Back to Search
Start Over
Intensive remote monitoring versus conventional care in type 1 diabetes: A randomized controlled trial.
- Source :
- Pediatric Diabetes; Sep2018, Vol. 19 Issue 6, p1086-1093, 8p, 2 Charts, 3 Graphs
- Publication Year :
- 2018
-
Abstract
- Objective: While frequent contact with diabetes care providers may improve glycemic control among patients with type 1 diabetes (T1D), in‐person visits are labor‐intensive and costly. This study was conducted to assess the impact of an intensive remote therapy (IRT) intervention for pediatric patients with T1D. Methods: Pediatric patients with T1D were randomized to IRT or conventional care (CC) for 6 months. Both cohorts continued routine quarterly clinic visits and uploaded device data; for the IRT cohort, data were reviewed and patients were contacted if regimen adjustments were indicated. Glycated hemoglobin (HbA1c) change from baseline was assessed at 6 and 9 months. Diabetes‐related quality of life (QoL), healthcare services utilization, and hypoglycemic events were also tracked. Results: Among 117 enrollees (60 IRT, 57 CC), mean (SD) 6‐month %HbA1c change for IRT vs CC was −0.34 (0.85) (−3.7 mmol/mol) vs −0.05 (0.74) (−0.5 mmol/mol) overall (P = .071); −0.15 (0.67) (1.6 mmol/mol) vs −0.02 (0.66) (0.2 mmol/mol) for ages 8 to 12 (P = .541); and −0.50 (0.95) (−5.5 mmol/mol) vs −0.06 (0.80) (−0.7 mmol/mol) for ages 13 to 17 (P = .056). Diabetes‐related QoL increased by 6.5 and 1.3 points for IRT and CC, respectively (P = .062). Three months after intervention cessation, %HbA1c changed minimally among treated children aged 8 to 12 but increased by 0.22 (0.89) (2.4 mmol/mol) among those aged 13 to 17. Conclusions: IRT substantially affected diabetes metrics and improved QoL among pediatric patients with T1D. Adolescents experienced a stronger treatment effect, but had difficulty in sustaining improved control after intervention cessation. [ABSTRACT FROM AUTHOR]
- Subjects :
- TYPE 1 diabetes
TREATMENT of diabetes
BLOOD sugar
CRITICAL care medicine
PEOPLE with diabetes
GLYCOSYLATED hemoglobin
HEALTH services accessibility
MEDICAL appointments
MEDICAL consultation
MEDICINE
QUALITY of life
TELEMEDICINE
RANDOMIZED controlled trials
TREATMENT effectiveness
CHILDREN
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 1399543X
- Volume :
- 19
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Pediatric Diabetes
- Publication Type :
- Academic Journal
- Accession number :
- 131052523
- Full Text :
- https://doi.org/10.1111/pedi.12654