Conclusions Telemonitoring interventions may be a better option than usual care in improving glycated haemoglobin control of patients with type 2 diabetes .
Aims This study evaluated clinical effectiveness of telemonitoring on the management of patients with type 2 diabetes .
Value and utility of structured self-monitoring of blood glucose in real world clinical practice: findings from a multinational observational study.
BACKGROUND The Structured Testing Program ( STeP ) study , a cluster-r and omized , controlled trial , showed that a structured self-monitoring of blood glucose (SMBG)-based intervention improves clinical outcomes . It is important to determine whether this intervention can be adapted for use in general medical practice . This study examined the feasibility and effects of a modified version of the STeP intervention on clinical and attitudinal outcomes in real world clinical setting s. METHODS In this 3-month , observational , multinational study , 375 type 1 and type 2 diabetes patients in 11 countries were asked to generate a blood glucose ( bG ) profile once per month for 3 consecutive months , using a paper-based bG analysis tool ( Accu-Chek ® 360 ° View ® bG analysis system , Roche Diagnostics , Mannheim , Germany ) . Measurements were to be performed before and 2 h after main meals and before bedtime on 3 consecutive days . End points included change from baseline in glycated hemoglobin ( HbA1c ) and other parameters of diabetes complications . Patient and physician attitudes toward use of the structured testing form were also assessed . RESULTS Reductions in mean ( SD ) HbA1c from baseline were significant , from 9.2 % ( 1.6 % ) to 8.0 % ( 1.4 % ) ( Δ -1.2 % [ 1.6 % ] , P<0.001 ) . Reductions in mean ( SD ) average bG from baseline were significant , from 189.5 mg/dL ( 55.5 mg/dL ) to 153 mg/dL ( 39.6 mg/dL ) ( Δ-36.4 mg/dL [ 52.5 mg/dL ] , P<0.001 ) . Significant ( P<0.001 ) improvements in body mass index , lipids , and blood pressure were also observed . Patients and physicians were generally positive about the utility of the structured testing form . CONCLUSIONS Use of the structured SMBG intervention is practical in real world clinical setting s and is associated with improved diabetes management
Conclusions Telemonitoring interventions may be a better option than usual care in improving glycated haemoglobin control of patients with type 2 diabetes .
Aims This study evaluated clinical effectiveness of telemonitoring on the management of patients with type 2 diabetes .