Effects of mobile phone application combined with or without self-monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial - PubMed (original) (raw)

Randomized Controlled Trial

. 2019 Sep;10(5):1365-1371.

doi: 10.1111/jdi.13031. Epub 2019 Mar 19.

Qun Yan 1, Huizhi Li 1, Hongmei Li 1, Lin Wang 1, Hua Wang 1, Yiyun Zhang 1, Lei Xu 1, Zhaosheng Tang 1, Xinfeng Yan 1, Yinghua Chen 1, Huili He 1, Jie Chen 1, Bo Feng 1

Affiliations

Randomized Controlled Trial

Effects of mobile phone application combined with or without self-monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial

Yuan Yu et al. J Diabetes Investig. 2019 Sep.

Abstract

Aims/introduction: There is potential for mobile applications to deliver new self-management interventions for chronic disease, especially in diabetes. The aim of the present study was to evaluate the effects of a mobile phone application (MPA) combined with or without self-monitoring of blood glucose (SMBG) on glycemic control in patients with diabetes.

Materials and methods: The study was a 24-week period, four-arm parallel group, non-blinded, randomized trial. A total of 185 patients with mean age of 52 years were randomized to group A (no MPA and no SMBG), group B (SMBG only), group C (MPA only) and group D (both MPA and SMBG were used). Changes in glycated hemoglobin (HbA1c), fasting plasma glucose and 1,5-anhydroglucitol from baseline to week 24 were analyzed.

Results: At 24 weeks, the HbA1c levels in patients of all groups decreased significantly from baseline. There were significant differences in the proportions of patients that achieved HbA1c <7% between groups, especially in group C and group D, compared with group A at week 24 (60.4%, 62.2% vs 25.5%, all P < 0.05). 1,5-Anhydroglucitol changes were obvious in group A and group C at week 24 from baseline (all P < 0.05 within groups). Factorial analysis of anova showed that MPA intervention was the main effective factor for HbA1c change (F = 4.59, P = 0.034), and there was no effect on HbA1c change for SMBG intervention (P = 0.975).

Conclusions: Implementation of the MPA, Diabetes-Carer, is effective in improving the proportion of HbA1c <7% in patients with type 2 diabetes.

Keywords: Diabetes mellitus; Mobile applications; Self-monitoring of blood glucose.

© 2019 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

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Figures

Figure 1

Figure 1

Study design and participant flow diagram for the present study. MPA, mobile phone application; SMBG, self‐monitoring of blood glucose.

Figure 2

Figure 2

Glycemic control during 24 weeks in four groups. Group A: no mobile phone application (MPA) and no self‐monitoring of blood glucose (SMBG); Group B: SMBG only; Group C: MPA only; Group D: both MPA and SMBG were used. (a) Glycated hemoglobin (HbA1c) levels during 24 weeks in four groups. All P <0.01 for comparisons of changes of HbA1c levels within groups at week 24. (b) The proportions of patients that achieved HbA1c <7.0% during 24 weeks in four groups. P <0.01 for comparisons of the proportions of patients that achieved HbA1c <7.0% between groups for group C and group D at week 24.

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References

    1. Xu Y, Wang L, He J, et al Prevalence and control of diabetes in Chinese adults. JAMA 2013; 310: 948–959. - PubMed
    1. Guariguata L, Whiting DR, Hambleton I, et al Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract 2014; 103: 137–149. - PubMed
    1. Wang L, Gao P, Zhang M, et al Prevalence and ethnic pattern of diabetes and prediabetes in China in 2013. JAMA 2017; 317: 2515–2523. - PMC - PubMed
    1. Muralidharan S, Ranjani H, Anjana RM, et al Mobile health technology in the prevention and management of type 2 diabetes. Indian J Endocrinol Metab 2017; 21: 334–340. - PMC - PubMed
    1. Coppola A, Sasso L, Bagnasco A, et al The role of patient education in the prevention and management of type 2 diabetes: an overview. Endocrine 2016; 53: 18–27. - PubMed

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