Effect of Digital-Tool-Supported Basal Insulin Titration Algorithm in Reaching Glycemic Control in Patients with Type 2 Diabetes in Mexico

Hector Eloy Tamez-Pérez, Oscar Manuel Cantú-Santos, Dalia Gutierrez-González, Rosalinda González-Facio, Maria Elena Romero-Ibarguengoitia

Producción científicarevisión exhaustiva

5 Citas (Scopus)

Resumen

Background: My Dose Coach (MDC) is a mobile application combined with a web portal that can suggest optimized basal insulin (BI) injection doses using Self-Measured Plasma Glucose (SMPG) and hypoglycemia data. This study aimed to evaluate its efficacy on patients reaching SMPG and Fasting blood glucose (FBG) target range 90-130 mg/dl (5-7.2 mmol/L) goals without severe hypoglycemic episodes. We also addressed the mean reduction in glycated hemoglobin (A1C), FBG, and SMPG and the improvement in the WHO’s Five Well Being Index (WBI). Methods: This prospective pilot study involved the use of MDC in outpatients with type 2 diabetes (T2DM) from a Hospital in Northern Mexico. Patients on treatment with any BI were included in the study. The follow-up was of 16 weeks. Student t-tests or McNemar test were used for effect comparisons. Results: We included 158 patients (46.8% women), mean (SD) age 51 (10.3) years. We achieved SMPG target range in 58.9% [mean (95CI) reduction of 30.9 mg/dl (22.5-37.7; P <.001)] of the patients [66(28) days], with no severe hypoglycemia events. FBG goal was reached in 55.7% [mean (95CI) reduction of 63.4 mg/dl (49.6-77.2; P <.001)]. The mean (95CI) reduction of A1C was 1.78% (1.47-2, P <.01) with the last observation carried forward. There was a mean (95CI) increase of 2.23 (−3, −1.4, P <.01) points in WBI scale. Conclusions: MDC successfully helped to achieve FBG and SMPG goals, reduced A1C, and increased WBI with no severe hypoglycemia events.

Idioma originalEnglish
Páginas (desde-hasta)1513-1520
Número de páginas8
PublicaciónJournal of diabetes science and technology
Volumen16
N.º6
DOI
EstadoPublished - nov 2022
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2021 Diabetes Technology Society.

All Science Journal Classification (ASJC) codes

  • Medicina interna
  • Endocrinología, diabetes y metabolismo
  • Bioingeniería
  • Ingeniería biomédica

Huella

Profundice en los temas de investigación de 'Effect of Digital-Tool-Supported Basal Insulin Titration Algorithm in Reaching Glycemic Control in Patients with Type 2 Diabetes in Mexico'. En conjunto forman una huella única.

Citar esto