Impact of long-term use of eHealth systems in adolescents with type 1 diabetes treated with sensor-augmented pump therapy

Abstract

Telemedicine in diabetes includes telemonitoring and transmission of important data (self monitoring of blood glucose data, insulin therapy, pump setting, etc.) from the patient s home to the diabetic unit, with a real-time health feedback. Moreover, an eHealth approach is thought to facilitate diabetes management and to improve compliance to CSII/SAP treatment in adolescents, but to date, limited literature related to this topic is available and long-term studies are still lacking. The main aim of this study was to compare the long-term effect on glycometabolic control of eHealth intervention and traditional care in T1DM SAP-treated adolescents. In our study we demonstrated a favorable impact of monthly teleassistance on treatment compliance. Adolescents receiving frequent feedback provided by the medicalmultidisciplinary team, due to the telemonitoring, resulted more compliant in self-management of diabetes. In particular, the medical team feedback resulted in interventions on behavioral errors and insulin therapy adjustments, leading to an improved glycometabolic control.

Telemedicine for the Management of Glycemic Control and Clinical Outcomes of Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Studies

“…The telemedicine system used in most trials were relatively simple and involved data transmission of blood glucose data with feedback ( n = 19; Ahring et al, 1992; Marrero et al, 1995; Fallucca et al, 1996; Biermann et al, 1999; Gómez et al, 2002; Chase et al, 2003; Montori et al, 2004; Vähätalo et al, 2004; Farmer et al, 2005; Lawson et al, 2005; Rami et al, 2006; Benhamou et al, 2007; Cadario et al, 2007; Rigla et al, 2008; Landau et al, 2012; DeSalvo et al, 2013; Kirwan et al, 2013; Berndt et al, 2014; Shalitin et al, 2014; Schiaffini et al, 2016) or blood glucose data only ( n = 2; Wojcicki et al, 2001; Chase et al, 2003). Data was mostly transmitted daily in five trials, weekly or less often in 15 trials and in one studies the timing was unspecified.…”

A Systematic Review of Pediatric Telediabetes Service Models

“…In total, the literature search resulted in the selection of 29 studies that met the inclusion criteria. [1][2][3][4]7,9,11,12,[14][15][16][17]20,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] The search and screening process is shown in the PRISMA flow diagram ( Supplementary Fig. S1).…”

“…1,4,7,17,[26][27][28][29][30][33][34][35][36]39,40 The most common study type was a randomized controlled trial (RCT) (n = 11, 38%). 3,7,11,16,17,20,25,28,30,31,37 Most studies were conducted over 24 weeks (n = 9, 31%), 1,4,[15][16][17]20,26,27,31 with the minimum study length at 12 weeks, 3,12,26 and the maximum study length at 240 weeks. 37 There were two protocols included in this review.…”

Home Telemonitoring Improved Pain Registration in Patients With Cancer

“…Home telemonitoring by means of interactive voice response (IVR) is such a tool. IVR with or without short message service (SMS) has been effectively used in health care in the treatment of asthma, diabetes mellitus, and anticoagulant management …”

“…10 Home telemonitoring by means of interactive voice response (IVR) is such a tool. IVR with or without short message service (SMS) has been effectively used in health care in the treatment of asthma 11 , diabetes mellitus, 12,13 and anticoagulant management. 14 Pain management is part of the daily work at a pain center, but not for an oncological outpatient clinic.…”