INTRODUCTION: In this paper, we evaluated the feasibility of a telemedical (TM) support program and its effect on glycemic control in adolescents with type 1 diabetes mellitus (T1DM). Thirty-six adolescents (m=20, median age at the start of the study: 15.3 years (range: 10.7-19.3 years), median age at diagnosis: 9.3 years (2.1-13.8 years), median duration of disease: 6.4 years (1.0-12.8 years), HbA1c>8%, all on intensified insulin therapy) were randomized in a crossover trial over 6 months (3 months with TM, 3 months with conventional support and paper diary (PD)). During the TM phase, the patients sent their data (date, time, blood glucose, carbohydrate intake, insulin dosage) via mobile phone, at least daily, to our server and diabetologists sent back their advice via short message service (SMS) once a week. RESULTS:Glycemic control improved during the TM phase, while it deteriorated during the PD phase: TM-PD group HbA1c (%, median (range)): 9.05 (8-11.3) (at 0 months), 8.9 (6.9-11.3) (at 3 months), and 9.2 (7.4-12.6) (at 6 months), and PD-TM group: 8.9 (8.3-11.6), 9.9 (8.1-11), and 8.85 (7.3-11.7) (p<0.05). Patients rated the TM support program to be a good idea. Technical problems with General Packet Radio Service (GPRS) data transmission led to data loss and decreased patient satisfaction. CONCLUSION: Our telemedical support program, VIE-DIAB, proved to be feasible in adolescents and helped to improve glycemic control.
RCT Entities:
INTRODUCTION: In this paper, we evaluated the feasibility of a telemedical (TM) support program and its effect on glycemic control in adolescents with type 1 diabetes mellitus (T1DM). Thirty-six adolescents (m=20, median age at the start of the study: 15.3 years (range: 10.7-19.3 years), median age at diagnosis: 9.3 years (2.1-13.8 years), median duration of disease: 6.4 years (1.0-12.8 years), HbA1c>8%, all on intensified insulin therapy) were randomized in a crossover trial over 6 months (3 months with TM, 3 months with conventional support and paper diary (PD)). During the TM phase, the patients sent their data (date, time, blood glucose, carbohydrate intake, insulin dosage) via mobile phone, at least daily, to our server and diabetologists sent back their advice via short message service (SMS) once a week. RESULTS: Glycemic control improved during the TM phase, while it deteriorated during the PD phase: TM-PD group HbA1c (%, median (range)): 9.05 (8-11.3) (at 0 months), 8.9 (6.9-11.3) (at 3 months), and 9.2 (7.4-12.6) (at 6 months), and PD-TM group: 8.9 (8.3-11.6), 9.9 (8.1-11), and 8.85 (7.3-11.7) (p<0.05). Patients rated the TM support program to be a good idea. Technical problems with General Packet Radio Service (GPRS) data transmission led to data loss and decreased patient satisfaction. CONCLUSION: Our telemedical support program, VIE-DIAB, proved to be feasible in adolescents and helped to improve glycemic control.
Authors: Reinhard W Holl; Peter G F Swift; Henrik B Mortensen; Helle Lynggaard; Phillip Hougaard; Henk-Jan Aanstoot; Francesco Chiarelli; Denis Daneman; Thomas Danne; Harry Dorchy; Patrick Garandeau; Steven Greene; Hilary M C V Hoey; Eero A Kaprio; Mirjana Kocova; Pedro Martul; Nobuo Matsuura; Kenneth J Robertson; Eugen J Schoenle; Oddmund Sovik; Rosa-Maria Tsou; Maurizio Vanelli; Jan Aman Journal: Eur J Pediatr Date: 2002-11-26 Impact factor: 3.183
Authors: H Peter Chase; Jerusha A Pearson; Clare Wightman; Mary D Roberts; Adam D Oderberg; Satish K Garg Journal: Diabetes Care Date: 2003-05 Impact factor: 19.112
Authors: Sara Belle Donevant; Robin Dawson Estrada; Joan Marie Culley; Brian Habing; Swann Arp Adams Journal: J Am Med Inform Assoc Date: 2018-10-01 Impact factor: 4.497