title: Internet blood glucose monitoring systems provide lasting glycemic benefit in type 1 and 2 diabetes: a systematic review.
abstract: Internet blood glucose monitoring systems (IBGMS) are associated with improved glycemic control in patients with type 2 diabetes (T2D) who are pharmacologically managed, using oral agents or insulin. IBGMS improves glycemic levels in patients with type 1 diabetes (T1D). IBGMS has not led to increased hypoglycemia. Mechanisms underlying IBGMS-associated glycemic improvement extend beyond optimizing insulin dose titration. The most important effects seem to be associated with increased patient self-motivation and improved patient-physician communication. IBGMS have been recommended in clinical practice guidelines, and their effectiveness and safety in trials suggest that this approach is appropriate for patients with T1D or T2D.
authors.affiliation: Department of Endocrinology and Metabolism, St Paul's Hospital, University of British Columbia, Room 410, 1033 Davie Street, Vancouver, British Columbia V6E 1M7, Canada. Electronic address: hdtildesley@gmail.com.
authors.forename: Hugh D
authors.initials: HD
authors.lastname: Tildesley
authors.affiliation: SCRIPT, 2010 Yonge St, Toronto, ON M4N 2K4, Canada.
authors.forename: Michelle D
authors.initials: MD
authors.lastname: Po
authors.affiliation: University of Calgary, 2500 University Dr NW, Calgary, AB T2N 1N4, Canada.
authors.forename: Stuart A
authors.initials: SA
authors.lastname: Ross
mesh_terms: D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation / Q000379:methods; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis*; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis*; D006801:Humans; D020407:Internet; D017063:Outcome Assessment, Health Care; D058998:Remote Sensing Technology / Q000295:instrumentation / Q000379:methods
keywords: Diabetes; Glycemic control; Hypoglycemia; Internet blood glucose monitoring system; Internet medicine; Self-monitoring of blood glucose