Impact of MyCareTeam™ for Poorly Controlled Diabetes Mellitus
| العنوان: | Impact of MyCareTeam™ for Poorly Controlled Diabetes Mellitus |
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| المؤلفون: | Ming-Jye Hu, Stephen Clement, Seong Ki Mun, Adil Alaoui, Karen E Smith, Betty A. Levine |
| المصدر: | Diabetes Technology & Therapeutics. 6:828-835 |
| بيانات النشر: | Mary Ann Liebert Inc, 2004. |
| سنة النشر: | 2004 |
| مصطلحات موضوعية: | Blood Glucose, Research design, medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, Monitoring ambulatory, Monitoring, Ambulatory, Endocrinology, Diabetes management, Diabetes mellitus, Materials Testing, medicine, Humans, Poorly controlled diabetes mellitus, Prospective Studies, Prospective cohort study, Intensive care medicine, Glycemic, Internet, business.industry, Patient Selection, food and beverages, medicine.disease, Surgery, Clinical trial, Medical Laboratory Technology, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Research Design, business, Computer-Assisted Instruction |
| الوصف: | Web-based diabetes management can be used to provide frequent interactions between patients and providers and thus result in improved glycemic control.In a single-center, prospective feasibility study, 16 poorly controlled patients with either type 1 or 2 diabetes mellitus were enrolled to assess the impact of using MyCareTeam, a web-based diabetes management application, for diabetes management. Patients were asked to transfer their blood glucose data electronically, maintain exercise logs, and communicate with their provider via MyCareTeam. The provider gave clinical interventions to optimize blood glucose control and provided feedback via MyCareTeam. Diabetes, nutrition, and exercise information was also available via MyCareTeam.A significant reduction of over 2.22% points in hemoglobin A1C was seen for the total patient population. Differences between moderate/heavy users (n = 8) versus light/never users (n = 8) of MyCareTeam were evaluated for intergroup differences based upon utilization. Moderate/heavy users had a significant 6-month A1C reduction of 3.15 percentage points compared with a reduction of 1.28 percentage points in light/never users. Other secondary end points were improved as well, including systolic blood pressure, diastolic blood pressure, total cholesterol, high-density lipoprotein, low-density lipoprotein, and triglycerides. However, as expected, body mass index levels increased because of aggressive diabetes management with insulin therapy.These results demonstrate a significant treatment effect from the MyCareTeam application. A larger randomized control trial is under way at the Boston Veterans Administration Healthcare System. If these results are confirmed as expected, then web-based diabetes management may prove to be the link to achieving target American Diabetes Association glycemic goals in patients with poorly controlled diabetes. |
| تدمد: | 1557-8593 1520-9156 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::589e5a493a0edb2f08ea68e061eb26e6Test https://doi.org/10.1089/dia.2004.6.828Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....589e5a493a0edb2f08ea68e061eb26e6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15578593 15209156 |
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