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

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.

The Use of Mobile Personal Health Records for Hemoglobin A1c Regulation in Patients With Diabetes: Retrospective Observational Study

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Fasting triglycerides and glucose index: a useful screening test for assessing insulin resistance in patients diagnosed with rheumatoid arthritis and systemic lupus erythematosus

“…The TyG index has been validated as a screening tool for IR in non-rheumatic populations. This surrogate index has been used as a screen for IR in diabetic and non-diabetic Mexican populations [14–16], and it has been implemented by researchers in several countries [17, 18]. Using HOMA-IR as the gold standard, the TyG index has a sensitivity of 84% and a positive predictive value of 81% for IR [16].…”

Mobile Smartphone Intervention for Managing Glycaemia Control in the Patients With Diabetes Mellitus: A Systematic Review

“…Diabetes-Carer for patients consists of four main parts: diabetic education, self management,patient community, and real-time communication between patients and clinicians and the result 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 intervention group for six months duration of study in Shanghai (Yu & Yan, 2019). Welltang is a smart phone-based diabetes management application, which can be used by both patientsand clinicians.…”

“…According to (Yu & Yan, 2019) study in outpatient department of Shanghai East Hospital with 185 participant showed that The Diabetes-Carer application, a mobile phonebased diabetes management platform, which can be used by both patients and clinicians. Diabetes-Carer for patients consists of four main parts: diabetic education, self management, patient community, and realtime communication between patients and clinicians and HbA1c levels in patients of all groups decreased significantly from baseline.…”