Impact of a Remote Monitoring Programme Including Lifestyle Education Software in Type 2 Diabetes: Results of the Educ@dom Randomised Multicentre Study
In: ISSN: 1869-6953 ; Diabetes Therapy ; https://inserm.hal.science/inserm-03452105 ; Diabetes Therapy, 2021, 12 (7), pp.2059-2075. ⟨10.1007/s13300-021-01095-x⟩, 2021
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International audience ; INTRODUCTION: Telemonitoring in type 2 diabetes (T2D) is mainly based on glucose monitoring. A new type of connected device which routinely gathers data on weight, physical activity and food intake could improve patients' diabetes control. The main aim of this study was to assess the efficacy of an at-home interventional programme incorporating such devices and lifestyle education software on diabetes control, i.e., change in HbA1c, compared to standard care. METHODS: This multicentre study randomly assigned 282 people with T2D to either a telemonitoring group (TMG) or a control group (CG) for a 1-year intervention period. While routine follow-up was maintained in the CG, TMG subjects were provided with interactive lifestyle educational software (with artificial intelligence algorithms) and connected objects (blood glucose meters, scales and actimeters) for use in their own homes and were remotely monitored by their diabetologists. Changes in HbA(1c) were compared between groups using a mixed linear model. RESULTS: The mean HbA(1c) dropped from 7.8 ± 0.8% (62 mmol/mol) to 7.4 ± 1.0% (57 mmol/mol) in the TMG and from 7.8 ± 0.8% (62 mmol/mol) to 7.6 ± 1.0% (60 mmol/mol) in the CG, resulting in an intergroup difference of - 0.16 (p = 0.06) in favour of TMG, after adjustment for confounding factors. Within TMG, the decrease in HbA(1c) was greater in frequent users: - 0.23% (p = 0.03) in the case of connections to telemonitoring synthesis above the median and - 0.21% (p = 0.05) in the case of connections to tele-education software above the median compared to the CG. Significant weight loss was observed in the TMG but only in women (p = 0.01). FINDINGS: The EDUC@DOM telemonitoring and tele-education device did not highlight a significant decrease in HbA1c levels compared to routine management although a slight, albeit significant improvement in glycaemic control was observed in the frequent user subgroup as well as significant weight loss but only in women. A high level of satisfaction with ...
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Impact of a Remote Monitoring Programme Including Lifestyle Education Software in Type 2 Diabetes: Results of the Educ@dom Randomised Multicentre Study
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Autor/in / Beteiligte Person: | Turnin, M. C. ; Gourdy, P. ; Martini, J. ; Buisson, J. C. ; Chauchard, M. C. ; Delaunay, J. ; Schirr-Bonnans, S. ; Taoui, S. ; Poncet, M. F. ; Cosma, V. ; Lablanche, S. ; Coustols-Valat, M. ; Chaillous, L. ; Thivolet, C. ; Sanz, C. ; Penfornis, A. ; Lepage, B. ; Colineaux, H. ; Mounie, M. ; Costa, N. ; Molinier, L. ; Hanaire, H. ; Centre Hospitalier Universitaire de Toulouse (CHU Toulouse) ; Institut des Maladies Métaboliques et Casdiovasculaires (UPS/Inserm U1297 - I2MC) ; Université Toulouse III - Paul Sabatier (UT3) ; Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM) ; Réseau de Santé régional Diabète Midi Pyrénées (DIAMIP Network) ; Ecole Nationale Supérieure d'Electrotechnique, d'Electronique, d'Informatique, d'Hydraulique et de Télécommunications (ENSEEIHT) ; Institut National Polytechnique (Toulouse) (Toulouse INP) ; Université de Toulouse (UT)-Université de Toulouse (UT) ; Clinique Claude Bernard -, ELSAN ; Centre Hospitalier Universitaire de Nîmes (CHU Nîmes) ; Centre Hospitalier Universitaire CHU Grenoble (CHUGA) ; Clinique Ambroise Paré - ELSAN (CAPE) ; Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes) ; Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN) ; Université Claude Bernard Lyon 1 (UCBL) ; Université de Lyon-Université de Lyon-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE) ; Centre Hospitalier Lyon Sud CHU - HCL (CHLS) ; Hospices Civils de Lyon (HCL) ; Clinique Pasteur Toulouse ; Centre Hospitalier Sud Francilien ; Université de Toulouse (UT) ; Universidade Nova de Lisboa = NOVA University Lisbon (NOVA) ; Educ@dom Study Group. |
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Zeitschrift: | ISSN: 1869-6953 ; Diabetes Therapy ; https://inserm.hal.science/inserm-03452105 ; Diabetes Therapy, 2021, 12 (7), pp.2059-2075. ⟨10.1007/s13300-021-01095-x⟩, 2021 |
Veröffentlichung: | HAL CCSD ; Springer, 2021 |
Medientyp: | academicJournal |
DOI: | 10.1007/s13300-021-01095-x |
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