Davidson Mayer B, Davidson S Joshua, Duran Petra
Charles R. Drew University, Los Angeles, CA.
Mellitus Health, Inc., Los Angeles, CA.
Clin Diabetes. 2024 Summer;42(3):364-370. doi: 10.2337/cd23-0066. Epub 2023 Dec 27.
This article describes a program through which interactions every 2-3 weeks between patients and primary care clinicians (PCCs), with recommendations based on analysis of remote glucose monitoring by computerized insulin dose adjustment algorithms, significantly improved diabetes control. Insulin doses increased by 30% in the majority of patients. A sizeable minority (36%) had a decrease or no increase in insulin doses, but still showed an improvement in diabetes control. Frequent interactions allowed PCCs the opportunity to recognize and address medication nonadherence.
本文介绍了一个项目，通过该项目，患者与初级保健临床医生（PCC）每2至3周进行一次互动，并根据计算机化胰岛素剂量调整算法对远程血糖监测的分析给出建议，这显著改善了糖尿病的控制情况。大多数患者的胰岛素剂量增加了30%。相当一部分少数患者（36%）的胰岛素剂量减少或未增加，但糖尿病控制情况仍有所改善。频繁的互动使PCC有机会识别并解决药物治疗依从性问题。
