Efficacy of Digitally Supported and Real-Time Self-Monitoring of Blood Glucose-Driven Counseling in Patients with Type 2 Diabetes Mellitus: A Real-World, Retrospective Study in North India

被引:2
作者
Sabharwal, Mudit [1 ]
Misra, Anoop [2 ]
Ghosh, Amerta [2 ]
Chopra, Gautam [1 ]
机构
[1] Hlth Arx Technol Pvt Ltd, BeatO, New Delhi, India
[2] Fortis C DOC Hosp, Ctr Excellence Diabet Metab Dis & Endocrinol, New Delhi, India
来源
DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY | 2022年 / 15卷
关键词
type 2 diabetes mellitus; glucometer; glycemic control; self-monitoring of blood glucose; counseling;
D O I
10.2147/DMSO.S345785
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: Poor glycemic control is prevalent in patients with type 2 diabetes mellitus (T2DM) in India. This study aims to understand the effectiveness of a smartphoneconnected glucometer, real-time feedback, and contextualized counseling on glycemic control and hypoglycemic episodes in T2DM patients. Methods: This retrospective, multicenter study reviewed the medical records of T2DM patients belonging to several cities of north India, who were digitally engaged with a smartphone-connected glucometer and who had received at least one counseling session between September 2019 and July 2020. Intervention included self-monitoring of blood glucose (SMBG) using a smartphone-connected glucometer enabled with real-time transmission of information to certified diabetes educators (CDE) and their corresponding counseling based on SMBG findings. Results: Of 7111 adult T2DM patients included in this study, majority (75%) of the patients received a single session of counseling, and the remaining patients received 2 (16.7%), 3 (5%), 4 (2%), or >= 5 (1.3%) sessions. The mean age of the patients was 51.6 years, and the majority (77.9%) were males. Digital monitoring of BG and counseling with CDE significantly reduced the mean fasting (by 9.6%), pre-prandial (by 9.9%), and post-prandial (by 9.2%) BG values in 53%, 52%, and 54% of patients, respectively. The majority (81.4%) of patients showed no hypoglycemic episode (<= 70 mg/dL) post-counseling. The hypoglycemia episodes observed with FBG, pre-prandial, and post-prandial BG values were reduced significantly by 58.5%, 48.1%, and 61.8%, respectively, post-counseling. Conclusion: Digitally supported and real-time SMBG-driven counselling was effective in glycemic control and reduction of hypoglycemic episodes in T2DM patients in India. Moreover, reduction in hypoglycemia may be due to back end real-time support of CDE intervention.
引用
收藏
页码:23 / 33
页数:11
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