Accepted for/Published in: JMIR Formative Research
Date Submitted: Nov 19, 2021
Date Accepted: Mar 1, 2023
Telemonitoring system Diani intervention in patients with type 1 diabetes: feasibility study
ABSTRACT
Background:
The objective of the study was to evaluate the benefits of the telemedicine system (Diani) for the treatment of type 1 diabetes patients.
Objective:
The objective of the study was to evaluate the benefits of the Diani telemedicine system for the treatment of type 1 diabetes patient. The obtained suggestions will lead to further verification and development of the system in order to better compensate for diabetes mellitus.
Methods:
Data were obtained from a 24-week feasibility study. Patients responded to the standardized WHOQOL-BREF quality of life questionnaire and the system evaluation questionnaire. The level of glycated hemoglobin and the patient's weight were examined, the patient's usage of the telemedicine system was monitored, and daily physical activity was measured. All data were being sent from the patient-device to the Diani server using a real-time diabetes diary application. Wilcoxon and Friedman tests and LME method were used for data analysis. This study involved 10 patients (5 men and 5 women), with a mean age of 47.7 ± 19.3 years; the mean duration of diabetes was 10.5 ± 8.6 years; and the mean HbA1c was 59.5 ± 6.7 mmol/mol.
Results:
The median number of days the patients tested the system was 84. After the intervention the mean HbA1c decreased by 4.35 mmol/mol (p = 0.011). Patients spent 18.6 ± 6.8 minutes on average using the application daily. After the intervention, the number of patients who measured their blood glucose at least 3 times a day increased by 30%. The graphical display of measured parameters, automatic transmission of measured data from the glucometer, compatibility and interconnection of individual devices when entering data were evaluated by patients in a positive way.
Conclusions:
The Diani system was found to be beneficial for type 1 diabetes mellitus patients in terms of managing their disease. Patients perceived it positively; it strengthened their education in the field of diabetes and understanding the influence of measured values for the management of their disease. Its use had a positive effect on the HbA1C level.
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