Jun Yang Lee|Carina Chan|Siew Siang Chua|Chirk Jenn Ng|Thomas Paraidathathu|Kenneth Kwing Chin Lee|Shaun Wen Huey Lee
Telemonitoring and Team-Based Management of Glycemic Control on People with Type 2 Diabetes: a Cluster-Randomized Controlled Trial
Monash University Malaysia|La Trobe University|Taylor's University|University of Malaya|Taylor's University|Monash University Malaysia|Taylor's University
connected devices allow people diabetes monitor blood glucose levels remotely data visualization shown improve selfcare behavior diabetes management however effectiveness usability lowmiddleincome racially diverse population unknownthis study aims evaluate effects remote telemonitoring teambased management people uncontrolled type 2 diabetesthis pragmatic 52week clusterrandomized controlled study among 11 primary care government practices malaysiapeople type 2 diabetes aged 18 hemoglobin a1c 75 less 110 within past 3 months resided state selangorthe intervention group received home glucotelemonitors transmitted glucose data care team could adjust therapy accordingly team also facilitated selfmanagement supporting participants improve medication adherence encourage healthier lifestyle use resources reduce risk factors usual care group received routine healthcare servicethe primary outcome change hba1c 24 weeks 52 weeks secondary outcomes included change fasting plasma glucose blood pressure lipid levels healthrelated quality life diabetes selfefficacya total 240 participants recruited study telemonitoring group reported larger improvements glycemic control compared control end study week 24 005 95 ci 010 000 followup week 52 003 007 002 p 0226 similarly differences secondary outcomes observed including number adverse events healthrelated quality lifethis study indicates limited benefit replacing telemedicine current practice selfmonitoring blood glucose innovative methods improve patient engagement diabetes care neededclinicaltrialsgov identifier nct02466880