دورية أكاديمية
Telemedicine and type 1 diabetes: is technology per se sufficient to improve glycaemic control?
| العنوان: | Telemedicine and type 1 diabetes: is technology per se sufficient to improve glycaemic control? |
|---|---|
| المؤلفون: | Franc, S., Borot, S., Ronsin, O., Quesada, J. L., Dardari, D., Fagour, C., Renard, E., Leguerrier, A. M., Vigeral, C., Moreau, F., Winiszewski, P., Vambergue, A., Mosnier-Pudar, H., Kessler, L., Reffet, S., Guerci, B., Millot, L., Halimi, S., Thivolet, Charles, Benhamou, P. y., Penfornis, A., Charpentier, G., Hanaire, H. |
| المساهمون: | Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire de bioénergétique fondamentale et appliquée (LBFA), Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire Grenoble (CHU) |
| المصدر: | ISSN: 1262-3636 ; Diabetes and Metabolism ; https://hal.archives-ouvertes.fr/hal-01859454Test ; Diabetes and Metabolism, Elsevier Masson, 2014, 40 (1), pp.61-6. ⟨10.1016/j.diabet.2013.09.001⟩. |
| بيانات النشر: | HAL CCSD Elsevier Masson |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, Female, Humans, Male, Software, Hypoglycemic Agents/*administration & dosage, Insulin/*administration & dosage, Blood Glucose/*metabolism, Cell Phones, Remote Consultation, Diabetes Mellitus, Type 1/*drug therapy, Hemoglobin A, Glycosylated/metabolism, Insulin Infusion Systems, Internet, Patient Compliance, Reminder Systems/*instrumentation, Self Care, Telemedicine, [SDV]Life Sciences [q-bio], envir, socio |
| الوصف: | International audience ; AIM: In the TELEDIAB-1 study, the Diabeo system (a smartphone coupled to a website) improved HbA1c by 0.9% vs controls in patients with chronic, poorly controlled type 1 diabetes. The system provided two main functions: automated advice on the insulin doses required; and remote monitoring by teleconsultation. The question is: how much did each function contribute to the improvement in HbA1c? METHODS: Each patient received a smartphone with an insulin dose advisor (IDA) and with (G3 group) or without (G2 group) the telemonitoring/teleconsultation function. Patients were classified as "high users" if the proportion of "informed" meals using the IDA exceeded 67% (median) and as "low users" if not. Also analyzed was the respective impact of the IDA function and teleconsultations on the final HbA1c levels. RESULTS: Among the high users, the proportion of informed meals remained stable from baseline to the end of the study 6months later (from 78.1+/-21.5% to 73.8+/-25.1%; P=0.107), but decreased in the low users (from 36.6+/-29.4% to 26.7+/-28.4%; P=0.005). As expected, HbA1c improved in high users from 8.7% [range: 8.3-9.2%] to 8.2% [range: 7.8-8.7%] in patients with (n=26) vs without (n=30) the benefit of telemonitoring/teleconsultation (-0.49+/-0.60% vs -0.52+/-0.73%, respectively; P=0.879). However, although HbA1c also improved in low users from 9.0% [8.5-10.1] to 8.5% [7.9-9.6], those receiving support via teleconsultation tended to show greater improvement than the others (-0.93+/-0.97 vs -0.46+/-1.05, respectively; P=0.084). CONCLUSION: The Diabeo system improved glycaemic control in both high and low users who avidly used the IDA function, while the greatest improvement was seen in the low users who had the motivational support of teleconsultations. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://hal.archives-ouvertes.fr/hal-01859454Test |
| الإتاحة: | https://doi.org/10.1016/j.diabet.2013.09.001Test https://hal.archives-ouvertes.fr/hal-01859454Test |
| حقوق: | undefined |
| رقم الانضمام: | edsbas.EAE13151 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |