scholarly journals Glucose Control, Disease Burden, and Educational Gaps in People With Type 1 Diabetes: Exploratory Study of an Integrated Mobile Diabetes App

JMIR Diabetes ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. e17 ◽  
Author(s):  
Cornelis J Tack ◽  
Gerardus J Lancee ◽  
Barend Heeren ◽  
Lucien JLPG Engelen ◽  
Sandra Hendriks ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glucose Control ◽  
Exploratory Study ◽  
Disease Burden ◽  
Control Disease ◽  
Educational Gaps

scholarly journals Glucose Control, Disease Burden, and Educational Gaps in People With Type 1 Diabetes: Exploratory Study of an Integrated Mobile Diabetes App (Preprint)

2017 ◽  
Author(s):  
Cornelis J Tack ◽  
Gerardus J Lancee ◽  
Barend Heeren ◽  
Lucien JLPG Engelen ◽  
Sandra Hendriks ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glucose Control ◽  
Exploratory Study ◽  
Disease Burden ◽  
Hemoglobin A1c ◽  
Insulin Dose ◽  
Diabetes Control ◽  
Self Management ◽  
Scale Scores

BACKGROUND Self-monitoring and self-management, crucial for optimal glucose control in type 1 diabetes, requires many disease-related decisions per day and imposes a substantial disease burden on people with diabetes. Innovative technologies that integrate relevant measurements may offer solutions that support self-management, decrease disease burden, and benefit diabetes control. OBJECTIVE The objective of our study was to evaluate a prototype integrated mobile phone diabetes app in people with type 1 diabetes. METHODS In this exploratory study, we developed an app that contained cloud-stored log functions for glucose, carbohydrates (including a library), insulin, planned exercise, and mood, combined with a bolus calculator and communication functions. Adults with diabetes tested the app for 6 weeks. We assessed the feasibility of app use, user experiences, perceived disease burden (through questionnaires), insulin dose and basal to bolus ratio, mean glucose level, hemoglobin A1c, and number of hypoglycemic events. RESULTS A total of 19 participants completed the study, resulting in 5782 data entries. The most frequently used feature was logging blood glucose, insulin, and carbohydrates. Mean diabetes-related emotional problems (measured with the Problem Areas in Diabetes scale) scores decreased from 14.4 (SD 10.0) to 12.2 (SD 10.3; P=.04), and glucose control improved, with hemoglobin A1c decreasing from 7.9% (mean 62.3, SD 8 mmol/mol) to 7.6% (mean 59.8, SD 7 mmol/mol; P=.047). The incidence of hypoglycemic events did not change. Participants were generally positive about the app, rating it as “refreshing,” and as providing structure by reinforcing insulin-dosing principles. The app revealed substantial knowledge gaps. Logged data enabled additional detailed analyses. CONCLUSIONS An integrated mobile diabetes app has the potential to improve diabetes self-management and provide tailored educational support, which may decrease disease burden and benefit diabetes control.

983-P: First Home Evaluation of the Omnipod Horizon Automated Glucose Control System at Specific Glucose Targets in Adults with Type 1 Diabetes

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 983-P
Author(s):  
SUE A. BROWN ◽  
BRUCE W. BODE ◽  
CAROL J. LEVY ◽  
GREGORY P. FORLENZA ◽  
BRUCE A. BUCKINGHAM ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Control System ◽  
Glucose Control

Discrepancies between methods of continuous glucose monitoring in key metrics of glucose control in children with type 1 diabetes

2019 ◽  
Author(s):  
Arkadiusz Michalak ◽  
Konrad Pagacz ◽  
Wojciech Młynarski ◽  
Agnieszka Szadkowska ◽  
Wojciech Fendler
Keyword(s):  
Type 1 Diabetes ◽  
Continuous Glucose Monitoring ◽  
Glucose Control ◽  
Glucose Monitoring

scholarly journals Effectiveness of Multiple Daily Injections or Continuous Subcutaneous Insulin Infusion for Children with Type 1 Diabetes Mellitus in Clinical Practice

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Chun-xiu Gong ◽  
Li-ya Wei ◽  
Di Wu ◽  
Bing-yan Cao ◽  
Xi Meng ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glucose Control ◽  
Continuous Subcutaneous Insulin Infusion ◽  
Insulin Infusion ◽  
Blood Glucose Control ◽  
Insulin Dosage ◽  
Subcutaneous Insulin ◽  
Multiple Daily Injections ◽  
Hba1c Levels

Aims. To determine whether multiple daily injections (MDIs) or continuous subcutaneous insulin infusion (CSII) contributes to better glucose control in children with different type 1 diabetes duration.Methods. Subjects were grouped according to early (≤1 year after disease onset; 1A) or late (1–3 years after onset; 2A) MDIs/CSII treatment initiation. Corresponding control groups (1B, 2B) received insulin injections twice daily.Results. HbA1c levels were consistently lower in group 1A than in group 1B (6 months (T2): 7.37% versus 8.21%; 12 months (T3): 7.61% versus 8.41%; 24/36 months (T4/T5): 7.61% versus 8.72%; allP<0.05), but were lower in group 2A than in group 2B only at T2 (8.36% versus 9.19%;P=0.04). Levels were lower in group 1A than in group 2A when disease duration was matched (7.61% versus 8.49%;P<0.05). Logistic regression revealed no correlation between HbA1c level and MDIs/CSII therapy. HbA1c levels were only negatively related to insulin dosage.Conclusions. Blood glucose control was better in patients receiving MDIs/CSII than in those receiving conventional treatment. Early MDIs/CSII initiation resulted in prolonged maintenance of low HbA1c levels compared with late initiation. MDIs/CSII therapy should be combined with comprehensive management.

Improved glucose control following administration of a 75% insulin lispro/25% NPL mixture in patients with type 1 diabetes

2000 ◽  
Vol 50 ◽  
pp. 220-221
Author(s):  
M Pein ◽  
J Deibler ◽  
P Roach ◽  
J Woodworth ◽  
U Gudat ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Insulin Lispro ◽  
Glucose Control

Comparative Effects of Two Different Multiple Injection Regimens on Blood Glucose Control and Patient Acceptance in Type 1 Diabetes

1990 ◽  
Vol 7 (8) ◽  
pp. 695-699 ◽  
Author(s):  
B.H.R. Wolffenbuttel ◽  
B.M. Ouwerkerk ◽  
B.F.E. Veldhuyzen ◽  
P.H.L.M. Geelhoed-Duijvestijn ◽  
G. Jakobsen ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Glucose Control ◽  
Blood Glucose Control ◽  
Patient Acceptance ◽  
Multiple Injection

scholarly journals Closed-loop glucose control in young people with type 1 diabetes during and after unannounced physical activity: a randomised controlled crossover trial

Diabetologia ◽  
2017 ◽  
Vol 60 (11) ◽  
pp. 2157-2167 ◽  
Author(s):  
Klemen Dovc ◽  
Maddalena Macedoni ◽  
Natasa Bratina ◽  
Dusanka Lepej ◽  
Revital Nimri ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 1 Diabetes ◽  
Young People ◽  
Glucose Control ◽  
Closed Loop ◽  
Crossover Trial ◽  
Randomised Controlled
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