Impact of long-term use of eHealth systems in adolescents with type 1 diabetes treated with sensor-augmented pump therapy.

Abstract

Telemedicine in diabetes includes telemonitoring and transmission of important data (self monitoring of blood glucose data, insulin therapy, pump setting, etc.) from the patient s home to the diabetic unit, with a real-time health feedback. Moreover, an eHealth approach is thought to facilitate diabetes management and to improve compliance to CSII/SAP treatment in adolescents, but to date, limited literature related to this topic is available and long-term studies are still lacking. The main aim of this study was to compare the long-term effect on glycometabolic control of eHealth intervention and traditional care in T1DM SAP-treated adolescents. In our study we demonstrated a favorable impact of monthly teleassistance on treatment compliance. Adolescents receiving frequent feedback provided by the medicalmultidisciplinary team, due to the telemonitoring, resulted more compliant in self-management of diabetes. In particular, the medical team feedback resulted in interventions on behavioral errors and insulin therapy adjustments, leading to an improved glycometabolic control.

• Authors: R Schiaffini, I Tagliente, C Carducci, N Ullmann, P Ciampalini, A Lorubbio, M Cappa
• Journal: Journal of telemedicine and telecare (J Telemed Telecare) Vol. 22 Issue 5 Pg. 277-81 (Jul 2016) ISSN: 1758-1109 [Electronic] England
• PMID: 26289613 (Publication Type: Journal Article, Randomized Controlled Trial)
• Copyright: © The Author(s) 2015.

Chemical References

• Hypoglycemic Agents
• Insulin

Topics

• Adolescent
• Blood Glucose Self-Monitoring
• Diabetes Mellitus, Type 1 (therapy)
• Female
• Humans
• Hypoglycemic Agents (administration & dosage, therapeutic use)
• Insulin (administration & dosage, therapeutic use)
• Insulin Infusion Systems
• Male
• Monitoring, Ambulatory (methods)
• Patient Care Team (organization & administration)
• Patient Compliance (statistics & numerical data)
• Patient Education as Topic (organization & administration)
• Self Care
• Telemedicine (organization & administration)