Digital algorithm-guided insulin therapy in home healthcare for elderly persons with type 2 diabetes: A proof-of-concept study

Autor: Julia Kopanz, Julia K. Mader, Klaus Donsa, Angela Libiseller, Felix Aberer, Marlene Pandis, Johanna Reinisch-Gratzer, Gisela C. Ambrosch, Bettina Lackner, Thomas Truskaller, Frank Michael Sinner, Thomas R. Pieber, Katharina M. Lichtenegger
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Clinical Diabetes and Healthcare, Vol 3 (2022)
Druh dokumentu: article
ISSN: 2673-6616
DOI: 10.3389/fcdhc.2022.986672
Popis: GlucoTab@MobileCare, a digital workflow and decision support system with integrated basal and basal-plus insulin algorithm was investigated for user acceptance, safety and efficacy in persons with type 2 diabetes receiving home health care by nurses. During a three months study nine participants (five female, age 77 ± 10 years, HbA1c 60 ± 13 mmol/mol (study start) vs. 57 ± 12 mmol/mol (study end) received basal or basal-plus insulin therapy as suggested by the digital system. In total 95% of all suggested tasks (blood glucose (BG) measurements, insulin dose calculations, insulin injections) were performed according to the digital system. Mean morning BG was 171 ± 68 mg/dL in the first study month vs. 145 ± 35 mg/dL in the last study month, indicating a reduced glycemic variability of 33 mg/dL (standard deviation). No hypoglycemic episode < 54 mg/dL occurred. User’s adherence was high and the digital system supported a safe and effective treatment. Larger scale studies are needed to confirm findings under routine care.German Clinical Trials Register IDDRKS00015059
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