PMID- 35023937
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220430
IS  - 1178-7007 (Print)
IS  - 1178-7007 (Electronic)
IS  - 1178-7007 (Linking)
VI  - 15
DP  - 2022
TI  - Efficacy of Digitally Supported and Real-Time Self-Monitoring of Blood 
      Glucose-Driven Counseling in Patients with Type 2 Diabetes Mellitus: A 
      Real-World, Retrospective Study in North India.
PG  - 23-33
LID - 10.2147/DMSO.S345785 [doi]
AB  - PURPOSE: Poor glycemic control is prevalent in patients with type 2 diabetes 
      mellitus (T2DM) in India. This study aims to understand the effectiveness of a 
      smartphone-connected glucometer, real-time feedback, and contextualized 
      counseling on glycemic control and hypoglycemic episodes in T2DM patients. 
      METHODS: This retrospective, multicenter study reviewed the medical records of 
      T2DM patients belonging to several cities of north India, who were digitally 
      engaged with a smartphone-connected glucometer and who had received at least one 
      counseling session between September 2019 and July 2020. Intervention included 
      self-monitoring of blood glucose (SMBG) using a smartphone-connected glucometer 
      enabled with real-time transmission of information to certified diabetes 
      educators (CDE) and their corresponding counseling based on SMBG findings. 
      RESULTS: Of 7111 adult T2DM patients included in this study, majority (75%) of 
      the patients received a single session of counseling, and the remaining patients 
      received 2 (16.7%), 3 (5%), 4 (2%), or >/=5 (1.3%) sessions. The mean age of the 
      patients was 51.6 years, and the majority (77.9%) were males. Digital monitoring 
      of BG and counseling with CDE significantly reduced the mean fasting (by 9.6%), 
      pre-prandial (by 9.9%), and post-prandial (by 9.2%) BG values in 53%, 52%, and 
      54% of patients, respectively. The majority (81.4%) of patients showed no 
      hypoglycemic episode (</=70 mg/dL) post-counseling. The hypoglycemia episodes 
      observed with FBG, pre-prandial, and post-prandial BG values were reduced 
      significantly by 58.5%, 48.1%, and 61.8%, respectively, post-counseling. 
      CONCLUSION: Digitally supported and real-time SMBG-driven counselling was 
      effective in glycemic control and reduction of hypoglycemic episodes in T2DM 
      patients in India. Moreover, reduction in hypoglycemia may be due to back end 
      real-time support of CDE intervention.
CI  - (c) 2022 Sabharwal et al.
FAU - Sabharwal, Mudit
AU  - Sabharwal M
AD  - BeatO, Health Arx Technologies Pvt. Ltd., New Delhi, India.
FAU - Misra, Anoop
AU  - Misra A
AD  - Fortis C-DOC Hospital, Center of Excellence for Diabetes, Metabolic Diseases, and 
      Endocrinology, New Delhi, India.
FAU - Ghosh, Amerta
AU  - Ghosh A
AD  - Fortis C-DOC Hospital, Center of Excellence for Diabetes, Metabolic Diseases, and 
      Endocrinology, New Delhi, India.
FAU - Chopra, Gautam
AU  - Chopra G
AD  - BeatO, Health Arx Technologies Pvt. Ltd., New Delhi, India.
LA  - eng
PT  - Journal Article
DEP - 20220105
PL  - New Zealand
TA  - Diabetes Metab Syndr Obes
JT  - Diabetes, metabolic syndrome and obesity : targets and therapy
JID - 101515585
PMC - PMC8743499
OTO - NOTNLM
OT  - counseling
OT  - glucometer
OT  - glycemic control
OT  - self-monitoring of blood glucose
OT  - type 2 diabetes mellitus
COIS- Gautam Chopra and Mudit Sabharwal declare that they serve as Chief Executive 
      Officer and Head of Medical Affairs, respectively, at Health Arx Technologies 
      Pvt. Ltd., New Delhi, India (manufacturer of BeatO smartphone-connected 
      glucometer). The authors report no other conflicts of interest in this work.
EDAT- 2022/01/14 06:00
MHDA- 2022/01/14 06:01
PMCR- 2022/01/05
CRDT- 2022/01/13 12:26
PHST- 2021/11/01 00:00 [received]
PHST- 2021/12/16 00:00 [accepted]
PHST- 2022/01/13 12:26 [entrez]
PHST- 2022/01/14 06:00 [pubmed]
PHST- 2022/01/14 06:01 [medline]
PHST- 2022/01/05 00:00 [pmc-release]
AID - 345785 [pii]
AID - 10.2147/DMSO.S345785 [doi]
PST - epublish
SO  - Diabetes Metab Syndr Obes. 2022 Jan 5;15:23-33. doi: 10.2147/DMSO.S345785. 
      eCollection 2022.