An Intervention by a Patient-Designed Do-It-Yourself Mobile Device App Reduces HbA1c in Children and Adolescents with Type 1 Diabetes: A Randomized Double-Crossover Study

Klee, Philippe; Bussien, C.; Castellsague, Montserrat; Combescure, Christophe; Dirlewanger, Mirjam; Girardin, Celine; Mando, Jean-Luc; Perrenoud, Luz; Salomon, Carole; Schneider, Franck; Schwitzgebel, Valérie

doi:10.1089/dia.2018.0255

Cited by 47 publications

(88 citation statements)

References 18 publications

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“…The included studies used telemedicine through apps, messages, and calls for supporting people with diabetes. Seven studies [14,[16][17][18]22,26,29] included in the systematic review were not included in the meta-analysis because they did not report all the necessary data.…”

Section: Meta-analysis Resultsmentioning

confidence: 99%

“…However, after the intervention, no significant changes were found in the HbA1c levels between the control group (6.98) and the intervention group (7.10) [13]. In the study with children and adolescents done by Klee et al, they found that the patients that used the app Webdia (designed for metabolic control in diabetes 1) decreased their level of HbA1c by 0.33 (±0.75), while the HbA1c level increased with the usual care 0.21 (±0.79) [14].…”

Section: Apps and Mobile Phones For The Control Of Dm1mentioning

confidence: 99%

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Smartphones and Apps to Control Glycosylated Hemoglobin (HbA1c) Level in Diabetes: A Systematic Review and Meta-Analysis

Martos-Cabrera

Velando‐Soriano

Pradas‐Hernández

et al. 2020

JCM

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Introduction: Diabetes mellitus is a chronic endocrine-metabolic disease, the evolution of which is closely related to people’s self-control of glycemic levels through nutrition, exercise, and medicines. Aim: To determine whether smartphone apps can help persons with diabetes to improve their % levels of glycosylated hemoglobin. Method: A systematic review and meta-analysis were done. ProQuest, Pubmed/Medline, and Scopus databases were used. The search equation used was “(Prevention and Control) AND Diabetes Mellitus AND Smartphones”. The inclusion criteria applied were clinical trials, conducted in 2014–2019. Results: n = 18 studies were included in the review. The studies tried different applications to monitor glycemia and support patients to improve glycosylated hemoglobin (HbA1c) levels. More than half of the studies found statistically significant differences in HbA1c in the intervention group compared with the control group. Eleven studies were included in the meta-analysis and the study sample was n = 545 for the experimental group and n = 454 for the control group. The meta-analytic estimation of the HbA1c % level means differences between intervention and control group was statistically significant in favour of the intervention group with a mean difference of –0.37 (–0.58, –0.15. 95% confidence interval). Conclusion: Smartphone apps can help people with diabetes to improve their level of HbA1c, but the clinical impact is low.

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Section: Meta-analysis Resultsmentioning

confidence: 99%

Section: Apps and Mobile Phones For The Control Of Dm1mentioning

confidence: 99%

Smartphones and Apps to Control Glycosylated Hemoglobin (HbA1c) Level in Diabetes: A Systematic Review and Meta-Analysis

Martos-Cabrera

Velando‐Soriano

Pradas‐Hernández

et al. 2020

JCM

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“…D iabetes can be difficult to manage in the general population, and even more so in pediatric patients. [1][2][3][4][5] Pediatric patients undergo rapid changes in physical, cognitive, and social development. 6 These changes increase the complexity of diabetes management.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Pediatric patients may have difficulty adhering to treatment plans that require frequent changes as the child grows and matures. 3,9,10 The need for regular monitoring of blood glucose levels (BGLs) and complex insulin regimens (multiple daily injections and insulin pump therapy) may also be a challenge in this patient group. 5,11,12 Children and adolescents often require support from parents, carers, or teachers, before they develop autonomy, and transition to diabetes self-management.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Pediatric Telediabetes Service Models

Guzman

Snoswell

Taylor

et al. 2020

Diabetes Technology & Therapeutics

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Telediabetes may improve patient access to clinicians who specialize in the management of pediatric diabetes. Due to the diversity of telehealth modes, many different service models for pediatric telediabetes have been developed. This review describes pediatric telediabetes service models identified in the literature, investigates the reported changes in HbA1c of these interventions, and describes enablers and barriers to implementing a telediabetes service. Evaluation of current literature may inform the development and sustainability of telehealth services for pediatric diabetes management. Twenty-nine studies met inclusion criteria and were reviewed. This review has demonstrated that pediatric telediabetes can be delivered by remote monitoring and real-time videoconference modes. Overall, pediatric telediabetes increased interactions between patients and clinicians, improved access to specialized care, and facilitated increased diabetes monitoring. In some contexts, telediabetes also improved short-term glycemic control. Key enablers reported for telediabetes services were integration with existing workflows, dedicated staff, clinician and patient training, appropriate data security, technology with good usability, and the availability of technical support. Barriers included increases in patient responsibilities and clinician workload, and technical issues with equipment and software.

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“…The addition of texting/feedback did not seem to add to any further benefit in improving HbA1c (though there was no study directly comparing the two) [6]. There are few studies in children; a randomized controlled trial and another retrospective study showed increased adherence to self-monitoring of BG but no significant improvement in HbA1c values [7,8] whereas another cross-over trial found reduction in Hba1c after a 3mo period [9].…”

mentioning

confidence: 97%

Use of Smartphone Applications in Children with Type 1 Diabetes Mellitus

Sharma

2019

Indian J Pediatr

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An Intervention by a Patient-Designed Do-It-Yourself Mobile Device App Reduces HbA1c in Children and Adolescents with Type 1 Diabetes: A Randomized Double-Crossover Study

Cited by 47 publications

References 18 publications

Smartphones and Apps to Control Glycosylated Hemoglobin (HbA1c) Level in Diabetes: A Systematic Review and Meta-Analysis

Smartphones and Apps to Control Glycosylated Hemoglobin (HbA1c) Level in Diabetes: A Systematic Review and Meta-Analysis

A Systematic Review of Pediatric Telediabetes Service Models

Use of Smartphone Applications in Children with Type 1 Diabetes Mellitus

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