EFFECTIVENESS OF REMOTE DIABETES MONITORING TOOLS IN IMPROVING GLYCEMIC CONTROL AMONG OUTPATIENT PATIENTS WITH TYPE 2 DIABETES: A CASE SERIES

Nhật Trường Lê , Viết Thắng Trần, Quang Nam Trần

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Abstract

Glycemic control is essential in managing type 2 diabetes (T2D) to reduce complications and improve quality of life. In middle-income countries, 43.2%–55.6% of patients still fail to achieve HbA1c levels below 7%, mainly due to limited healthcare access and poor treatment adherence. Remote monitoring and teleconsultation have emerged as potential strategies to enhance disease management. Objective: To evaluate the effectiveness of a remote diabetes management program delivered via the OneMedic platform in outpatients. Subjects and Methods: A case series involving five T2D outpatients at the University Medical Center Ho Chi Minh City was conducted. All participants underwent a 12-week intervention using the OneMedic program, which included biweekly remote monitoring and consultations with healthcare professionals. Data were collected pre- and post-intervention to assess its effectiveness. Results: Five male patients (average age: 39 years; average diabetes duration: 4.2 years) were being treated with a combination of 2-4 classes of oral hypoglycemic agents, with a baseline average HbA1c level of 9.1%. After 12 weeks, the average HbA1c decreased by 1.17%. Improvements was also observed in fasting blood glucose, triglycerides, LDL-C, body weight, and several aspects of quality of life. No serious adverse events or dropouts were reported. Conclusions: Remote diabetes monitoring and counseling via the OneMedic platform demonstrated potential in improving glycemic and lipid control, as well as enhancing quality of life in T2D outpatients. This preliminary study provides a foundation for future large-scale research.

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References

Haw J. S., Galaviz K. I., Straus A. N., et al. (2017). "Long-term Sustainability of Diabetes Prevention Approaches: A Systematic Review and Meta-analysis of Randomized Clinical Trials", JAMA Intern Med, 177(12), pp. 1808-1817.
2. Littauer S. L., Dixon D. L., Mishra V. K., et al. (2017). "Pharmacists providing care in the outpatient setting through telemedicine models: a narrative review", Pharm Pract (Granada), 15(4), pp. 1134.
3. Maddaloni E., Pozzilli P. (2018). "Diabetes: the disease of the 10 D", Endocrine, 61(2), pp. 353-354.
4. Nathan D. M. (2015). "Diabetes: Advances in Diagnosis and Treatment", JAMA, 314(10), pp. 1052-62.
5. Varming A. R., Rasmussen L. B., Husted G. R., et al. (2019). "Improving empowerment, motivation, and medical adherence in patients with poorly controlled type 2 diabetes: A randomized controlled trial of a patient-centered intervention", Patient Educ Couns, 102(12), pp. 2238-2245.
6. Wayne N., Perez D. F., Kaplan D. M., et al. (2015). "Health Coaching Reduces HbA1c in Type 2 Diabetic Patients From a Lower-Socioeconomic Status Community: A Randomized Controlled Trial", J Med Internet Res, 17(10), pp. e224.
7. Wild S. H., Hanley J., Lewis S. C., et al. (2016). "Supported Telemonitoring and Glycemic Control in People with Type 2 Diabetes: The Telescot Diabetes Pragmatic Multicenter Randomized Controlled Trial", PLoS Med, 13(7), pp. e1002098.
8. Xia S. F., Maitiniyazi G., Chen Y., et al. (2022). "Web-Based TangPlan and WeChat Combination to Support Self-management for Patients With Type 2 Diabetes: Randomized Controlled Trial", JMIR Mhealth Uhealth, 10(3), pp. e30571.
9. Zheng Y., Ley S. H. and Hu F. B. (2018). "Global aetiology and epidemiology of type 2 diabetes mellitus and its complications", Nat Rev Endocrinol, 14(2), pp. 88-98.
10. Zhu X., Williams M., Finuf K., et al. (2022). "Home Telemonitoring of Patients With Type 2 Diabetes: A Meta-Analysis and Systematic Review", Diabetes Spectr, 35(1), pp. 118-128.