Role of Mobile Technology to Improve Diabetes Care in Adults with Type 1 Diabetes: The Remote-T1D Study iBGStar® in Type 1 Diabetes Management

被引：23
作者：
Garg, Satish K. [1 ,2 ]
Shah, Viral N. [1 ,2 ]
Akturk, Halis K. [1 ,2 ]
Beatson, Christie [1 ]
Snell-Bergeon, Janet K. [1 ]
机构：
[1] Univ Colorado, Barbara Davis Ctr Diabet, Anschutz Campus, Aurora, CO 80045 USA
[2] Univ Colorado, Sch Med, Aurora, CO USA
来源：
DIABETES THERAPY | 2017年 / 8卷 / 04期
关键词：
Continuous glucose monitoring; Diabetes; Glucometer; Hypoglycemia; iBGStar; iPhone; Mobile technology; Self-monitoring of blood glucose; Type; 1; diabetes; BLOOD-GLUCOSE;
D O I：
10.1007/s13300-017-0272-5
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Introduction: The role of mobile technology in patient-reported outcomes (PRO) and glycemic control in adults with type 1 diabetes (T1D) needs further evaluation. Methods: The single-center, prospective, 6-month, open-label, investigator-initiated study randomized 100 subjects with T1D in a 1: 1 fashion to a control group using self-monitoring of blood glucose (SMBG) with Accu-Chek Nano (R) and an intervention group using SMBG with iPhone plus glucose meter (iBGStar (R)). The primary endpoint was the change in PRO (hypoglycemia fear score, behavior and worry subscores). Secondary outcomes were the improvement in glycemic variability indices and the reduction in A1c values. Results: Baseline demographics and glycosylated hemoglobin (A1c) values were similar in the two groups. There was a significant decrease in A1c value at 6 months in iBGStar (R) group compared to the control group (-0.16 vs. -0.51, p = 0.04). The total insulin dose increased significantly in the iBGStar (R) group at 3 months but did not change at 6 months. The hypoglycemia fear scale (PRO) improved in both groups at 6 months (-1.4 +/- 10.0 vs. -3.9 +/- 12.5, p = 0.32). Conclusion: The use of iBGStar (R) resulted in better glycemic control and improvement in some PRO (hypoglycemia fear and behavior scores) compared to the control group at 6 months with no increased risk of hypoglycemia.
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收藏
页码：811 / 819
页数：9
相关论文
共 16 条
[1]   Introduction [J].
不详 .
DIABETES CARE, 2015, 38 :S1-S2
[2]  
[Anonymous], CLIN DIABETES
[3]   FEAR OF HYPOGLYCEMIA - QUANTIFICATION, VALIDATION, AND UTILIZATION [J].
COX, DJ ;
IRVINE, A ;
GONDERFREDERICK, L ;
NOWACEK, G ;
BUTTERFIELD, J .
DIABETES CARE, 1987, 10 (05) :617-621
[4]   Prevalence of Type 1 and Type 2 Diabetes Among Children and Adolescents From 2001 to 2009 [J].
Dabelea, Dana ;
Mayer-Davis, Elizabeth J. ;
Saydah, Sharon ;
Imperatore, Giuseppina ;
Linder, Barbara ;
Divers, Jasmin ;
Bell, Ronny ;
Badaru, Angela ;
Talton, Jennifer W. ;
Crume, Tessa ;
Liese, Angela D. ;
Merchant, Anwar T. ;
Lawrence, Jean M. ;
Reynolds, Kristi ;
Dolan, Lawrence ;
Liu, Lenna L. ;
Hamman, Richard F. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2014, 311 (17) :1778-1786
[5]   Self-monitoring of blood glucose [J].
Garg, S. ;
Hirsch, I. B. ;
Bode, B. W. ;
Battelino, T. ;
Pickup, J. ;
Dassau, E. ;
Atlas, E. ;
Phillip, M. ;
Danne, T. ;
Bolinder, J. ;
Heinemann, L. ;
Kaufman, N. ;
Hod, M. ;
Jovanovic, L. ;
Spector, D. ;
Shikora, S. ;
Skyler, J. S. ;
Zisser, H. ;
Riddell, M. C. .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2010, 64 :1-69
[6]   Role of emerging new technologies [J].
Garg, Satish K. .
DIABETES TECHNOLOGY & THERAPEUTICS, 2008, 10 (05) :413-414
[7]   Projections of Type 1 and Type 2 Diabetes Burden in the U. S. Population Aged <20 Years Through 2050 Dynamic modeling of incidence, mortality, and population growth [J].
Imperatore, Giuseppina ;
Liese, Angela D. ;
Boyle, James P. ;
Liu, Lenna L. ;
Thompson, Theodore J. ;
Mayer-Davis, Elizabeth J. ;
Case, Doug ;
Rodriguez, Beatriz L. ;
Dabelea, Dana ;
Standiford, Debra ;
Hamman, Richard F. ;
Lawrence, Jean M. .
DIABETES CARE, 2012, 35 (12) :2515-2520
[8]   Diabetes Self-Management Smartphone Application for Adults With Type 1 Diabetes: Randomized Controlled Trial [J].
Kirwan, Morwenna ;
Vandelanotte, Corneel ;
Fenning, Andrew ;
Duncan, Mitch J. .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2013, 15 (11)
[9]   Anxiety in Children and Adolescents With Type 1 Diabetes [J].
Majidi, Shideh ;
Driscoll, Kimberly A. ;
Raymond, Jennifer K. .
CURRENT DIABETES REPORTS, 2015, 15 (08)
[10]   Current State of Type 1 Diabetes Treatment in the US: Updated Data From the T1D Exchange Clinic Registry [J].
Miller, Kellee M. ;
Foster, Nicole C. ;
Beck, Roy W. ;
Bergenstal, Richard M. ;
DuBose, Stephanie N. ;
DiMeglio, Linda A. ;
Maahs, David M. ;
Tamborlane, William V. .
DIABETES CARE, 2015, 38 (06) :971-978
12