Impact of long-term use of eHealth systems in adolescents with type 1 diabetes treated with sensor-augmented pump therapy

Telemedicine in diabetes includes telemonitoring and transmission of important data (self monitoring of blood glucose data, insulin therapy, pump setting, etc.) from the patient s home to the diabetic unit, with a real-time health feedback. Moreover, an eHealth approach is thought to facilitate diab...

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Bibliographic Details
Published in:Journal of telemedicine and telecare 2016-07, Vol.22 (5), p.277-281
Main Authors: Schiaffini, R, Tagliente, I, Carducci, C, Ullmann, N, Ciampalini, P, Lorubbio, A, Cappa, M
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Blood Glucose Self-Monitoring
Control systems
Control theory
Diabetes
Diabetes Mellitus, Type 1 - therapy
Feedback
Female
Humans
Hypoglycemic Agents - administration & dosage
Hypoglycemic Agents - therapeutic use
Insulin
Insulin - administration & dosage
Insulin - therapeutic use
Insulin Infusion Systems
Male
Monitoring, Ambulatory - methods
Patient Care Team - organization & administration
Patient Compliance - statistics & numerical data
Patient Education as Topic - organization & administration
Pumps
Self Care
Teenagers
Telemedicine
Telemedicine - organization & administration
Therapy
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Summary:Telemedicine in diabetes includes telemonitoring and transmission of important data (self monitoring of blood glucose data, insulin therapy, pump setting, etc.) from the patient s home to the diabetic unit, with a real-time health feedback. Moreover, an eHealth approach is thought to facilitate diabetes management and to improve compliance to CSII/SAP treatment in adolescents, but to date, limited literature related to this topic is available and long-term studies are still lacking. The main aim of this study was to compare the long-term effect on glycometabolic control of eHealth intervention and traditional care in T1DM SAP-treated adolescents. In our study we demonstrated a favorable impact of monthly teleassistance on treatment compliance. Adolescents receiving frequent feedback provided by the medicalmultidisciplinary team, due to the telemonitoring, resulted more compliant in self-management of diabetes. In particular, the medical team feedback resulted in interventions on behavioral errors and insulin therapy adjustments, leading to an improved glycometabolic control.
ISSN:1357-633X
1758-1109
DOI:10.1177/1357633X15598425