Type 2 & other diabetes

Telemonitoring With a Connected Glucose Meter Improves Glycemia Among People With Insulin-Treated Type 2 Diabetes

J Diabetes Sci TechnolPublished Single-group interventional study

Authors' conclusion

Telemonitoring and titration of insulin using a connected glucose meter resulted in significant improvements in glycemia, characterized by a reduction in HbA1c, increase in PIR, and reduction in glycemic variability without any increase in hypoglycemia.

Study context

Population
Adults with insulin-treated T2D (≥6 months diabetes, ≥3 months insulin), hemoglobin A1c (HbA1c) ≥8.5% and ≤12.5%, body mass index (BMI) ≤40 kg/m²; 55% women, mean age 57.9 years, mean BMI 27.8 kg/m², baseline HbA1c 9.8% (83.7 mmol/mol)
Participants
40 adults
Outcome
HbA1c
Follow-up
Week 24
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

HbA1c change from baseline

Mean HbA1c improved

1.7%

Further findings

Glycemic variability (% CV), baseline to week 24

% CV reduced from 32.9% to 30.7%
  • P <.01

Blood glucose (BG) readings in range 70-180 mg/dL (PIR), baseline to week 24

PIR increased from 58.8% to 67.1%
  • P <.01

Total daily insulin dose · 24 weeks

Median increase in total daily insulin dose
0.04 U/kg/d

Safety

BG readings below range <70 mg/dL (PBR) · week 24

No change in PBR

Weight gain · 24 weeks

Weight gain
0.9 kg

Original publication

Telemonitoring With a Connected Glucose Meter Improves Glycemia Among People With Insulin-Treated Type 2 Diabetes. J Diabetes Sci Technol. Published 24 February 2023. doi:10.1177/19322968231157387

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