Remote monitoring of adolescents with type 1 diabetes mellitus using a mobile application
Autor: | D. N. Laptev, I. A. Eremina, A. V. Karpushkina, E. E. Petryaykina, O. B. Bezlepkina, V. A. Peterkova |
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Jazyk: | English<br />Russian |
Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Сахарный диабет, Vol 24, Iss 5, Pp 404-413 (2022) |
Druh dokumentu: | article |
ISSN: | 2072-0351 2072-0378 |
DOI: | 10.14341/DM12776 |
Popis: | Background: The prevalence of type 1 diabetes mellitus (T1DM) in childhood is increasing every year. Adolescence is the most challenging age for achieving optimal metabolic control of T1DM. Telemedicine has already been shown to be effective in children with the condition, but there are not enough studies in adolescents. The use of mobile apps may be associated with better glycemic control in patients with type 1 diabetes.Aims: To assess the effectiveness and safety of a model of medical care for adolescents with type 1 diabetes using remote counseling and a mobile application.Materials and methods: Were included adolescents aged ≥14 and 18 years with a T1DM duration> 3 months, a glycated hemoglobin level (HbA1c)> 7%. The duration of the study was 26 weeks. There were 3 face-to-face and at least 4 remote visits using a mobile application. All patients underwent standard examination and anthropometry, study of HbA1c, registration and analysis of indicators, assessment and correction of the treatment. The quality of life of adolescents was assessed at baseline and at the end of the study. Adolescents and physicians were interviewed about program evaluation.Results: 56 patients were included, 7 adolescents withdrew. HbA1c significantly decreased by the 12th week of the study (–0.3%; p = 0.005), by the end of the study the change in HbA1c was –0.5% (p |
Databáze: | Directory of Open Access Journals |
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