Effectiveness and safety of a glucose data-filtering system with automatic response software to reduce the physician workload in managing type 2 diabetes

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21 Scopus citations

Abstract

We conducted a randomized controlled trial to investigate the efficacy and safety of a system for online glucose monitoring of type 2 diabetes patients. The software automatically filtered the self-monitored blood glucose data to reduce physicians' time. In the control group, the physicians had to contact the patients manually. We measured the time spent by physicians for online management in a 24-week study. Seventy-nine patients were recruited. The frequency of physicians' online monitoring of the patients was decreased by 55% in patients with HbA 1c < 6.5% and by 29% when HbA 1c. 6.5% (P, 0.01). Physicians' log-in time was reduced by 67% and 55% in patients with HbA 1c <6.5% and.6.5%, respectively (P,0.05). HbA 1c levels were maintained at,6.5% during the study period in both groups. The study showed the efficacy and safety of the software for online communication in diabetes management. The results suggest that it could improve the cost-effectiveness of online communication systems and form the basis of future clinical applications.

Original languageEnglish
Pages (from-to)257-262
Number of pages6
JournalJournal of Telemedicine and Telecare
Volume17
Issue number5
DOIs
StatePublished - Jul 2011

Bibliographical note

Funding Information:
We thank Kyung-Hwa Song for collecting and inputting all the data and Jung-Ah Oh for coordinating the study. We also appreciate Young-Hwan Pack's technical assistance in developing the software. The work was supported by a Seoul R&D project grant and the Ministry for Health, Welfare and Family Affairs (A080872).

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