Affiliation:
1. Department of Diabetology, Jothydev's Diabetes and Research Centre, Mudavanmugal, Thiruvananthapuram, Kerala,
India
Abstract
Background:
Carbohydrate counting is a tool that helps patients with type 1 diabetes
(T1D) to control their blood glucose. It calculates the bolus insulin dose needed from the total
amount of carbohydrates consumed at each meal. However, carbohydrate counting can be quite
challenging. The Diabetes Tele Management System® (DTMS®) is a telemedicine-based program
that enables the patient to interact directly with a professionally trained, multidisciplinary team
(MDT) of experts. This, along with technology-enabled education programs, could allow people
with T1D to achieve glycemic control.
Methods:
Fifty patients with T1D between 5 and 35 years with a diabetes duration of at least 6
months, baseline HbA1c of 7 or above, using SCII or MDI and willing to take part in the study
were invited to participate in an MDT-assisted technology-enabled program and trained trimonthly
on carbohydrate counting. The control group went on to perform carbohydrate counting independently
and used technologies at their convenience. The test group additionally received continuous
individual assistance from the MDT.
Results:
The MDT-assisted patients had significantly decreased HbA1c, blood glucose levels, decreased
episodes of hyperglycemia and hypoglycemia, and reported a more positive outlook on
life.
Conclusion:
Carbohydrate counting remains a challenge for youth with T1D, and errors in counting
can have a clinical impact. Our data suggested that the assistance from an MDT of experts was
associated with improved carbohydrate counting, which led to improved glycemic control and reduced
complications.
Publisher
Bentham Science Publishers Ltd.
Subject
Endocrinology,Endocrinology, Diabetes and Metabolism
Cited by
1 articles.
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