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Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam

Digital technologies are gaining an important role in the management of patients with diabetes. We assessed clinical outcomes and user satisfaction of incorporating a digital diabetes care system in diabetes clinics of a developing country. The system integrated a wireless blood glucose monitor that...

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Autores principales: Khanh, Tran Quang, Hao, Pham Nhu, Roitman, Eytan, Raz, Itamar, Marganitt, Baruch, Cahn, Avivit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037177/
https://www.ncbi.nlm.nih.gov/pubmed/32028707
http://dx.doi.org/10.3390/ijerph17030937
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author Khanh, Tran Quang
Hao, Pham Nhu
Roitman, Eytan
Raz, Itamar
Marganitt, Baruch
Cahn, Avivit
author_facet Khanh, Tran Quang
Hao, Pham Nhu
Roitman, Eytan
Raz, Itamar
Marganitt, Baruch
Cahn, Avivit
author_sort Khanh, Tran Quang
collection PubMed
description Digital technologies are gaining an important role in the management of patients with diabetes. We assessed clinical outcomes and user satisfaction of incorporating a digital diabetes care system in diabetes clinics of a developing country. The system integrated a wireless blood glucose monitor that communicates data to any smartphone utilizing a patented acoustic data transfer method, a mobile-app, and cloud-based software that stores, analyzes, and presents data. Five hospital endocrinology clinics in Vietnam sequentially recruited all patients willing to join the study, providing they had a smartphone and access to internet connectivity. Face-to-face visits were conducted at baseline and at 12 weeks, with monthly digital visits scheduled in the interim and additional digital visits performed as needed. HbA1c levels were measured at baseline and at 12 weeks (±20 days). The study included 300 patients of whom 279 completed the evaluation. Average glucose levels declined from 170.4 ± 64.6 mg/dL in the first 2 weeks to 150.8 ± 53.2 mg/dL in the last 2 weeks (n = 221; p < 0.001). HbA1c levels at baseline and 12 weeks declined from 8.3% ± 1.9% to 7.6% ± 1.3% (n = 126; p < 0.001). The digital solution was broadly accepted by both patients and healthcare professionals and improved glycemic outcomes. The durability, scalability, and cost-effectiveness of this approach merits further study.
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spelling pubmed-70371772020-03-11 Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam Khanh, Tran Quang Hao, Pham Nhu Roitman, Eytan Raz, Itamar Marganitt, Baruch Cahn, Avivit Int J Environ Res Public Health Article Digital technologies are gaining an important role in the management of patients with diabetes. We assessed clinical outcomes and user satisfaction of incorporating a digital diabetes care system in diabetes clinics of a developing country. The system integrated a wireless blood glucose monitor that communicates data to any smartphone utilizing a patented acoustic data transfer method, a mobile-app, and cloud-based software that stores, analyzes, and presents data. Five hospital endocrinology clinics in Vietnam sequentially recruited all patients willing to join the study, providing they had a smartphone and access to internet connectivity. Face-to-face visits were conducted at baseline and at 12 weeks, with monthly digital visits scheduled in the interim and additional digital visits performed as needed. HbA1c levels were measured at baseline and at 12 weeks (±20 days). The study included 300 patients of whom 279 completed the evaluation. Average glucose levels declined from 170.4 ± 64.6 mg/dL in the first 2 weeks to 150.8 ± 53.2 mg/dL in the last 2 weeks (n = 221; p < 0.001). HbA1c levels at baseline and 12 weeks declined from 8.3% ± 1.9% to 7.6% ± 1.3% (n = 126; p < 0.001). The digital solution was broadly accepted by both patients and healthcare professionals and improved glycemic outcomes. The durability, scalability, and cost-effectiveness of this approach merits further study. MDPI 2020-02-03 2020-02 /pmc/articles/PMC7037177/ /pubmed/32028707 http://dx.doi.org/10.3390/ijerph17030937 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Khanh, Tran Quang
Hao, Pham Nhu
Roitman, Eytan
Raz, Itamar
Marganitt, Baruch
Cahn, Avivit
Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam
title Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam
title_full Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam
title_fullStr Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam
title_full_unstemmed Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam
title_short Digital Diabetes Care System Observations from a Pilot Evaluation Study in Vietnam
title_sort digital diabetes care system observations from a pilot evaluation study in vietnam
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037177/
https://www.ncbi.nlm.nih.gov/pubmed/32028707
http://dx.doi.org/10.3390/ijerph17030937
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