Department of Health Science, University Magna Graecia, Catanzaro, Italy.
Medical Affairs Director, Roche Diabetes Care, Monza, Italy.
Endocrine. 2024 May;84(2):441-449. doi: 10.1007/s12020-023-03605-2. Epub 2023 Nov 23.
A remote platform for diabetes care (Roche Diabetes® Care Platform, RDCP) has been developed that allows combined face-to-face consultations and remote patient monitoring (RPM).
A dedicated flowchart is proposed as a clinical approach to help healthcare professionals in the appropriate interpretation of structured self-monitoring blood glucose data, as visualized on the RDCP during the visits, and in the optimal management of patients using the integrated RDCP-RPM tools.
The platform organizes patterns in different blocks: (i) hypoglycemia; (ii) hyperglycemia; (iii) blood glucose variability; (iv) treatment adherence, which identifies a possible individual pattern according to glycemic control challenges, potential causal factors, and behavioral type patterns. The flowchart proposed for use of the RDCP-RPM is self-explanatory and entails 3 steps: (1) evaluation of quality and quantity of self-monitoring blood glucose data; (2) pattern analysis; (3) personalized suggestions and therapy changes.
The main aim of the remote treatment flowchart proposed is to support healthcare professionals in the identification of hypoglycemic and hyperglycemic patterns using the RDCP regardless of the HbA value and ongoing treatment, which however, become crucial in combination with pattern analysis in the therapeutical choice.
开发了一个用于糖尿病管理的远程平台（罗氏糖尿病护理平台，RDCP），允许进行面对面的咨询和远程患者监测（RPM）。
提出了一个专门的流程图，作为一种临床方法，帮助医疗保健专业人员在访问期间正确解读 RDCP 上显示的结构化自我监测血糖数据，并利用集成的 RDCP-RPM 工具优化患者管理。
该平台将不同的模式组织在不同的模块中：（i）低血糖；（ii）高血糖；（iii）血糖变异性；（iv）治疗依从性，根据血糖控制挑战、潜在因果因素和行为类型模式，确定可能的个体模式。建议用于 RDCP-RPM 的流程图是自解释的，包含 3 个步骤：（1）评估自我监测血糖数据的质量和数量；（2）模式分析；（3）个性化建议和治疗改变。
所提出的远程治疗流程图的主要目的是支持医疗保健专业人员使用 RDCP 识别低血糖和高血糖模式，而不考虑 HbA 值和正在进行的治疗，然而，在治疗选择中结合模式分析时，这些变得至关重要。
