Telecare Provides Comparable Efficacy to Conventional Self-Monitored Blood Glucose in Patients with Type 2 Diabetes Titrating One Injection of Insulin Glulisine—the ELEONOR Study

Prato, Stefano Del; Nicolucci, Antonio; Lovagnini-Scher, Augusto C; Turco, Salvatore; Leotta, Sergio; Vespasiani, G

doi:10.1089/dia.2011.0163

Cited by 49 publications

(61 citation statements)

References 23 publications

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“…The authors of this review agree with these statements and hypothesize the outcomes may indicate that the structured SMBG profile combined with educational tools not the telehealth RPM intervention, improved A1C. 37 Baseline A1C is an important consideration in planning telehealth RCTs. When study participants mean A1C is at or close to goal, it is not unrealistic to see a small IE.…”

Section: Discussionmentioning

confidence: 52%

“…Only 1 study titrating insulin doses defined specific fasting and postprandial glucose goals. 37 In some studies SMBG goals were individualized for the participant 41,42,46 and followed standard guidelines from the ADA 39,40 or both ADA and Veterans Administration.…”

Section: Smbg Profilesmentioning

confidence: 99%

“…Of those studies 1 did not have an IE 34 and 2 did, but the effect was small in 1 study, 23,24 and significant only at 6 months in the second study. 36 Of the 8 RCTs with an A1C ≥ 8%, 7 had an IE 33,[37][38][39]41,42,44 with 1 study having significant results at 6 months but not 12 months. 40 Studies with at least 4 of the 7 key elements of structured SMBG and an A1C ≥ 8 showed an A1C decrease of 0.7% or greater.…”

Section: Feedbackmentioning

confidence: 99%

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Telehealth Remote Monitoring Systematic Review

Greenwood

Young

Quinn

2014

J Diabetes Sci Technol

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Approximately 26 million Americans have diabetes. When uncontrolled, diabetes is the seventh leading cause of death and the leading cause of kidney failure, blindness, and nontraumatic amputations in the United States. 1 Researchers have found a decrease in complications and improved quality of life when persons with type 2 diabetes achieve national diabetes outcomes targets for blood glucose, blood pressure, and blood fats. 2 Identifying evidence-based solutions to improve outcomes in this population is critical. Patient self-management is an integral component of effective diabetes care and improves diabetes short-term outcomes. 2-4 The American Association of Diabetes Educators (AADE) identifies healthy eating, being active, monitoring, taking medications, problem solving, healthy coping, and reducing risks as 7 essential self-management skills, the AADE7, 5 required for successful behavior change to promote health for persons with diabetes. 6 Clinical studies have demonstrated the importance of self-monitoring of blood glucose (SMBG) in improving hemoglobin A1C (A1C) for persons with type 2 diabetes who use insulin. 7 However, critics cite meta-analyses that demonstrate small improvements in A1C in studies of type 2 diabetes not managed with insulin that, although significant, may not be clinically meaningful. 8 Because the majority of individuals with type 2 diabetes are not treated with insulin, studying and understanding this population independently is important. 9,10 In 2009 the International Diabetes Federation (IDF) published guidelines that focus on structured SMBG protocols to 519311D STXXX10.

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Section: Discussionmentioning

confidence: 52%

Section: Smbg Profilesmentioning

confidence: 99%

Section: Feedbackmentioning

confidence: 99%

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Telehealth Remote Monitoring Systematic Review

Greenwood

Young

Quinn

2014

J Diabetes Sci Technol

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“…The A1c levels of patients who used tele-care fell from 8.8% to 7% at the end of the 32nd week and the A1c levels of patients in the self blood glucose monitoring group fell from 8.9 % to 7.5 % at the end of the 32nd week. It was shown that the A1c levels of the tele-care group were reduced by 1.8 % and the A1c levels of the other group were reduced by 1.4% (P < 0.001) [28]. In a tele-medicine study on type 2 diabetics by Narayanan et al (2012), the A1c levels of diabetic patients were 9% higher than at first.…”

Section: Discussionmentioning

confidence: 94%

The use of videophone technology (telenursing) in the glycaemic control of diabetic patients: a randomized controlled trial

Tavşanlı¹,

Karadakovan²,

Saygılı³

2013

J Diab Res Clin Met

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Background: Prevention of diabetic complications requires good glycaemic control. This study aimed to provide type 2 diabetes patients with remote active care and glycaemic control through the use of videophone technology without the need for them to attend hospital. The literature recommends additional research to study the impact of technical innovations on improved disease self-management and medical outcome. This is the only study to be conducted in Turkey concerning patient monitoring using videophone technology. The aim of the study was to establish the effectiveness of the use of videophone technology in the glycaemic control of patients with diabetes living in remote areas.

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“…19,20 These studies suggest that self-titration of treatment is acceptable to patients with type 2 diabetes. The approach may, therefore, potentially be applied to oral glucose-lowering medication.…”

Section: Introductionmentioning

confidence: 98%

Stepwise Self-Titration of Oral Glucose-Lowering Medication Using a Mobile Telephone-Based Telehealth Platform in Type 2 Diabetes: A Feasibility Trial in Primary Care

Nagrebetsky

Larsen

Craven

et al. 2013

J Diabetes Sci Technol

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Telecare Provides Comparable Efficacy to Conventional Self-Monitored Blood Glucose in Patients with Type 2 Diabetes Titrating One Injection of Insulin Glulisine—the ELEONOR Study

Abstract: Patients adding one dose of glulisine at the meal with the highest postprandial plasma glucose excursion to titrated basal glargine achieved comparable improvements in glycemic control irrespective of traditional or telecare blood glucose monitoring.

Cited by 49 publications

References 23 publications

Telehealth Remote Monitoring Systematic Review

Telehealth Remote Monitoring Systematic Review

The use of videophone technology (telenursing) in the glycaemic control of diabetic patients: a randomized controlled trial

Stepwise Self-Titration of Oral Glucose-Lowering Medication Using a Mobile Telephone-Based Telehealth Platform in Type 2 Diabetes: A Feasibility Trial in Primary Care

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