The effectiveness of Internet-based blood glucose monitoring system on improving diabetes control in adolescents with type 1 diabetes

Abstract

An Internet-based blood glucose monitoring system was not associated with improved glycemic control in adolescents with T1DM. Identification of a sub-group of compliant subjects who may improve metabolic control by using this tool is needed.

The role of digital communication in patient–clinician communication for NHS providers of specialist clinical services for young people [the Long-term conditions Young people Networked Communication (LYNC) study]: a mixed-methods study

“…There was no clear indication as to how digital communication technologies affected glycaemic control; some studies reported decreased HbA 1c levels in the intervention groups, 275,278,283,285 whereas others reported no significant impact of DCCs on HbA 1c levels. 250,276,279,281,282,284,286 Similarly, findings relating to psychological outcomes were mixed. There was a trend for reporting other benefits of the interventions, such as increased glucose testing 277 and decreased admissions for DKA, 279 but these were isolated findings not supported by other studies.…”

“…275,278,283,285 Of these, improvements were also seen in the control group, 275 and no significant differences between the intervention and control were reported after 6 months. 283 Three studies reported no reduction in HbA 1c levels following DCC interventions 279,281,284 and five studies found no differences when the intervention was compared with a control. 250,276,282,284,286 Additionally, one study found that low-density lipoprotein cholesterol concentrations decreased significantly in the intervention arm and high-density lipoprotein cholesterol concentrations increased significantly in both the experimental and control groups.…”

“…283 Three studies reported no reduction in HbA 1c levels following DCC interventions 279,281,284 and five studies found no differences when the intervention was compared with a control. 250,276,282,284,286 Additionally, one study found that low-density lipoprotein cholesterol concentrations decreased significantly in the intervention arm and high-density lipoprotein cholesterol concentrations increased significantly in both the experimental and control groups. 285 Five studies reported positive impacts of DCC interventions on patients' physical health (BMI and weight stabilised, whereas they increased in the control group, 275 glucose testing increased, 277 DKA admission rates decreased 279 and the number of urgent clinic appointments decreased).…”

“…284 There was no discussion whether or not this episode was linked to the intervention. No other adverse events were reported.…”

“…These issues included the use of outdated browser software, 276 difficulties uploading data 277,284 and the need for hardware to be out of action while being serviced. 277 …”