Intensive remote monitoring versus conventional care in type 1 diabetes: A randomized controlled trial

Pediatric Diabetes
Laura GandrudDeneen Vojta

Abstract

While frequent contact with diabetes care providers may improve glycemic control among patients with type 1 diabetes (T1D), in-person visits are labor-intensive and costly. This study was conducted to assess the impact of an intensive remote therapy (IRT) intervention for pediatric patients with T1D. Pediatric patients with T1D were randomized to IRT or conventional care (CC) for 6 months. Both cohorts continued routine quarterly clinic visits and uploaded device data; for the IRT cohort, data were reviewed and patients were contacted if regimen adjustments were indicated. Glycated hemoglobin (HbA1c) change from baseline was assessed at 6 and 9 months. Diabetes-related quality of life (QoL), healthcare services utilization, and hypoglycemic events were also tracked. Among 117 enrollees (60 IRT, 57 CC), mean (SD) 6-month %HbA1c change for IRT vs CC was -0.34 (0.85) (-3.7 mmol/mol) vs -0.05 (0.74) (-0.5 mmol/mol) overall (P = .071); -0.15 (0.67) (1.6 mmol/mol) vs -0.02 (0.66) (0.2 mmol/mol) for ages 8 to 12 (P = .541); and -0.50 (0.95) (-5.5 mmol/mol) vs -0.06 (0.80) (-0.7 mmol/mol) for ages 13 to 17 (P = .056). Diabetes-related QoL increased by 6.5 and 1.3 points for IRT and CC, respectively (P = .062). Three months after interv...Continue Reading

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Citations

Oct 4, 2019·Statistics in Medicine·David Watson, Amanda Nickel
Jun 17, 2020·JMIR MHealth and UHealth·Chandra Y OsbornJeff Dachis
Feb 7, 2020·Diabetes Technology & Therapeutics·Keshia R De GuzmanLiam J Caffery
Dec 18, 2020·Current Opinion in Endocrinology, Diabetes, and Obesity·Tejaswi Kompala, Aaron B Neinstein
May 29, 2021·JMIR MHealth and UHealth·Ruth Gaelle St FleurDanielle E Jake-Schoffman
Jul 25, 2021·Primary Care Diabetes·Matthew J O'BrienRonald T Ackermann

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