Telemonitoring Boosts Glycemic Control in T2D

Original Article: https://www.medscape.com/viewarticle/telemonitoring-boosts-glycaemic-control-t2d-2025a1000da6?form=fpf

Smart Devices Help T2D Patients Spend More Time in Healthy Glucose Range

A new study from Denmark showed that using telemonitoring technology helped people with type 2 diabetes (T2D) manage their blood sugar better than standard care. The technology included using continuous glucose monitors (CGMs), smart insulin pens, fitness trackers, and smartphone apps. Patients using these tools were monitored by medical staff, who checked their data and gave advice by phone. Compared to those receiving regular care, the telemonitoring group had a 13.6% increase in the amount of time their blood sugar stayed in the healthy range.

Study Design and Participants

The study included 331 adults with T2D who had been on insulin for at least a year. They were split into two groups: one used telemonitoring tools for three months, while the other group followed standard care based on guidelines from diabetes experts. The telemonitoring group received regular support, while the standard group had limited access to their glucose data and less direct contact with healthcare providers.

Better Results Without Hypoglycemia

At the end of the study, the telemonitoring group had better overall blood sugar control. Their A1c levels dropped more, and they spent less time with high blood sugar. However, both groups had similar results when it came to low blood sugar and how much insulin they used each day. While no serious low blood sugar episodes were reported, two people in the telemonitoring group had problems after taking too much fast-acting insulin.

Study Limitations to Consider

Even though the results were positive, the study had some limitations. The telemonitoring group could see their glucose data throughout the study, which may have encouraged healthier behavior right away. Also, because this was a digital trial, people who were more comfortable with technology were more likely to join, which could have influenced the results.

Smart Tech Holds Promise for Diabetes Care

The researchers concluded that telemonitoring is a safe and effective way to improve diabetes care. They recommend further studies to see how smart technology can be used even more effectively to help people with T2D.