Evidence map›Paper›PMID 35037887›Full record

ArticleJMIR diabetes2022

Feasibility and Impact of Remote Glucose Monitoring Among Patients With Newly Diagnosed Type 1 Diabetes: Single-Center Pilot Study.

Stephanie Crossen, Crystal Romero, Allison Reggiardo, Jimi Michel, Nicole Glaser

Registry-linked trialAbstract read
In one paragraph

Article in JMIR diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04106440 (Pilot Study of Connected Diabetes Technology), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04106440 nacompletednot on this map

Pilot Study of Connected Diabetes Technology

TypeinterventionalSponsorUniversity of California, DavisRan2019 to 2021Enrolled41ConditionsDiabetes Mellitus, Type 1ArmsApplication Use
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Building and Sustaining Open-Source Medical Device Projects.IEEE transactions on bio-medical engineering · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Diabetes Technology Meeting 2023.Journal of diabetes science and technology · 2024
    Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Stephanie CrossenDepartment of Pediatrics, University of California, Davis, Sacramento, CA, United States.ORCID https://orcid.org/0000-0001-9829-6898
Crystal RomeroDepartment of Pediatrics, University of California, Davis, Sacramento, CA, United States.ORCID https://orcid.org/0000-0003-4398-169X
Allison ReggiardoDepartment of Pediatrics, University of California, Davis, Sacramento, CA, United States.ORCID https://orcid.org/0000-0002-0854-7874
Jimi MichelCenter for Health and Technology, University of California, Davis, Sacramento, CA, United States.ORCID https://orcid.org/0000-0002-0702-7236
Nicole GlaserDepartment of Pediatrics, University of California, Davis, Sacramento, CA, United States.ORCID https://orcid.org/0000-0003-1278-0801

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Institutional Career Development Core (KL2)KL2TR001859 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F. · 2016 to 2025
$10.1M
Use of connected health technology to optimize outcomes for high risk pediatric patients with type 1 diabetesK23DK125671 · NIDDK · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CROSSEN, STEPHANIE · 2020 to 2023
$649k
NCATS NIH HHS KL2 TR001859NCATS NIH HHS UL1 TR001860NIDDK NIH HHS K23 DK125671
6 · The paper itself

Abstract

backgroundCaregivers of children with newly diagnosed type 1 diabetes (T1D) maintain close contact with providers for several weeks to facilitate rapid adjustments in insulin dosing regimens. Traditionally, patient glucose values are relayed by telephone for provider feedback, but digital health technology can now enable the remote sharing of glucose data via mobile apps.

objectiveThe aim of this study was to test the feasibility of remote glucose monitoring in a population of children and adolescents with newly diagnosed T1D and to explore whether remote monitoring alters habits for self-review of glucose data or perceived ease of provider contact in this population as compared to a nonrandomized control group.

methodsData were collected from families who chose to participate in remote monitoring (intervention group) as well as from patients receiving usual care (control group). The intervention group received Bluetooth-capable glucose meters and Apple iPod Touch devices. Patient-generated glucose data were passively relayed from the meter to the iPod Touch and then to both the electronic health record (EHR) and a third-party diabetes data platform, Tidepool. The principal investigator reviewed glucose data daily in the EHR and Tidepool and contacted the participants as needed for insulin dose adjustments during the time between hospital discharge and first clinic appointment. Families in the control group received usual care, which involved keeping written records of glucose values and contacting the diabetes team daily by telephone to relay data and receive treatment recommendations. A total of 40 families (20 for the intervention group and 20 for the control group) participated in the study. All families were surveyed at 1 month and 6 months regarding self-review of glucose data and ease of contacting the diabetes team.

resultsPatient-generated glucose data were remotely accessible for 100% of the participants via Tidepool and for 85% via the EHR. Survey data indicated that families in the intervention group were more likely than those in the control group to review their glucose data using mobile health apps after 1 month (P<.001), but by 6 months, this difference had disappeared. Perceived ease of contacting the clinical team for assistance was lower for the intervention group after 6 months (when receiving usual care) in comparison to during the intervention period (P=.48) and compared with a control group who did not have exposure to remote monitoring (P=.03).

conclusionsRemote glucose monitoring is feasible among pediatric patients with newly diagnosed T1D and may be associated with the earlier adoption of mobile health apps for self-management. The use of broadscale remote monitoring for T1D in the future will depend on improved access to Bluetooth-enabled mobile devices for all patients, improved interoperability of mobile health apps to enable data transfer on Android as well as Apple devices, and new provider workflows to handle large-scale panel management based on patient-generated health data.

trial registrationClinicalTrials.gov NCT04106440; https://clinicaltrials.gov/ct2/show/NCT04106440.

Indexed as

applicationdiabetesmobile healthpatient-generated datapediatricsremote monitoringT1Dtype 1 diabetes

Identifiers

PMID35037887
PMCPMC8804957

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.