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Measuring the Effectiveness of Hybrid Diabetes Care over 90 Days Through Continuous Data Monitoring in Type 2 Diabetic Patients

Overview
Specialty Endocrinology
Date 2024 May 22
PMID 38774233
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Abstract

Background: Diabetes Mellitus, a global health challenge, affects 537 million individuals. Traditional management relies on periodic clinic visits, but technological advancements, including remote monitoring, offer transformative changes. Telemedicine enhances access, convenience, adherence, and glycemic control. Challenges include trust-building and limitations in face-to-face interactions. Integrating remote monitoring with in-person healthcare creates a hybrid approach. This study evaluates the impact on Type 2 Diabetes patients over 3 months.

Methods: A retrospective case-control observational study. Inclusion criteria involved previous Type 2 Diabetes diagnosis and a minimum 3-month GluCare model period with two physical visits. Patients in the case group had in-clinic visits, bi-weekly app engagement, and monthly body weight readings. Control group had in-clinic visits only. Outcomes measured included HbA1c, lipid profile, CV risk, eGFR, urine Albumin/Creatinine Ratio, Uric Acid, and CRP.

Results: Case group showed significant HbA1c improvements (-2.19%), especially in higher baseline levels. Weight, BMI, LDL, total cholesterol, and CVD risk also improved. Controls showed smaller improvements. Higher digital interactions correlated with better outcomes. Patients with ≥11 interactions showed significant reductions in HbA1c (-2.38%) and weight (-6.00 kg).

Conclusion: The GluCare.Health hybrid model demonstrates promising outcomes in Type 2 diabetes management. The integration of in-clinic consultations with continuous remote monitoring leads to substantial improvements in glycemic control and clinical parameters. The study highlights the importance of patient engagement in achieving positive outcomes, with higher digital interactions associated with greater reductions in HbA1c and weight. The hybrid approach proves more effective than digital-only interventions, emphasizing the need for comprehensive, end-to-end solutions in diabetes care.

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References
1.
Amante D, Harlan D, Lemon S, McManus D, Olaitan O, Pagoto S . Evaluation of a Diabetes Remote Monitoring Program Facilitated by Connected Glucose Meters for Patients With Poorly Controlled Type 2 Diabetes: Randomized Crossover Trial. JMIR Diabetes. 2021; 6(1):e25574. PMC: 7995078. DOI: 10.2196/25574. View

2.
ElSayed N, Aleppo G, Aroda V, Bannuru R, Brown F, Bruemmer D . 6. Glycemic Targets: Standards of Care in Diabetes-2023. Diabetes Care. 2022; 46(Suppl 1):S97-S110. PMC: 9810469. DOI: 10.2337/dc23-S006. View

3.
Fundoiano-Hershcovitz Y, Hirsch A, Dar S, Feniger E, Goldstein P . Role of Digital Engagement in Diabetes Care Beyond Measurement: Retrospective Cohort Study. JMIR Diabetes. 2021; 6(1):e24030. PMC: 7932839. DOI: 10.2196/24030. View

4.
Liang X, Wang Q, Yang X, Cao J, Chen J, Mo X . Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis. Diabet Med. 2011; 28(4):455-63. DOI: 10.1111/j.1464-5491.2010.03180.x. View

5.
Almarzooqi I, Zakaria H, Aleabova S, Caccelli M, Ozkan C, Skaf J . Effectiveness of a hybrid technology enabled care model as measured by ICHOM standard set on established and managed type 2 diabetes already using medications: A RWE retrospective study. Metabol Open. 2023; 20:100262. PMC: 10728563. DOI: 10.1016/j.metop.2023.100262. View