Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial
Abstract Aims/Introduction There is potential for mobile applications to deliver new self‐management interventions for chronic disease, especially in diabetes. The aim of the present study was to evaluate the effects of a mobile phone application (MPA) combined with or without self‐monitoring of blo...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-09-01
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| Series: | Journal of Diabetes Investigation |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jdi.13031 |
| _version_ | 1819045095544979456 |
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| author | Yuan Yu Qun Yan Huizhi Li Hongmei Li Lin Wang Hua Wang Yiyun Zhang Lei Xu Zhaosheng Tang Xinfeng Yan Yinghua Chen Huili He Jie Chen Bo Feng |
| author_facet | Yuan Yu Qun Yan Huizhi Li Hongmei Li Lin Wang Hua Wang Yiyun Zhang Lei Xu Zhaosheng Tang Xinfeng Yan Yinghua Chen Huili He Jie Chen Bo Feng |
| author_sort | Yuan Yu |
| collection | DOAJ |
| description | Abstract Aims/Introduction There is potential for mobile applications to deliver new self‐management interventions for chronic disease, especially in diabetes. The aim of the present study was to evaluate the effects of a mobile phone application (MPA) combined with or without self‐monitoring of blood glucose (SMBG) on glycemic control in patients with diabetes. Materials and Methods The study was a 24‐week period, four‐arm parallel group, non‐blinded, randomized trial. A total of 185 patients with mean age of 52 years were randomized to group A (no MPA and no SMBG), group B (SMBG only), group C (MPA only) and group D (both MPA and SMBG were used). Changes in glycated hemoglobin (HbA1c), fasting plasma glucose and 1,5‐anhydroglucitol from baseline to week 24 were analyzed. Results At 24 weeks, the HbA1c levels in patients of all groups decreased significantly from baseline. There were significant differences in the proportions of patients that achieved HbA1c <7% between groups, especially in group C and group D, compared with group A at week 24 (60.4%, 62.2% vs 25.5%, all P < 0.05). 1,5‐Anhydroglucitol changes were obvious in group A and group C at week 24 from baseline (all P < 0.05 within groups). Factorial analysis of anova showed that MPA intervention was the main effective factor for HbA1c change (F = 4.59, P = 0.034), and there was no effect on HbA1c change for SMBG intervention (P = 0.975). Conclusions Implementation of the MPA, Diabetes‐Carer, is effective in improving the proportion of HbA1c <7% in patients with type 2 diabetes. |
| first_indexed | 2024-12-21T10:23:07Z |
| format | Article |
| id | doaj.art-fd228f5b49f349cfa2b88af6664bf3a4 |
| institution | Directory Open Access Journal |
| issn | 2040-1116 2040-1124 |
| language | English |
| last_indexed | 2024-12-21T10:23:07Z |
| publishDate | 2019-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Investigation |
| spelling | doaj.art-fd228f5b49f349cfa2b88af6664bf3a42022-12-21T19:07:24ZengWileyJournal of Diabetes Investigation2040-11162040-11242019-09-011051365137110.1111/jdi.13031Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trialYuan Yu0Qun Yan1Huizhi Li2Hongmei Li3Lin Wang4Hua Wang5Yiyun Zhang6Lei Xu7Zhaosheng Tang8Xinfeng Yan9Yinghua Chen10Huili He11Jie Chen12Bo Feng13Department of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaDepartment of Endocrinology Shanghai East Hospital Tongji University School of Medicine Shanghai ChinaAbstract Aims/Introduction There is potential for mobile applications to deliver new self‐management interventions for chronic disease, especially in diabetes. The aim of the present study was to evaluate the effects of a mobile phone application (MPA) combined with or without self‐monitoring of blood glucose (SMBG) on glycemic control in patients with diabetes. Materials and Methods The study was a 24‐week period, four‐arm parallel group, non‐blinded, randomized trial. A total of 185 patients with mean age of 52 years were randomized to group A (no MPA and no SMBG), group B (SMBG only), group C (MPA only) and group D (both MPA and SMBG were used). Changes in glycated hemoglobin (HbA1c), fasting plasma glucose and 1,5‐anhydroglucitol from baseline to week 24 were analyzed. Results At 24 weeks, the HbA1c levels in patients of all groups decreased significantly from baseline. There were significant differences in the proportions of patients that achieved HbA1c <7% between groups, especially in group C and group D, compared with group A at week 24 (60.4%, 62.2% vs 25.5%, all P < 0.05). 1,5‐Anhydroglucitol changes were obvious in group A and group C at week 24 from baseline (all P < 0.05 within groups). Factorial analysis of anova showed that MPA intervention was the main effective factor for HbA1c change (F = 4.59, P = 0.034), and there was no effect on HbA1c change for SMBG intervention (P = 0.975). Conclusions Implementation of the MPA, Diabetes‐Carer, is effective in improving the proportion of HbA1c <7% in patients with type 2 diabetes.https://doi.org/10.1111/jdi.13031Diabetes mellitusMobile applicationsSelf‐monitoring of blood glucose |
| spellingShingle | Yuan Yu Qun Yan Huizhi Li Hongmei Li Lin Wang Hua Wang Yiyun Zhang Lei Xu Zhaosheng Tang Xinfeng Yan Yinghua Chen Huili He Jie Chen Bo Feng Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial Journal of Diabetes Investigation Diabetes mellitus Mobile applications Self‐monitoring of blood glucose |
| title | Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial |
| title_full | Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial |
| title_fullStr | Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial |
| title_full_unstemmed | Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial |
| title_short | Effects of mobile phone application combined with or without self‐monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial |
| title_sort | effects of mobile phone application combined with or without self monitoring of blood glucose on glycemic control in patients with diabetes a randomized controlled trial |
| topic | Diabetes mellitus Mobile applications Self‐monitoring of blood glucose |
| url | https://doi.org/10.1111/jdi.13031 |
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