دورية أكاديمية

Clinical outcomes of a digitally supported approach for self-management of type 2 diabetes mellitus

التفاصيل البيبلوغرافية
العنوان: Clinical outcomes of a digitally supported approach for self-management of type 2 diabetes mellitus
المؤلفون: De Luca, Vincenzo, Bozzetto, Lutgarda, Giglio, Clemente, Tramontano, Giovanni, De Simone, Giuseppina, Luciano, Antonio, Lucibelli, Luigi, Maffettone, Ada, Riccio, Michele, Romano, Geremia, Rossi, Ernesto, Chiatti, Carlos Juan, Berler, Alexander, Iaccarino, Guido, Illario, Maddalena, Annuzzi, Giovanni
المصدر: Frontiers in Public Health ; volume 11 ; ISSN 2296-2565
بيانات النشر: Frontiers Media SA
سنة النشر: 2023
المجموعة: Frontiers (Publisher - via CrossRef)
مصطلحات موضوعية: Public Health, Environmental and Occupational Health
الوصف: Background Self-management of Type 2 diabetes mellitus (T2D) is challenging. Regular self-monitoring of blood glucose and healthy lifestyles are required to improve glycometabolic control, thus delaying diabetes complications, and reducing hospitalizations. Digital technologies can empower patients in their disease management promoting self-management and motivation to change behaviors. We report the results of an exploratory trial aimed at evaluating the metabolic outcomes of using digital solutions for T2D self-management developed in the ProEmpower project, a European Commission funded Pre-Commercial Procurement. Methods Two digital solutions, DM4All and DiaWatch, which were codesigned with providers, patients, and caregivers, enabled the collection of clinical parameters by the patient using a smartphone integrated with the medical devices (glucometer, sphygmomanometer, scale, smart watch for heart rate monitoring and step counter). Data were automatically sent to the shared care plan allowing professionals to monitor adherence to treatment, set goals, and communicate more effectively with patients. At baseline and after an average follow-up of 8 months, glycosylated hemoglobin (HbA1c), body weight, blood pressure, and blood lipids were measured in 100 T2D patients using the ProEmpower solutions across different diabetes centers in Campania Region, age 45–79 years, both genders, and compared with a Control cohort of T2D patients ( n = 100) with similar clinical characteristics and followed for a comparable period of observation in the same centers. Results At baseline, the ProEmpower participants and the Control subjects were on average overweight, with a similar BMI in the two cohorts, and mean HbA1c was at acceptable levels (around 7.0%). After the 8 month exploratory trial, body weight, HbA1c, systolic and diastolic blood pressure, and plasma and LDL-cholesterol significantly decreased in the ProEmpower participants compared to baseline ( p < 0.05 for all). The changes in systolic and diastolic ...
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
DOI: 10.3389/fpubh.2023.1219661
DOI: 10.3389/fpubh.2023.1219661/full
الإتاحة: https://doi.org/10.3389/fpubh.2023.1219661Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.7DFCD6CC
قاعدة البيانات: BASE