Observatorio de I+D+i UPM

Memorias de investigación
Research Publications in journals:
Real-Time Continuous Glucose Monitoring Together with Telemedical Assistance Improves Glycemic Control and Glucose Stability in Pump-Treated Patients
Year:2008
Research Areas
  • Medicine,
  • Telematics
Information
Abstract
Background: Real-time continuous glucose monitoring (CGM) has recently been incorporated into routine diabetes management because of the potential advantages it offers for glycemic control. The aim of our study was to evaluate the impact of the use of real-time CGM together with a telemedicine system in hemoglobin A1c and glucose variability in patients with type 1 diabetes treated with insulin pumps. Methods: Ten patients (five women, 41.2 ,range, 21¿62, years old, duration of diabetes 14.9 ,range, 3¿52, years) were included in this randomized crossover study. Patients used the DIABTel telemedicine system throughout the study, and real-time CGM was used for 3 days every week during the intervention phase. At the end of the control phase, a blind 3-day CGM was performed. Glucose variability was evaluated using the Glucose Risk Index (GRI), a comparative analysis of continuous glucose values over two consecutive hours. Results: Hemoglobin A1c decreased significantly (8.1 , 1.1% vs. 7.3 , 0.8%; P , 0.007) after the intervention phase, while no changes were observed during the control phase. The mean number of daily capillary glucose readings was higher during the intervention phase (4.7 , 1.1 vs. 3.8 , 1.0; P , 0.01), because of an increase in random analyses (1.22 , 0.3 vs. 0.58 , 0.1; P, 0.01), and there was also a significant increase in the mean number of bolus doses per day (5.23 , 1.1 vs. 4.4 , 0.8; P , 0.05). The GRI was higher during the control phase than during the experimental phase (9.6 vs. 6.25; P , 0.05). Conclusions: Real-time CGM in conjunction with the DIABTel system improves glycemic control and glucose stability in pump-treated patients with type 1 diabetes.
International
Si
JCR
Si
Title
DIABETES TECHNOLOGY & THERAPEUTICS
ISBN
1520-9156
Impact factor JCR
2,127
Impact info
Volume
10
Journal number
3
From page
194
To page
199
Month
ENERO
Ranking
Participants
  • Autor: Gema Garcia Saez (UPM)
  • Autor: Maria Elena Hernando Perez (UPM)
  • Autor: Enrique Javier Gomez Aguilera (UPM)
  • Autor: Alberto De Leiva (UPM)
Research Group, Departaments and Institutes related
  • Creador: Grupo de Investigación: Grupo de Bioingeniería y Telemedicina
  • Departamento: Tecnología Fotónica
  • Centro o Instituto I+D+i: Centro de tecnología Biomédica CTB
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