Efficacy of a glucose meter connected to a mobile app on glycemic control and adherence to self-care tasks in patients with T1DM and LADA: a parallel-group, open-label, clinical treatment trial

连接至移动应用程序的血糖仪对患有 1 型糖尿病和 LADA 的患者血糖控制和自我护理任务依从性的有效性:一项平行组、开放标签临床治疗试验

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作者:Felipe Martins de Oliveira, Luís Eduardo Procópio Calliari, Cecília Kauffman Rutenberg Feder, Maria Fernanda Ozorio de Almeida, Mariana Vilela Pereira, Maria Thereza Teixeira de Almeida Fagundes Alves, Sônia Aparecida Dias Garcia, Ligia Dinara Donizeti Reis, João Eduardo Nunes Salles

Conclusion

OneTouch Reveal improved both A1C levels and DSMP scores in patients with T1DM or LADA compared with standard treatment (CSII).

Methods

Patients with type 1 diabetes mellitus (T1DM) or latent autoimmune diabetes of the adult (LADA) using a multiple daily injection (MDI) regimen with carbohydrate counting (n = 25, Subgroup B) or fixed insulin dose (n = 25, Subgroup C) were allocated to use the application (app) for 12 weeks. Both subgroups were compared with each other and against a control group (n = 25, Group A) comprising patients with T1DM or LADA treated with continuous subcutaneous insulin infusion (CSII) in a parallel-group, open-label, clinical treatment trial. All patients had glycated hemoglobin (A1C) levels measured and were asked to fill out the Diabetes Self-Management Profile (DSMP) questionnaire at study start and end. The patients were instructed to measure capillary glucose six times daily in study weeks 4, 8, and 12.

Objective

The main aim of the study was to evaluate the patients' glycemic control and adherence to self-care tasks.

Results

Mean A1C levels decreased 0.725% in Subgroup C in intragroup analysis (p = 0.0063), and had a mean variation of 0.834% compared with Group A (p = 0.003). Mean DSMP scores increased 5.77 points in Subgroup B in intragroup analysis (p = 0.0004) and increased by a mean of 6.815 points in relation to Group A (p = 0.002).

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