Key result
Remote glucose monitoring and computerized insulin algorithms linked to improved diabetes control without increasing doses.
Why the study?
Does remote glucose monitoring with computerized insulin dose adjustment improve diabetes control in patients with diabetes?
Observational
Does remote glucose monitoring with computerized insulin dose adjustment improve diabetes control in patients with diabetes?
Remote glucose monitoring with computerized insulin dose adjustment algorithms improves diabetes control, even in patients without insulin dose increases, partly by addressing medication nonadherence.
May support remote algorithms for glycemic control via adherence; hypothesis-generating pending randomized confirmation.
This article describes a program through which interactions every 2-3 weeks between patients and primary care clinicians (PCCs), with recommendations based on analysis of remote glucose monitoring by computerized insulin dose adjustment algorithms, significantly improved diabetes control. Insulin doses increased by 30% in the majority of patients. A sizeable minority (36%) had a decrease or no increase in insulin doses, but still showed an improvement in diabetes control. Frequent interactions allowed PCCs the opportunity to recognize and address medication nonadherence.
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Davidson et al. (2023) conducted an observational in Diabetes. Remote glucose monitoring and computerized insulin dose adjustment algorithms was evaluated on Diabetes control. Remote glucose monitoring and computerized insulin dose adjustment algorithms significantly improved diabetes control, even in the 36% of patients who had a decrease or no increase in insulin doses.
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