Currently accepted at: JMIR Research Protocols
Date Submitted: Nov 20, 2025
Date Accepted: Feb 26, 2026
This paper has been accepted and is currently in production.
It will appear shortly on 10.2196/88197
The final accepted version (not copyedited yet) is in this tab.
The Current Landscape of Remote Patient Monitoring with Regard to Diabetes Mellitus and Hypoglycemia: A Scoping Review Protocol
ABSTRACT
Background:
Diabetes mellitus is characterized by impaired glucose regulation, predisposing patients to both hyperglycemia and hypoglycemia. Hypoglycemia, particularly frequent in insulin-treated individuals, remains a serious but under-recognized complication. Remote patient monitoring (RPM) technologies, such as continuous glucose monitors (CGMs), smartphone applications, and artificial pancreas systems, have emerged as promising tools to improve glycemic control and prevent hypoglycemia in non-clinical settings. Despite rapid technological advances, evidence on the scope, effectiveness, and limitations of these interventions remains fragmented.
Objective:
This scoping review aims to comprehensively map existing evidence on RPM tools for diabetes management, with a particular focus on hypoglycemia prevention in patients with type 1 and type 2 diabetes in home and outpatient environments.
Methods:
The review will follow the Joanna Briggs Institute (JBI) scoping review framework and adhere to the PRISMA-ScR reporting guidelines. The PCC framework defines the population as adults with type 1 or type 2 diabetes, the concept as RPM techniques (CGMs, artificial pancreas systems, telemedicine, smartphone apps), and the context as non-clinical environments. PubMed, Embase, and Scopus will be searched, supplemented by gray literature. Eligible studies will include clinical trials, observational studies, and cohort studies; reviews, case studies, and non-English articles will be excluded. Two independent reviewers will conduct screening, data extraction, and quality assessment. Findings will be synthesized descriptively in tabular and narrative formats.
Results:
We expect to identify diverse RPM approaches, summarize their outcomes on glycemic control, hypoglycemia reduction, and patient engagement, and highlight evidence gaps regarding usability, equity, and long-term safety.
Conclusions:
This review will provide a comprehensive evidence map of RPM strategies for diabetes care, informing clinical practice, technology adoption, and future research directions.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.