A successful remote patient monitoring program for diabetes.

IF 4.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Frontiers in Endocrinology Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI:10.3389/fendo.2025.1524567
Katlyn Sawyer, David Saxon, Richard Zane, Hemali Patel, Michael McDermott, Vatsala Singh, Helen M Lawler
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Abstract

The prevalence of diabetes continues to rise in the United States along with a shortage of endocrinologists. One proposed solution to this challenge is to deliver more specialty health care services through remote patient monitoring (RPM). Here, we describe our initial experience with an RPM program for diabetes care at the University of Colorado. We enrolled 211 patients with primarily uncontrolled type 2 diabetes into the Diabetes Home and Remote Care Program (DHRCP). Remote care replaced traditional brick-and-mortar care while patients were enrolled. A certified diabetes care and education specialists (CDCES) contacted patients every 1-2 weeks to provide lifestyle coaching and assess medication compliance. With oversight from an endocrinologist, frequent medication adjustments were made by the CDCES. Analysis performed on 106 (50.2%) patients who met graduation criteria and had a hemoglobin A1c (HbA1c) completed upon program graduation showed an average decrease in HbA1c from 10.4% to 7.0% (p<0.001). Overall, our results demonstrate that RPM is an effective care model for improving glycemic control in patients with diabetes.

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一个成功的远程糖尿病患者监测项目。
随着内分泌科医生的短缺,美国糖尿病的患病率持续上升。针对这一挑战提出的一种解决方案是通过远程患者监控(RPM)提供更专业的医疗保健服务。在这里,我们描述了我们在科罗拉多大学的糖尿病护理RPM项目的初步经验。我们将211名主要未控制的2型糖尿病患者纳入糖尿病家庭和远程护理项目(DHRCP)。在患者登记期间,远程护理取代了传统的实体护理。认证糖尿病护理和教育专家(CDCES)每1-2周联系患者,提供生活方式指导并评估药物依从性。在内分泌学家的监督下,CDCES经常对药物进行调整。对106例(50.2%)符合毕业标准并在项目毕业时完成血红蛋白A1c (HbA1c)的患者进行的分析显示,HbA1c平均下降从10.4%降至7.0% (p
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来源期刊
Frontiers in Endocrinology
Frontiers in Endocrinology Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
5.70
自引率
9.60%
发文量
3023
审稿时长
14 weeks
期刊介绍: Frontiers in Endocrinology is a field journal of the "Frontiers in" journal series. In today’s world, endocrinology is becoming increasingly important as it underlies many of the challenges societies face - from obesity and diabetes to reproduction, population control and aging. Endocrinology covers a broad field from basic molecular and cellular communication through to clinical care and some of the most crucial public health issues. The journal, thus, welcomes outstanding contributions in any domain of endocrinology. Frontiers in Endocrinology publishes articles on the most outstanding discoveries across a wide research spectrum of Endocrinology. The mission of Frontiers in Endocrinology is to bring all relevant Endocrinology areas together on a single platform.
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