The narrative synthesis provided mixed effects of CHITs on other clinical , psychosocial , behavioral , and knowledge outcomes .
Conclusions The use of CHITs appears to be more effective than usual care in improving glycemic control for patients with diabetes .
However , their effectiveness did not remain consistent over time and in other patient outcomes .
Objective To reveal the effects of consumer-oriented health information technologies ( CHITs ) on patient outcomes in diabetes management over time through systematic review and meta- analysis .
The effectiveness of Internet-based blood glucose monitoring system on improving diabetes control in adolescents with type 1 diabetes.
OBJECTIVE To determine whether the use of an Internet-based blood glucose monitoring system could improve glycemic control in adolescents with type 1 diabetes mellitus ( T1DM ) . METHODS In a r and omized , controlled clinical trial , a total of 70 adolescent subjects with T1DM were recruited . Subjects r and omized to the intervention group ( n = 36 ) were instructed to su bmi t their blood glucose levels weekly by Internet to the diabetes care team during a period of 6 months . Subjects r and omized to the control group ( n = 34 ) did not su bmi t results but were under routine follow-up . RESULTS At baseline , patients were 15.1 ± 2.6 years of age with mean HbA1c of 8.3 ± 1.3 % . At the 6-month follow-up period , no by-group differences in change from baseline to end of treatment HbA1c levels were detected . In the intervention group , 12/36 did not su bmi t blood glucose levels and were classified as non-compliant . In a secondary exploratory analysis in which non-compliant patients were omitted , HbA1c values in the compliant intervention group declined from 8.5 ± 1.7 % at baseline to 8.2 ± 1.2 % at 6 months , while in the control group HbA1c values increased from 8.2 ± 1.1 to 8.4 ± 1.1 % , this difference did not reach statistical significance . CONCLUSIONS An Internet-based blood glucose monitoring system was not associated with improved glycemic control in adolescents with T1DM . Identification of a sub-group of compliant subjects who may improve metabolic control by using this tool is needed
The narrative synthesis provided mixed effects of CHITs on other clinical , psychosocial , behavioral , and knowledge outcomes .
Conclusions The use of CHITs appears to be more effective than usual care in improving glycemic control for patients with diabetes .
However , their effectiveness did not remain consistent over time and in other patient outcomes .
Objective To reveal the effects of consumer-oriented health information technologies ( CHITs ) on patient outcomes in diabetes management over time through systematic review and meta- analysis .