Watson Alice J, Kvedar Joseph C, Rahman Basmah, Pelletier Alexandra C, Salber Gregory, Grant Richard W
Center for Connected Health, Boston, Massachusetts, USA.
J Diabetes Sci Technol. 2009 Mar 1;3(2):345-52. doi: 10.1177/193229680900300216.
Real-time sharing of blood glucose results with providers could improve communication and lead to more timely medication titration. New technology platforms are available to support the delivery of innovative models of care delivery.
In the Diabetes Connected Health (DCH) pilot study, patients with diabetes received access to an online application that stored and graphed glucose readings uploaded from a standard glucometer. Both patients and providers had access to this Web site, where data could be viewed, analyzed, and discussed. To examine the impact of the DCH program, we assessed adoption of the program, patient and provider satisfaction, frequency of use, and changes in glucose levels over a period of 3 months.
The mean age of the 7 pilot participants was 51 (range 35-65). Participants sent in an average of 50 readings in Month 1 and 38 readings in Month 3 and made, on average, 6 comments in Months 1 and 12 comments in Month 3. The mean blood glucose range decreased in Month 3 versus Month 1 (141.1 and 146.5, respectively). Self-reported HbA1c fell from 6.8% at the start of the study to 5.8% at the end. Five/seven participants described the site as excellent or good. Qualitative data analysis highlighted key benefits of the program as well as areas for improvement.
This pilot study of a shared glucose monitoring Web application was well received by patients. Programs like this may lead to improvements in the quality of clinical care delivered to people with type 2 diabetes.
与医护人员实时共享血糖结果可改善沟通，并使药物滴定更及时。现有新技术平台可支持提供创新的护理模式。
在糖尿病互联健康（DCH）试点研究中，糖尿病患者可使用一个在线应用程序，该程序可存储并绘制从标准血糖仪上传的血糖读数图表。患者和医护人员均可访问该网站，在那里可以查看、分析和讨论数据。为了检验DCH项目的影响，我们评估了该项目的采用情况、患者和医护人员的满意度、使用频率以及3个月内血糖水平的变化。
7名试点参与者的平均年龄为51岁（范围35 - 65岁）。参与者在第1个月平均上传50次读数，在第3个月平均上传38次读数，在第1个月平均发表6条评论，在第3个月平均发表12条评论。与第1个月相比，第3个月的平均血糖范围有所下降（分别为141.1和146.5）。自我报告的糖化血红蛋白（HbA1c）从研究开始时的6.8%降至结束时的5.8%。7名参与者中有5名将该网站描述为优秀或良好。定性数据分析突出了该项目的主要益处以及改进领域。
这项关于共享血糖监测网络应用程序的试点研究受到了患者的好评。此类项目可能会提高为2型糖尿病患者提供的临床护理质量。
