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A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control

BACKGROUND: To determine whether an internet-based mentoring program can improve glycemic control in subjects with type 1 diabetes mellitus (T1DM). METHODS: Subjects with T1DM on intensive insulin therapy and with hemoglobin A1c (HbA1c) ≥8.0% were randomized to mentored (glucometer transmission with...

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Autores principales: Suh, Sunghwan, Jean, Cheol, Koo, Mihyun, Lee, Sun Young, Cho, Min Ja, Sim, Kang-Hee, Jin, Sang-Man, Bae, Ji Cheol, Kim, Jae Hyeon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Diabetes Association 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021300/
https://www.ncbi.nlm.nih.gov/pubmed/24851207
http://dx.doi.org/10.4093/dmj.2014.38.2.134
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author Suh, Sunghwan
Jean, Cheol
Koo, Mihyun
Lee, Sun Young
Cho, Min Ja
Sim, Kang-Hee
Jin, Sang-Man
Bae, Ji Cheol
Kim, Jae Hyeon
author_facet Suh, Sunghwan
Jean, Cheol
Koo, Mihyun
Lee, Sun Young
Cho, Min Ja
Sim, Kang-Hee
Jin, Sang-Man
Bae, Ji Cheol
Kim, Jae Hyeon
author_sort Suh, Sunghwan
collection PubMed
description BACKGROUND: To determine whether an internet-based mentoring program can improve glycemic control in subjects with type 1 diabetes mellitus (T1DM). METHODS: Subjects with T1DM on intensive insulin therapy and with hemoglobin A1c (HbA1c) ≥8.0% were randomized to mentored (glucometer transmission with feedback from mentors) or control (glucometer transmission without feedback) groups and were examined for 12 weeks. Five mentors were interviewed and selected, of which two were T1DM patients themselves and three were parents with at least one child diagnosed with T1DM since more than 5 years ago. RESULTS: A total of 57 T1DM adult subjects with a mean duration after being diagnosed with diabetes of 7.4 years were recruited from Samsung Medical Center. Unfortunately, the mentored group failed to show significant improvements in HbA1c levels or other outcomes, including the quality of life, after completion of the study. However, the mentored group monitored their blood glucose (1.41 vs. 0.30) and logged into our website (http://ubisens.co.kr/) more frequently (20.59 times vs. 5.07 times) than the control group. CONCLUSION: A 12-week internet-based mentoring program for T1DM patients with inadequate glycemic control did not prove to be superior to the usual follow-up. However, the noted increase in the subjects' frequency of blood glucose monitoring may lead to clinical benefits.
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spelling pubmed-40213002014-05-21 A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control Suh, Sunghwan Jean, Cheol Koo, Mihyun Lee, Sun Young Cho, Min Ja Sim, Kang-Hee Jin, Sang-Man Bae, Ji Cheol Kim, Jae Hyeon Diabetes Metab J Original Article BACKGROUND: To determine whether an internet-based mentoring program can improve glycemic control in subjects with type 1 diabetes mellitus (T1DM). METHODS: Subjects with T1DM on intensive insulin therapy and with hemoglobin A1c (HbA1c) ≥8.0% were randomized to mentored (glucometer transmission with feedback from mentors) or control (glucometer transmission without feedback) groups and were examined for 12 weeks. Five mentors were interviewed and selected, of which two were T1DM patients themselves and three were parents with at least one child diagnosed with T1DM since more than 5 years ago. RESULTS: A total of 57 T1DM adult subjects with a mean duration after being diagnosed with diabetes of 7.4 years were recruited from Samsung Medical Center. Unfortunately, the mentored group failed to show significant improvements in HbA1c levels or other outcomes, including the quality of life, after completion of the study. However, the mentored group monitored their blood glucose (1.41 vs. 0.30) and logged into our website (http://ubisens.co.kr/) more frequently (20.59 times vs. 5.07 times) than the control group. CONCLUSION: A 12-week internet-based mentoring program for T1DM patients with inadequate glycemic control did not prove to be superior to the usual follow-up. However, the noted increase in the subjects' frequency of blood glucose monitoring may lead to clinical benefits. Korean Diabetes Association 2014-04 2014-04-18 /pmc/articles/PMC4021300/ /pubmed/24851207 http://dx.doi.org/10.4093/dmj.2014.38.2.134 Text en Copyright © 2014 Korean Diabetes Association http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Suh, Sunghwan
Jean, Cheol
Koo, Mihyun
Lee, Sun Young
Cho, Min Ja
Sim, Kang-Hee
Jin, Sang-Man
Bae, Ji Cheol
Kim, Jae Hyeon
A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control
title A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control
title_full A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control
title_fullStr A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control
title_full_unstemmed A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control
title_short A Randomized Controlled Trial of an Internet-Based Mentoring Program for Type 1 Diabetes Patients with Inadequate Glycemic Control
title_sort randomized controlled trial of an internet-based mentoring program for type 1 diabetes patients with inadequate glycemic control
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021300/
https://www.ncbi.nlm.nih.gov/pubmed/24851207
http://dx.doi.org/10.4093/dmj.2014.38.2.134
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