Abstract
Background and Aims: Distal technologies with feedback have been studied in follow‐up and communication of type 1 diabetes, with limited evidence for beneficial effects. We investigated the effect of a mobile blood glucose analysis service on the use of prehospital emergency services.
Methods: 169 subjects on multiple dose insulin treatment from a primary health care diabetes unit were randomized to using real‐time distal analysis of blood glucose data and personalized automated feedback with support chat (Mendor ONE, intervention group; IG) or to continue uploading glucose meter data conventionally to contemporary Mendor Balance cloud service (control group; GC). The primary outcome was the incidence of ambulance visits during a two‐year intervention.
Results: Early study termination occurred among 46% mostly because of switching to flash glucose monitoring. During 791 patient‐years including the retrospective period, 57 ambulance visits occurred, 37% because of acute diabetes complications. The incidences per 100 patient‐years (95% CI) for the ambulance visits were 7,81 (4,02–15,19; IG) and 7,95 (3,91–16,19; CG) before the intervention, and 7,63 (4,43–13,14; IG) and 9,47 (5,53–16,23; CG) during the intervention (p = 0,60 between groups). Incidences within groups didn't change before and during intervention. The most common reasons were severe hypoglycaemia, trauma and alcohol‐related event. During the intervention, none had ketoacidosis. Hypoglycemia was more common in men (n = 16) than in women (n = 2), incidences being 3,65 (2,09‐5,93) and 0,57 (0,069 – 2,05), respectively (p = 0,004).
Conclusions: Men were more prone to ambulance visits and severe hypoglycaemias than women. The service couldn't reduce the incidence of ambulance visits. Further studies on the effects of distal technologies are needed.
Methods: 169 subjects on multiple dose insulin treatment from a primary health care diabetes unit were randomized to using real‐time distal analysis of blood glucose data and personalized automated feedback with support chat (Mendor ONE, intervention group; IG) or to continue uploading glucose meter data conventionally to contemporary Mendor Balance cloud service (control group; GC). The primary outcome was the incidence of ambulance visits during a two‐year intervention.
Results: Early study termination occurred among 46% mostly because of switching to flash glucose monitoring. During 791 patient‐years including the retrospective period, 57 ambulance visits occurred, 37% because of acute diabetes complications. The incidences per 100 patient‐years (95% CI) for the ambulance visits were 7,81 (4,02–15,19; IG) and 7,95 (3,91–16,19; CG) before the intervention, and 7,63 (4,43–13,14; IG) and 9,47 (5,53–16,23; CG) during the intervention (p = 0,60 between groups). Incidences within groups didn't change before and during intervention. The most common reasons were severe hypoglycaemia, trauma and alcohol‐related event. During the intervention, none had ketoacidosis. Hypoglycemia was more common in men (n = 16) than in women (n = 2), incidences being 3,65 (2,09‐5,93) and 0,57 (0,069 – 2,05), respectively (p = 0,004).
Conclusions: Men were more prone to ambulance visits and severe hypoglycaemias than women. The service couldn't reduce the incidence of ambulance visits. Further studies on the effects of distal technologies are needed.
| Original language | English |
|---|---|
| Pages (from-to) | A148-A148 |
| Number of pages | 1 |
| Journal | Diabetes Technology and Therapeutics |
| Volume | 23 |
| Publication status | Published - 1 Jun 2021 |
| MoE publication type | Not Eligible |
