabetes Technol Ther. Published 26 November 2024. doi:10.
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