Telemedicine for Adolescents With Insulin-dependent Diabetes
Condition: Type 1 Diabetes
MeSH terms: Diabetes Mellitus; Diabetes Mellitus, Type 1
Study type: Interventional

Summary: 
      Investigators hope that providing patients and families with additional ways of communication
      with the diabetes care team will improve diabetes control.
    

Detailed description: 
      Study Group Study group will be asked to test blood glucose at least 4 times a day Each time
      the study subject takes a meter reading the meter time-stamps the reading. All meter readings
      will upload to the cloud via" Myglucohealth" website, where they can be accessed by
      caregivers, including providers and parents. Device will be programmed to coax patients when
      readings are due. Parents will be notified by device about the blood glucose testing results.
      Provider will set device to alert patient or patient's family if patient has not yet tested
      or uploaded a test or send alerts to parent if uploaded numbers are outside an identified
      range (<70 mg/dL > 300 mg/dL). As per the standard of care, parents are trained to administer
      sugar containing liquids, or inject extra insulin for hyperglycemia correction. Parents will
      be encouraged to contact study personnel if they are concerned about the diabetes control.
      Study personnel will access home blood glucose monitor data, and provide insulin dosing
      advice. Parents will be asked to upload blood glucose readings prior to each visit.

      Control group Subjects will continue routine care which requires blood glucose testing at
      least 4 times a day. Parents will use customary ways to communicate (pager, email, fax or
      phone) with the Diabetes team, if they are concerned about glycemic control..

      Study group will have two virtual visits (months 3 and 6) Control group will have all
      quarterly visits in person. A laptop will be used for virtual visits and will be set up with
      the help of the TTUHSC Information Technology Security Officer.
    

Intervention name(s): Telemedicine; Control
Intervention type(s): Other; Other
Intervention description(s): Study group will test blood glucose at least 4 times a day Each time the meter timestamps the reading. All meter readings will upload to the cloud via Myglucohealth website, where they can be accessed by caregivers, including providers and parents. Parents will be notified by device about the blood glucose testing results. Provider will set device to alert patient or patient's family or send alerts if uploaded numbers are outside an identified range (<70 mg/dL > 300 mg/dL). As per the standard of care, parents are trained to administer sugar containing liquids, or inject extra insulin for hyperglycemia correction. Parents will be encouraged to contact study personnel if they are concerned about the diabetes control. Study personnel will access home blood glucose monitor data, and provide insulin dosing advice. Parents will be asked to upload blood glucose readings prior to each visit.; Routine care
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Health Services Research
Keywords: type 1 diabetes, home glucose monitor, upload, cloud