PMID- 20144402
OWN - NLM
STAT- MEDLINE
DCOM- 20100930
LR  - 20231105
IS  - 1932-2968 (Electronic)
IS  - 1932-2968 (Linking)
VI  - 3
IP  - 6
DP  - 2009 Nov 1
TI  - Health technologies for monitoring and managing diabetes: a systematic review.
PG  - 1460-71
AB  - BACKGROUND: The primary objective of this review was to determine the strength of 
      evidence for the effectiveness of self-monitoring devices and technologies for 
      individuals with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus 
      (T2DM) based on specific health-related outcome measures. Self-monitoring devices 
      included those that assist patients with managing diabetes and preventing 
      cardiovascular complications (CVCs). A secondary objective was to explore issues 
      of feasibility, usability, and compliance among patients and providers. METHODS: 
      Study criteria included individuals >or=14 years and youth (7-14 years) with T1DM 
      or T2DM, intervention with a self-monitoring device, assessment of clinical 
      outcomes with the device, literature in English, and >or=10 participants. 
      Relevant published literature was searched from 1985 to 2008. Randomized 
      controlled trials and observational studies were included. Data were extracted 
      for clinical outcomes, feasibility and compliance methods, and results. Selected 
      studies were independently evaluated with a validated instrument for assessing 
      methodological quality. RESULTS: Eighteen trials were selected. Predominant types 
      of device interventions included self-monitoring of blood glucose, pedometers, 
      and cell phone or wireless technologies. Feasibility and compliance were measured 
      in the majority of studies. CONCLUSIONS: Self-monitoring of blood glucose 
      continues to be an effective tool for the management of diabetes. Wireless 
      technologies can improve diabetes self-care, and pedometers are effective 
      lifestyle modification tools. The results of this review indicate a need for 
      additional controlled trial research on existing and novel technologies for 
      diabetes self-monitoring, on health outcomes associated with diabetes and CVCs, 
      and device feasibility and compliance.
FAU - Russell-Minda, Elizabeth
AU  - Russell-Minda E
AD  - Aging, Rehabilitation, and Geriatric Care Research Centre, Lawson Health Research 
      Institute, Ontario, Canada.
FAU - Jutai, Jeffrey
AU  - Jutai J
FAU - Speechley, Mark
AU  - Speechley M
FAU - Bradley, Kaitlin
AU  - Bradley K
FAU - Chudyk, Anna
AU  - Chudyk A
FAU - Petrella, Robert
AU  - Petrella R
LA  - eng
GR  - CCT-83029/Canadian Institutes of Health Research/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20091101
PL  - United States
TA  - J Diabetes Sci Technol
JT  - Journal of diabetes science and technology
JID - 101306166
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (hemoglobin A1c protein, human)
SB  - IM
MH  - *Actigraphy/instrumentation
MH  - Adolescent
MH  - *Biomedical Technology/instrumentation
MH  - Blood Glucose/metabolism
MH  - *Blood Glucose Self-Monitoring/instrumentation
MH  - *Cell Phone
MH  - Child
MH  - Diabetes Mellitus, Type 1/blood/*diagnosis/*therapy
MH  - Diabetes Mellitus, Type 2/blood/*diagnosis/*therapy
MH  - Diagnostic Equipment
MH  - Equipment Design
MH  - Evidence-Based Medicine
MH  - Glycated Hemoglobin/metabolism
MH  - Guideline Adherence
MH  - Humans
MH  - Patient Compliance
MH  - Practice Guidelines as Topic
MH  - Practice Patterns, Physicians'
MH  - Predictive Value of Tests
MH  - Risk Reduction Behavior
MH  - Self Care
MH  - Treatment Outcome
PMC - PMC2787048
EDAT- 2010/02/11 06:00
MHDA- 2010/10/01 06:00
PMCR- 2010/11/01
CRDT- 2010/02/11 06:00
PHST- 2010/02/11 06:00 [entrez]
PHST- 2010/02/11 06:00 [pubmed]
PHST- 2010/10/01 06:00 [medline]
PHST- 2010/11/01 00:00 [pmc-release]
AID - dst.3.6.1460 [pii]
AID - 10.1177/193229680900300628 [doi]
PST - epublish
SO  - J Diabetes Sci Technol. 2009 Nov 1;3(6):1460-71. doi: 10.1177/193229680900300628.