Effect of Internet therapeutic intervention on A1C levels in patients with type 2 diabetes treated with insulin.
OBJECTIVE
To assess the effect of an Internet-based glucose monitoring system (IBGMS) on A1C levels in patients with type 2 diabetes treated with insulin.


METHODS
This trial involved 50 patients randomly assigned to receive either conventional treatment alone or with additional follow-up through an IBGMS for 6 months. Patients randomized to the intervention group uploaded blood glucose readings every 2 weeks to a secure Web site for review and receipt of feedback from their endocrinologist. A1C and laboratory test results were collected at 0, 3, and 6 months.


RESULTS
The baseline parameters were not significantly different. Over a 6-month follow-up, A1C dropped from 8.8 to 7.6% (P < 0.001) in the intervention group compared with 8.5 to 8.4% (P = 0.51) in the control group.


CONCLUSIONS
The use of IBGMS significantly improved A1C levels in patients with type 2 diabetes treated with insulin.
Tildesley
Hugh D
HD
Department of Endocrinology and Metabolism, St. Paul's Hospital, Vancouver, British Columbia, Canada. hught@istar.ca
Mazanderani
Adel B
AB
Ross
Stuart A
SA
D000368:Aged; D015190:Blood Glucose Self-Monitoring / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy* / Q000378:metabolism*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D020407:Internet; D008297:Male; D008875:Middle Aged
D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin