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Text-message responsiveness to blood glucose monitoring reminders is associated with HbA benefit in teenagers with Type 1 diabetes.
Citation | “Text-Message Responsiveness To Blood Glucose Monitoring Reminders Is Associated With Hba Benefit In Teenagers With Type 1 Diabetes.”. Diabetic Medicine : A Journal Of The British Diabetic Association, pp. 600-605. . |
Center | Joslin Diabetes Center |
Author | D E McGill, L K Volkening, D A Butler, R M Wasserman, B J Anderson, L M Laffel |
Abstract |
AIMS: To evaluate an 18-month text-messaging intervention in teenagers with Type 1 diabetes and to assess factors associated with text responsiveness and glycaemic benefit. METHODS: Teenagers with diabetes (N = 147), aged 13-17 years, received two-way text reminders at self-selected times to check blood glucose levels and reply with blood glucose results. RESULTS: At baseline, the participants (48% boys, 78% white, 63% pump-treated) had a mean ± sd age of 14.9 ± 1.3 years, diabetes duration of 7.1 ± 3.9 years and HbA concentration of 69 ± 12 mmol/mol (8.5 ± 1.1%). The mean proportion of days with ≥1 blood glucose response declined over time (0-6 months, 60 ± 26% of days, 7-12 months, 53 ± 31% of days, 13-18 months, 43 ± 33% of days). Over 18 months, 49% responded with ≥1 blood glucose result on ≥50% of days (high responders). Regression analysis controlling for baseline HbA revealed no significant change in HbA from baseline to 18 months in high responders (P = 0.54) compared with a significant HbA increase in low responders (+0.3%, P = 0.01). In participants with baseline HbA ≥64 mmol/mol (≥8%), high responders were 2.5 times more likely than low responders to have a clinically significant [≥5.5 mmol/mol (≥0.5%)] HbA decrease over 18 months (P < 0.05). In participants with baseline HbA <64 mmol/mol(<8%), high responders were 5.7 times more likely than low responders to have an 18-month HbA <58 mmol/mol (<7.5%; P < 0.05). CONCLUSIONS: Teenagers with Type 1 diabetes who responded to text reminders on ≥50% of days over 18 months experienced clinically significant glycaemic benefit. There remains a need to tailor interventions to maintain teenager engagement and optimize improvements. |
Year of Publication |
2019
|
Journal |
Diabetic medicine : a journal of the British Diabetic Association
|
Volume |
36
|
Issue |
5
|
Number of Pages |
600-605
|
Date Published |
12/2019
|
ISSN Number |
1464-5491
|
DOI |
10.1111/dme.13929
|
Alternate Journal |
Diabet. Med.
|
PMID |
30734361
|
PMCID |
PMC6462241
|
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