PMID- 34534510 OWN - NLM STAT- MEDLINE DCOM- 20220422 LR - 20221207 IS - 1538-2990 (Electronic) IS - 0002-9629 (Linking) VI - 363 IP - 3 DP - 2022 Mar TI - Effects of Mobile Phone-Based Telemedicine Management in Patients With Type 2 Diabetes Mellitus: A Randomized Clinical Trial. PG - 224-231 LID - S0002-9629(21)00313-X [pii] LID - 10.1016/j.amjms.2021.09.001 [doi] AB - BACKGROUND: This study aims to explore the effect of mobile phone-based telemedicine management of glycemic control of type 2 diabetes mellitus (T2DM). METHODS: Patients with T2DM were followed up in Chongqing Jiulongpo District Yuzhoulu Community Health Center, and randomly divided into the telemedicine group (n=47) and the control group (n=50). The control group received regularly routine intervention. The telemedicine management group used the mobile phone to manage their health condition remotely. RESULTS: Both groups had similar baseline characteristics. After a follow-up period of 12 months intervention, the weight, body mass index, waist circumference, systolic blood pressure, body fat percentage, body fat mass, body water and muscle mass, fasting blood glucose, glycosylated hemoglobin, total costs of diabetes treatment for 1 month and the quality-of-life score were significantly improved in the telemedicine group (P<0.05). And compared with the control group, body fat composition, fasting blood glucose, glycosylated hemoglobin and the cost of change shows a significant improvement (P<0.05). Positive correlation was detected between fasting blood glucose and body composition parameters, such as body fat percentage, lean body mass and body fat mass in the telemedicine group (r=0.56, P<0.05; r=0.37, P<0.05; r=0.56, P<0.05). CONCLUSIONS: Compared with conventional intervention, the mobile phone-based telemedicine management can help patients with T2DM to improve glycemic level and quality of life. CI - Copyright (c) 2021 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved. FAU - Yang, Li AU - Yang L AD - Departments of Nutriology of Xinqiao Hospital, Army Medical University, Chongqing, P.R. China; Chongqing Jiulongpo District Health Center for Women and Children, Chongqing, P.R. China. FAU - Xu, Jing AU - Xu J AD - Department of Endocrinology of Xinqiao Hospital, Army Medical University, Chongqing, P.R. China. FAU - Kang, Chao AU - Kang C AD - Department of Nutriology of The General Hospital of Western Theater Command, Chengdu, Sichuan Province, P.R. China. FAU - Bai, Qian AU - Bai Q AD - Departments of Nutriology of Xinqiao Hospital, Army Medical University, Chongqing, P.R. China. FAU - Wang, Xiangyu AU - Wang X AD - Departments of Nutriology of Xinqiao Hospital, Army Medical University, Chongqing, P.R. China. FAU - Du, Shanshan AU - Du S AD - Departments of Nutriology of Xinqiao Hospital, Army Medical University, Chongqing, P.R. China. FAU - Zhu, Wenyi AU - Zhu W AD - Departments of Nutriology of Xinqiao Hospital, Army Medical University, Chongqing, P.R. China. FAU - Wang, Jian AU - Wang J AD - Departments of Nutriology of Xinqiao Hospital, Army Medical University, Chongqing, P.R. China. Electronic address: 673375499@qq.com. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20210914 PL - United States TA - Am J Med Sci JT - The American journal of the medical sciences JID - 0370506 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) SB - IM MH - Blood Glucose MH - *Cell Phone MH - *Diabetes Mellitus, Type 2/therapy MH - Glycated Hemoglobin/analysis MH - Humans MH - Quality of Life MH - *Telemedicine OTO - NOTNLM OT - Glycemic Control OT - Telemedicine OT - Type 2 diabetes mellitus COIS- Declaration of Competing Interest The authors have declared no conflict of interest. EDAT- 2021/09/18 06:00 MHDA- 2022/04/23 06:00 CRDT- 2021/09/17 20:10 PHST- 2020/08/03 00:00 [received] PHST- 2021/05/19 00:00 [revised] PHST- 2021/09/10 00:00 [accepted] PHST- 2021/09/18 06:00 [pubmed] PHST- 2022/04/23 06:00 [medline] PHST- 2021/09/17 20:10 [entrez] AID - S0002-9629(21)00313-X [pii] AID - 10.1016/j.amjms.2021.09.001 [doi] PST - ppublish SO - Am J Med Sci. 2022 Mar;363(3):224-231. doi: 10.1016/j.amjms.2021.09.001. Epub 2021 Sep 14.